Advertisement

Moving Cancer Care Ontario’s Exercise for People with Cancer guidelines into oncology practice: using the Theoretical Domains Framework to validate a questionnaire

  • Michelle B. NadlerEmail author
  • Daryl Bainbridge
  • Angela J. Fong
  • Jonathan Sussman
  • Jennifer R. Tomasone
  • Sarah E. Neil-Sztramko
Commentary

Abstract

Evidence supporting the benefits of exercise surrounding cancer treatment has led to internationally published guidelines, with minimal uptake by oncology care providers (OCPs). There is a need to understand how to implement research evidence into practice. Our team developed a questionnaire to assess OCPs’ knowledge of exercise guidelines and barriers/facilitators to exercise counseling and program referral. We validated the questionnaire using the Theoretical Domains Framework, a knowledge translation (KT) framework used to implement evidence-based guidelines into practice. In this commentary, we describe this process and the rationale for integrating a KT framework into intervention development and implementation in oncology practice. The revised questionnaire, entitled Clinicians Perspectives on Exercise in Patients with Cancer (CliPEC), is shared to facilitate the implementation process and allow for comparison across oncology practices.

Keywords

Oncology Physical activity Exercise Guidelines Knowledge translation Implementation Intervention design 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

520_2019_4689_MOESM1_ESM.docx (46 kb)
ESM 1 (DOCX 45 kb)

References

  1. 1.
    Clinical Oncology Society of Australia (2018) COSA Position Statement on Exercise in CancerGoogle Scholar
  2. 2.
    National Comprehensive Cancer Network (2018) NCCN Clinical Practice Guidelines in Oncology: Survivorship vol 2.2018Google Scholar
  3. 3.
    Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvao DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, Schneider CM, von Gruenigen VE, Schwartz AL, American College of Sports M (2010) American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc 42(7):1409–1426.  https://doi.org/10.1249/MSS.0b013e3181e0c112 CrossRefPubMedGoogle Scholar
  4. 4.
    Segal R, Zwaal C, Green E, Tomasone JR, Loblaw A, Petrella T, Exercise for People with Cancer Guideline Development G (2017) Exercise for people with cancer: a clinical practice guideline. Curr Oncol 24(1):40–46.  https://doi.org/10.3747/co.24.3376 CrossRefPubMedGoogle Scholar
  5. 5.
    Nadler M, Bainbridge D, Tomasone J, Cheifetz O, Juergens RA, Sussman J (2017) Oncology care provider perspectives on exercise promotion in people with cancer: an examination of knowledge, practices, barriers, and facilitators. Support Care Cancer 25(7):2297–2304.  https://doi.org/10.1007/s00520-017-3640-9 CrossRefPubMedGoogle Scholar
  6. 6.
    Park JH, Oh M, Yoon YJ, Lee CW, Jones LW, Kim SI, Kim NK, Jeon JY (2015) Characteristics of attitude and recommendation of oncologists toward exercise in South Korea: a cross sectional survey study. BMC Cancer 15:249.  https://doi.org/10.1186/s12885-015-1250-9 CrossRefPubMedGoogle Scholar
  7. 7.
    Fong AJ, Faulkner G, Jones JM, Sabiston CM (2018) A qualitative analysis of oncology clinicians’ perceptions and barriers for physical activity counseling in breast cancer survivors. Support Care Cancer 26(9):3117–3126.  https://doi.org/10.1007/s00520-018-4163-8 CrossRefPubMedGoogle Scholar
  8. 8.
    Clifford BK, Mizrahi D, Sandler CX, Barry BK, Simar D, Wakefield CE, Goldstein D (2018) Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer 26(3):685–700.  https://doi.org/10.1007/s00520-017-3964-5 CrossRefPubMedGoogle Scholar
  9. 9.
    Eng L, Pringle D, Su J, Shen X, Mahler M, Niu C, Charow R, Tiessen K, Lam C, Halytskyy O, Naik H, Hon H, Irwin M, Pat V, Gonos C, Chan C, Villeneuve J, Harland L, Shani RM, Brown MC, Selby P, Howell D, Xu W, Liu G, Alibhai SMH, Jones JM (2018) Patterns, perceptions, and perceived barriers to physical activity in adult cancer survivors. Support Care Cancer 26:3755–3763.  https://doi.org/10.1007/s00520-018-4239-5 CrossRefPubMedGoogle Scholar
  10. 10.
    Neil SE, Gotay CC, Campbell KL (2014) Physical activity levels of cancer survivors in Canada: findings from the Canadian Community Health Survey. J Cancer Surviv 8(1):143–149.  https://doi.org/10.1007/s11764-013-0322-6 CrossRefPubMedGoogle Scholar
  11. 11.
    De Groef A, Geraerts I, Demeyer H, Van der Gucht E, Dams L, de Kinkelder C, Dukers-van Althuis S, Van Kampen M, Devoogdt N (2018) Physical activity levels after treatment for breast cancer: two-year follow-up. Breast 40:23–28.  https://doi.org/10.1016/j.breast.2018.04.009 CrossRefPubMedGoogle Scholar
  12. 12.
    Bloom BS (2005) Effects of continuing medical education on improving physician clinical care and patient health: a review of systematic reviews. Int J Technol Assess Health Care 21(3):380–385CrossRefPubMedGoogle Scholar
  13. 13.
    Prior M, Guerin M, Grimmer-Somers K (2008) The effectiveness of clinical guideline implementation strategies--a synthesis of systematic review findings. J Eval Clin Pract 14(5):888–897.  https://doi.org/10.1111/j.1365-2753.2008.01014.x CrossRefPubMedGoogle Scholar
  14. 14.
    Straus SE, Tetroe J, Graham I (2009) Defining knowledge translation. CMAJ 181(3–4):165–168.  https://doi.org/10.1503/cmaj.081229 CrossRefPubMedGoogle Scholar
  15. 15.
    Cane J, O'Connor D, Michie S (2012) Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci 7:37.  https://doi.org/10.1186/1748-5908-7-37 CrossRefPubMedGoogle Scholar
  16. 16.
    Atkins L, Francis J, Islam R, O'Connor D, Patey A, Ivers N, Foy R, Duncan EM, Colquhoun H, Grimshaw JM, Lawton R, Michie S (2017) A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implement Sci 12(1):77.  https://doi.org/10.1186/s13012-017-0605-9 CrossRefPubMedGoogle Scholar
  17. 17.
    French SD, Green SE, O'Connor DA, McKenzie JE, Francis JJ, Michie S, Buchbinder R, Schattner P, Spike N, Grimshaw JM (2012) Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the Theoretical Domains Framework. Implement Sci 7:38.  https://doi.org/10.1186/1748-5908-7-38 CrossRefPubMedGoogle Scholar
  18. 18.
    Mangurian C, Niu GC, Schillinger D, Newcomer JW, Dilley J, Handley MA (2017) Utilization of the Behavior Change Wheel framework to develop a model to improve cardiometabolic screening for people with severe mental illness. Implement Sci 12(1):134.  https://doi.org/10.1186/s13012-017-0663-z CrossRefPubMedGoogle Scholar
  19. 19.
    IBM Corp. Released 2016. IBM SPSS Statistics for Windows, Version 24.0. IBM Corp, Armonk, NYGoogle Scholar
  20. 20.
    Michie S, van Stralen MM, West R (2011) The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci 6:42.  https://doi.org/10.1186/1748-5908-6-42 CrossRefPubMedGoogle Scholar
  21. 21.
    Fabrigar LRWD, MacCallum RC, Strahan EJ (1999) Evaluating the use of exploratory factor analysis in psychological research. Psychol Methods 4(3):272–299CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Princess Margaret Cancer Centre and University of TorontoTorontoCanada
  2. 2.McMaster UniversityHamiltonCanada
  3. 3.School of Kinesiology and Health Studies, Queen’s UniversityKingstonCanada

Personalised recommendations