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Purpose <p>We evaluated healthcare providers’ current knowledge, practices, and perspectives on a novel clinical decision tool (beta-version) to facilitate individualized exercise prescriptions and discussions in clinical settings.</p> Methods <p>We recruited healthcare providers who had treated or provided care to breast cancer survivors aged ≥ 35-years in the past 12&#xa0;months. The participants were presented with a tool to provide individualized exercise recommendations considering women’s individual, clinical, and contextual characteristics. Validated and reliable pre-existing instruments were used to survey providers’ current knowledge, practices regarding exercise discussions, and perspectives on the beta-version (paper-draft) of the novel tool.</p> Results <p>The sample consisted of complete survey responses from 177 healthcare providers including breast oncologists (27.7%), primary care physicians (10.7%), exercise specialists (19.8%), occupational/physical therapists (18.1%), advanced care providers, nurses, navigators, and social workers (23.7%). Median years of experience was 8-years (range: 5–13). Overall, 62.1% (<i>n</i> = 110) reported that they were knowledgeable about counseling survivors based on exercise guidelines. Among breast oncologists and primary care physicians (<i>n</i> = 68), only 39.7% reported that they were knowledgeable about identifying patients for exercise referals. The majority agreed that they would find the tool offering individualized information useful (<i>n</i> = 148, 83.6%), and would use it regularly to inform practice (82.5%). ‘Exercise Readiness’, ‘Exercise Resources at Home’, and ‘Quality-of-Life’ were the highest rated items for inclusion in the tool for exercise prescriptions. Provider perspectives were incorporated into the beta-version of the tool.</p> Conclusion <p>A clinical decision tool considering individual, clinical, and contextual characteristics may support exercise prescriptions and discussions in clinical settings.</p> Implications for cancer survivors <p>An evidence-based tool for exercise prescriptions may increase healthcare provider confidence to discuss, educate, encourage, and provide exercise referrals for breast cancer survivors.</p>

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Healthcare provider perspectives on a clinical decision tool to support individualized exercise prescriptions and discussions for breast cancer survivors

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月12日

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  • Jinani Jayasekera,
  • Oliver W. A. Wilson,
  • Kaitlyn M. Wojcik,
  • Eleanor M. Kerr,
  • Rachelle Brick,
  • David Berrigan,
  • Jennifer Yeong-shin Sheng,
  • Takeo Fujii,
  • Kathleen Thomas,
  • Henri K. Parson,
  • Padma Sheila Rajagopal,
  • Richard L. Street Jr

摘要

Purpose

We evaluated healthcare providers’ current knowledge, practices, and perspectives on a novel clinical decision tool (beta-version) to facilitate individualized exercise prescriptions and discussions in clinical settings.

Methods

We recruited healthcare providers who had treated or provided care to breast cancer survivors aged ≥ 35-years in the past 12 months. The participants were presented with a tool to provide individualized exercise recommendations considering women’s individual, clinical, and contextual characteristics. Validated and reliable pre-existing instruments were used to survey providers’ current knowledge, practices regarding exercise discussions, and perspectives on the beta-version (paper-draft) of the novel tool.

Results

The sample consisted of complete survey responses from 177 healthcare providers including breast oncologists (27.7%), primary care physicians (10.7%), exercise specialists (19.8%), occupational/physical therapists (18.1%), advanced care providers, nurses, navigators, and social workers (23.7%). Median years of experience was 8-years (range: 5–13). Overall, 62.1% (n = 110) reported that they were knowledgeable about counseling survivors based on exercise guidelines. Among breast oncologists and primary care physicians (n = 68), only 39.7% reported that they were knowledgeable about identifying patients for exercise referals. The majority agreed that they would find the tool offering individualized information useful (n = 148, 83.6%), and would use it regularly to inform practice (82.5%). ‘Exercise Readiness’, ‘Exercise Resources at Home’, and ‘Quality-of-Life’ were the highest rated items for inclusion in the tool for exercise prescriptions. Provider perspectives were incorporated into the beta-version of the tool.

Conclusion

A clinical decision tool considering individual, clinical, and contextual characteristics may support exercise prescriptions and discussions in clinical settings.

Implications for cancer survivors

An evidence-based tool for exercise prescriptions may increase healthcare provider confidence to discuss, educate, encourage, and provide exercise referrals for breast cancer survivors.