Exploring Healthcare Provider Experiences with the EXCEL Exercise Referral Pathway for Individuals Living with and Beyond Cancer.

IF 2.8 4区医学 Q2 ONCOLOGY

Current oncology Pub Date : 2025-03-20 DOI:10.3390/curroncol32030181

Alexandra Finless, Mannat Bansal, Thomas Christensen, S Nicole Culos-Reed, Colleen A Cuthbert, Julianna Dreger, Jodi E Langley, Melanie R Keats

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引用次数: 0

Abstract

Exercise is an evidence-based strategy shown to reduce the negative side effects associated with cancer treatment for individuals living with and beyond cancer (LWBC). Healthcare providers (HCPs) play a critical role in promoting exercise for these individuals. Notwithstanding, several barriers hinder HCPs' ability to discuss and support exercise in clinical practice. EXCEL is an exercise intervention designed to address health disparities in access to exercise oncology resources for rural/remote individuals LWBC, including a referral pathway for HCPs to use. The purpose of this study was to evaluate HCP experiences using the EXCEL exercise referral pathway. We employed an interpretive description methodology, using semi-structured interviews to assess HCP experiences with EXCEL. Overall, HCPs felt empowered to refer to exercise when they were supported in doing so. The findings highlighted (1) a need for a better understanding of the role of exercise professionals and their integration into cancer care; (2) the need for efficient referral systems including embedding referrals into existing health care electronic record systems; and (3) sharing patient feedback with exercise oncology programs back to the HCPs to drive continued referrals.

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探索医疗保健提供者的经验与EXCEL运动推荐途径的个人生活和超越癌症。

锻炼是一种基于证据的策略，可以减少与癌症患者和非癌症患者（LWBC）癌症治疗相关的负面副作用。医疗保健提供者（HCPs）在促进这些人锻炼方面发挥着关键作用。尽管如此，一些障碍阻碍了HCPs在临床实践中讨论和支持锻炼的能力。EXCEL是一项运动干预，旨在解决农村/偏远地区LWBC个体在获得运动肿瘤资源方面的健康差异，包括HCPs使用的转诊途径。本研究的目的是利用EXCEL运动转诊途径评估HCP体验。我们采用了一种解释性描述方法，使用半结构化访谈来评估EXCEL中的HCP体验。总的来说，当HCPs得到支持时，他们觉得自己被授权去做运动。研究结果强调(1)需要更好地理解运动专业人员的作用及其与癌症治疗的结合；(2)需要高效的转诊系统，包括将转诊嵌入现有的医疗电子记录系统；(3)将患者对运动肿瘤学项目的反馈反馈给hcp，以推动后续转诊。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current oncology ONCOLOGY-

CiteScore

3.30

自引率

7.70%

发文量

664

审稿时长

1 months

期刊介绍： Current Oncology is a peer-reviewed, Canadian-based and internationally respected journal. Current Oncology represents a multidisciplinary medium encompassing health care workers in the field of cancer therapy in Canada to report upon and to review progress in the management of this disease. We encourage submissions from all fields of cancer medicine, including radiation oncology, surgical oncology, medical oncology, pediatric oncology, pathology, and cancer rehabilitation and survivorship. Articles published in the journal typically contain information that is relevant directly to clinical oncology practice, and have clear potential for application to the current or future practice of cancer medicine.