Barriers to translation of physical activity into the lung cancer model of care: A qualitative study of clinicians' perspectives.

AuthorsGranger, CL.
Denehy, L.
Remedios, L.
Retica, S.
Phongpagdi, P.
Hart, N.
Parry, SM
TypeJournal Article (Original Research)
JournalAnnals of the American Thoracic Society
Year of Publication2016
Evidence-based clinical practice guidelines recommend physical activity (physical activity) for people with lung cancer, however evidence has not translated into clinical practice and the majority of patients do not meet recommended activity levels.
To identify factors (barriers and enablers) that influence clinicians' translation of the physical activity guidelines into practice.
Qualitative study involving 17 participants (three respiratory physicians, two thoracic surgeons, two oncologists, two nurses, eight physical therapists) who were recruited using purposive sampling from five hospitals in Melbourne, Australia. Nine semi-structured interviews and a focus group were conducted, transcribed verbatim and independently crosschecked by a second researcher. Thematic analysis was used to analyse data.
Five consistent themes emerged: 1) the clinicians perception of patient-related physical and psychological influences (including symptoms and comorbidities) that impact on patient's ability to perform regular physical activity; 2) the influence of the patient's past physical activity behaviour and their perceived relevance and knowledge about physical activity; 3) the clinicians own knowledge and beliefs about physical activity; 4) workplace culture supporting or hindering physical activity; and 5) environmental and structural influences in the healthcare system (included clinicians time, staffing, protocols and services). Clinicians described potential strategies including: 1) the opportunity for nurse practitioners to act as champions of regular physical activity and triage referrals for physical activity services; 2) opportunistically using the time when patients are in hospital post-surgery to discuss physical activity; and 3) for all members of the multi-disciplinary team to provide consistent messages to patients about the importance of physical activity.
Key barriers to implementation of the physical activity guidelines in lung cancer are diverse and include both clinician and healthcare system related factors. A combined approach to target a number of these factors should be used to inform research, improve clinical services and develop policies aiming to increase physical activity and improve survivorship outcomes for patients with lung cancer.

< More publications

Notch monitoring in sleepNOTCH MONITORING IN SLEEP

Sleep apnea is a condition where breathing is abnormal during sleep. There are two main forms of sleep apnea: obstructive and central. For obstructive sleep apnea, breathing is reduced because the airway...


Each year in Australia 260 people sustain a SCI, with over half losing full function in their arms and legs (quadriplegia). In addition to the primary disability, there is a very high rate of Obstructive...

NTC releases 'world first' heavy vehicle driver fatigue studyNTC RELEASES 'WORLD FIRST' HEAVY VEHICLE DRIVER FATIGUE STUDY

The National Transport Commission (NTC) and the Cooperative Research Centre for Alertness, Safety and Productivity (Alertness CRC) have released the results of what is hailed as a world-first study into heavy vehicle driver fatigue.

AAMRI Election Statement released on 25th March 2019AAMRI ELECTION STATEMENT RELEASED ON 25TH MARCH 2019

AAMRI released its election statement calling on politicians to commit to three main priorities: ensuring the MRFF reaches $20 billion by 2020-21, provide continued strong support for the NHMRC, and develop sustainable and rewarding career pathways.

IBAS Director Anna Burke unveils her portrait at Canberra's Parliament HouseIBAS DIRECTOR ANNA BURKE UNVEILS HER PORTRAIT AT CANBERRA'S PARLIAMENT HOUSE

Anna Burke had barely got into the swing of her speech at the unveiling of her portrait at Canberra's Parliament House when the ringing of bells caused half her audience to hurry away

National study offers hope for breathlessnessNATIONAL STUDY OFFERS HOPE FOR BREATHLESSNESS

A national medication study is aiming to help thousands of Australians who struggle every day with shortness of breath

Institute for Breathing and Sleep

Level 5, Harold Stokes Building, Austin Hospital
145 Studley Road
Heidelberg, Victoria, 3084

(03) 9496 5390

Email Us