J 2023

Healthcare professionals' perceived barriers and facilitators of health behavior support provision: A qualitative study

BOUWMAN, Eline, Saskia M F PLUIJM, Iridi STOLLMAN, Vera ARAUJO-SOARES, Nicole M A BLIJLEVENS et. al.

Základní údaje

Originální název

Healthcare professionals' perceived barriers and facilitators of health behavior support provision: A qualitative study

Autoři

BOUWMAN, Eline (garant), Saskia M F PLUIJM, Iridi STOLLMAN, Vera ARAUJO-SOARES, Nicole M A BLIJLEVENS, Cecilia FOLLIN, Jeanette Falck WINTHER, Lars HJORTH, Tomáš KEPÁK (203 Česká republika, domácí), Kateřina KEPÁKOVÁ (203 Česká republika, domácí), Leontien C M KREMER, Monica MURACA, H J VAN DER PAL HELENA, Carina SCHNEIDER, Anne UYTTEBROECK, Gertrui VERCRUYSSE, Roderick SKINNER, Morven C BROWN, Rosella P M G HERMENS a Jacqueline J LOONEN

Vydání

Cancer Medicine, HOBOKEN, John Wiley & Sons Ltd. 2023, 2045-7634

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30204 Oncology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 4.000 v roce 2022

Kód RIV

RIV/00216224:14110/23:00130261

Organizační jednotka

Lékařská fakulta

UT WoS

000888917300001

Klíčová slova anglicky

clinical management; pediatric cancer; screening; survival

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 26. 1. 2024 10:57, Mgr. Tereza Miškechová

Anotace

V originále

BackgroundChildhood cancer survivors (CCSs) have an increased risk of developing chronic health conditions. Evidence suggests that poor health behaviors further increase health risks. Healthcare professionals (HCPs) involved in survivorship care have a key role in providing health behavior support (HBS) but can feel limited in their ability to do so. This study aims to explore European HCPs perceived facilitators and barriers to providing HBS to CCSs. MethodsFive focus groups with 30 HCPs from survivorship care clinics across Europe were conducted. Topic guides were informed by the Theoretical Domains Framework (TDF) to capture domains that may influence provision of HBS. Focus groups were analyzed with thematic analysis. Transcripts were inductively coded, after which axial coding was applied to organize codes into categories. Finally, categories were mapped onto the TDF domains. ResultsNine TDF domains were identified in the data. The most commonly reported TDF domains were "Knowledge", "Skills", and "Environmental context and resources". HCPs indicated that their lack of knowledge of the association between late effects and health behaviors, besides time restrictions, were barriers to HBS. Facilitators for HBS included possession of skills needed to pass on health behavior information, good clinic organization, and an established network of HCPs. ConclusionsThis study identified education and training of HCPs as key opportunities to improve HBS. Survivorship care clinics should work towards establishing well-integrated structured care with internal and external networks including HBS being part of routine care. Proper understanding of facilitators and barriers should lead to better survivorship care for CCSs.