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

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.

Basic information

Original name

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

Authors

BOUWMAN, Eline (guarantor), Saskia M F PLUIJM, Iridi STOLLMAN, Vera ARAUJO-SOARES, Nicole M A BLIJLEVENS, Cecilia FOLLIN, Jeanette Falck WINTHER, Lars HJORTH, Tomáš KEPÁK (203 Czech Republic, belonging to the institution), Kateřina KEPÁKOVÁ (203 Czech Republic, belonging to the institution), 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 and Jacqueline J LOONEN

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 4.000 in 2022

RIV identification code

RIV/00216224:14110/23:00130261

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1002/cam4.5445

UT WoS

000888917300001

Keywords in English

clinical management; pediatric cancer; screening; survival

Abstract

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.

Citovat

BOUWMAN, Eline, Saskia M F PLUIJM, Iridi STOLLMAN, Vera ARAUJO-SOARES, Nicole M A BLIJLEVENS, Cecilia FOLLIN, Jeanette Falck WINTHER, Lars HJORTH, Tomáš KEPÁK, Kateřina KEPÁKOVÁ, 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 and Jacqueline J LOONEN. Healthcare professionals' perceived barriers and facilitators of health behavior support provision: A qualitative study. Cancer Medicine. HOBOKEN: John Wiley & Sons Ltd., 2023, vol. 12, No 6, p. 7414-7426. ISSN 2045-7634. Available from: https://dx.doi.org/10.1002/cam4.5445.

@article{2251512,
   author = {Bouwman, Eline and Pluijm, Saskia M F and Stollman, Iridi and AraujoandSoares, Vera and Blijlevens, Nicole M A and Follin, Cecilia and Winther, Jeanette Falck and Hjorth, Lars and Kepák, Tomáš and Kepáková, Kateřina and Kremer, Leontien C M and Muraca, Monica and van der Pal Helena, H J and Schneider, Carina and Uyttebroeck, Anne and Vercruysse, Gertrui and Skinner, Roderick and Brown, Morven C and Hermens, Rosella P M G and Loonen, Jacqueline J},
   article_location = {HOBOKEN},
   article_number = {6},
   doi = {http://dx.doi.org/10.1002/cam4.5445},
   keywords = {clinical management; pediatric cancer; screening; survival},
   language = {eng},
   issn = {2045-7634},
   journal = {Cancer Medicine},
   title = {Healthcare professionals' perceived barriers and facilitators of health behavior support provision: A qualitative study},
   url = {https://onlinelibrary.wiley.com/doi/10.1002/cam4.5445},
   volume = {12},
   year = {2023}
}

TY  - JOUR
ID  - 2251512
AU  - Bouwman, Eline - Pluijm, Saskia M F - Stollman, Iridi - Araujo-Soares, Vera - Blijlevens, Nicole M A - Follin, Cecilia - Winther, Jeanette Falck - Hjorth, Lars - Kepák, Tomáš - Kepáková, Kateřina - Kremer, Leontien C M - Muraca, Monica - van der Pal Helena, H J - Schneider, Carina - Uyttebroeck, Anne - Vercruysse, Gertrui - Skinner, Roderick - Brown, Morven C - Hermens, Rosella P M G - Loonen, Jacqueline J
PY  - 2023
TI  - Healthcare professionals' perceived barriers and facilitators of health behavior support provision: A qualitative study
JF  - Cancer Medicine
VL  - 12
IS  - 6
SP  - 7414-7426
EP  - 7414-7426
PB  - John Wiley & Sons Ltd.
SN  - 20457634
KW  - clinical management
KW  - pediatric cancer
KW  - screening
KW  - survival
UR  - https://onlinelibrary.wiley.com/doi/10.1002/cam4.5445
N2  - 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.
ER  -

BOUWMAN, Eline, Saskia M F PLUIJM, Iridi STOLLMAN, Vera ARAUJO-SOARES, Nicole M A BLIJLEVENS, Cecilia FOLLIN, Jeanette Falck WINTHER, Lars HJORTH, Tomáš KEPÁK, Kateřina KEPÁKOVÁ, 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 and Jacqueline J LOONEN. Healthcare professionals' perceived barriers and facilitators of health behavior support provision: A qualitative study. \textit{Cancer Medicine}. HOBOKEN: John Wiley \&{} Sons Ltd., 2023, vol.~12, No~6, p.~7414-7426. ISSN~2045-7634. Available from: https://dx.doi.org/10.1002/cam4.5445.

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