TY - JOUR
T1 - Healthcare professionals' perceived barriers and facilitators of health behavior support provision
T2 - A qualitative study
AU - Bouwman, Eline
AU - Pluijm, Saskia M. F.
AU - Stollman, Iridi
AU - Araujo-Soares, Vera
AU - Blijlevens, Nicole M. A.
AU - Follin, Cecilia
AU - Falck Winther, Jeanette
AU - Hjorth, Lars
AU - Kepak, Tomas
AU - Kepakova, Katerina
AU - Kremer, Leontien C. M.
AU - Muraca, Monica
AU - van der Pal, Helena J. H.
AU - Schneider, Carina
AU - Uyttebroeck, Anne
AU - Vercruysse, Gertrui
AU - Skinner, Roderick
AU - Brown, Morven C.
AU - the PanCareFollowUp Consortium
AU - Hermens, Rosella P. M. G.
AU - Loonen, Jacqueline J.
N1 - Funding Information: The PanCareFollowUp Consortium, established in 2018, is a unique and multidisciplinary collaboration between 14 project partners from 10 European countries, including patient experts (https://pancarefollowup.eu). The aim of the consortium is to improve the quality of life for survivors of childhood, adolescent, and young adult (CAYA) cancer by bringing evidence-based, person-centered care to clinical practice. The PanCareFollowUp Consortium has developed and evaluated two interventions, including a person-centered and guideline-based model of survivorship care (Care Intervention) and an eHealth lifestyle coaching model (Lifestyle intervention). After the project, replication manuals that contain the instructions and tools required for implementation of the PanCareFollowUp interventions will be freely distributed. The PanCareFollowUp project was supported by the European Union's Horizon 2020 Framework Program [grant number 824982]. We would like to acknowledge the participants for their contribution for this study. Funding Information: The PanCareFollowUp Consortium, established in 2018, is a unique and multidisciplinary collaboration between 14 project partners from 10 European countries, including patient experts ( https://pancarefollowup.eu ). The aim of the consortium is to improve the quality of life for survivors of childhood, adolescent, and young adult (CAYA) cancer by bringing evidence‐based, person‐centered care to clinical practice. The PanCareFollowUp Consortium has developed and evaluated two interventions, including a person‐centered and guideline‐based model of survivorship care (Care Intervention) and an eHealth lifestyle coaching model (Lifestyle intervention). After the project, replication manuals that contain the instructions and tools required for implementation of the PanCareFollowUp interventions will be freely distributed. The PanCareFollowUp project was supported by the European Union's Horizon 2020 Framework Program [grant number 824982]. Publisher Copyright: © 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.
PY - 2023/3
Y1 - 2023/3
N2 - Background: Childhood 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. Methods: Five 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. Results: Nine 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. Conclusions: This 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.
AB - Background: Childhood 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. Methods: Five 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. Results: Nine 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. Conclusions: This 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.
KW - clinical management
KW - pediatric cancer
KW - screening
KW - survival
UR - http://www.scopus.com/inward/record.url?scp=85142363061&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/cam4.5445
DO - https://doi.org/10.1002/cam4.5445
M3 - Article
C2 - 36397667
SN - 2045-7634
VL - 12
SP - 7414
EP - 7426
JO - Cancer Medicine
JF - Cancer Medicine
IS - 6
ER -