title: Using the theory of planned behavior to understand health professionals' attitudes and intentions to refer cancer patients for psychosocial support.
abstract: OBJECTIVE
  To describe oncology professionals' patterns of referral to existing community and psychosocial support services, including complementary therapies utilizing the theory of planned behavior (TPB).
  
  
  METHODS
  An exploratory cross-sectional survey of 72 oncology professionals including nurses (73.6%), medical practitioners (19.4%) and allied health professionals (6.9%) from health institutions in South Australia assessed past referral patterns, perceived attitudes of peers, control over and attitudes toward, referral, past referral practices and how these impact on intention to refer.
  
  
  RESULTS
  Referral to support services such as a cancer helpline, allied health or complementary services was infrequent. A hierarchical regression entering awareness, past referral and the TPB variables (attitude, subjective norm and perceived control) explained 51% of the variance on the outcome 'intention to refer'. Barriers to referral for support included lack of local services for remote patients, and financial considerations.
  
  
  CONCLUSIONS
  Interventions with health professionals should focus on the development of a culture, which recognizes the importance of addressing a breadth of patient needs across the cancer trajectory. Education and support for health professionals is required to ensure that they feel comfortable discussing support needs and referring to appropriate support services.
authors.affiliation: School of Psychology, The University of Adelaide, SA, Australia. happykeith7@hotmail.com
authors.forename: Ling Yu Keith
authors.initials: LY
authors.lastname: Kam
authors.forename: Vikki E
authors.initials: VE
authors.lastname: Knott
authors.forename: Carlene
authors.initials: C
authors.lastname: Wilson
authors.forename: Suzanne K
authors.initials: SK
authors.lastname: Chambers
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D057184:Practice Patterns, Nurses'; D010818:Practice Patterns, Physicians'; D011582:Psychological Theory; D012017:Referral and Consultation; D012944:Social Support; D011795:Surveys and Questionnaires