title: Increasing the frequency of physical activity very brief advice by nurses to cancer patients. A mixed methods feasibility study of a training intervention.
abstract: OBJECTIVE
  To examine the impact, acceptability, practicability and implementation of a training intervention, designed using the Behaviour Change Wheel, on the delivery of very brief advice on physical activity, by nurses to cancer patients.
  
  
  METHODS
  A mixed methods feasibility study.
  
  
  METHODS
  A purposeful sample of nurses (n = 62) were recruited across two delivery arms, face-to-face (n = 55) and online (n = 7). Frequency of delivery of physical activity advice was collected at baseline with follow-up at 12 weeks. The 'capability, opportunity and motivation' of nurses to deliver very brief advice was measured via questionnaire. Semi-structured phone interviews (n = 14) were completed and analyzed thematically. A cost consequence analysis was undertaken.
  
  
  RESULTS
  The intervention improved the 'capability, opportunity and motivation' of nurses resulting in a change in knowledge, attitudes and beliefs towards physical activity. The intervention was both acceptable and practical. Face-to-face was the preferred mode of delivery, however there was also value in the online option. The cost of delivery per participant was £33.87 for face-to-face delivery, and £103.83 for online delivery inflated due to low recruitment numbers. A significant improvement was seen in delivery of very brief advice at 12 weeks (Z = -4.39, P ≤ 0.01).
  
  
  CONCLUSIONS
  The intervention is acceptable, practical and improves delivery of very brief advice on physical activity by nurses to cancer patients in the short-term. Both face-to-face and online delivery should be considered.
authors.affiliation: Macmillan Cancer Support, Support and Wellbeing Department, 89 Albert Embankment, London, SE1 7UQ, UK. Electronic address: jwebb@macmillan.org.uk.
authors.forename: J
authors.initials: J
authors.lastname: Webb
authors.affiliation: Brunel University, Sport, Health & Exercise Sciences, Kingston Lane, Uxbridge, Middlesex, UB8 3PH, UK.
authors.forename: J
authors.initials: J
authors.lastname: Hall
authors.affiliation: University of Bath, Humanities & Social Sciences, Claverton Down Road, Bath, North Somerset, BA2 7AY, UK.
authors.forename: K
authors.initials: K
authors.lastname: Hall
authors.affiliation: University of Bath, Humanities & Social Sciences, Claverton Down Road, Bath, North Somerset, BA2 7AY, UK.
authors.forename: R
authors.initials: R
authors.lastname: Fabunmi-Alade
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods* / Q000706:statistics & numerical data*; D015444:Exercise; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009369:Neoplasms / Q000451:nursing* / Q000523:psychology; D009723:Nurse-Patient Relations; D009726:Nurses / Q000523:psychology / Q000706:statistics & numerical data; D015403:Nursing Evaluation Research; D009859:Oncology Nursing / Q000193:education*; D011795:Surveys and Questionnaires
keywords: Behaviour Change Wheel; COM-B model; Cancer; Physical activity; Very brief advice