title: Physical Activity and Breast Cancer: A Qualitative Study on the Barriers to and Facilitators of Exercise Promotion from the Perspective of Health Care Professionals.
abstract: Purpose:We determined the barriers to and facilitators of exercise promotion by health care professionals (HCPs) for women with breast cancer (BC).Methods:The study was a qualitative descriptive study. Semi-structured interviews were conducted with HCPs who treat individuals with BC in Ontario. The interviews were recorded and transcribed. Two reviewers independently used content analysis to determine codes and themes developed in the interviews. NVivo 10 was used during the coding process.Results:A total of 24 HCPs participated in this study. The data from the interviews were grouped into five main categories: (1) institutional barriers, (2) HCP barriers, (3) perceived patient barriers, (4) facilitators (resource and service needs), and (5) patient characteristics. A graphic depiction of the interaction was created for these categories and how they affect the promotion of exercise for women with BC.Conclusions:Participants in this study identified several barriers to exercise promotion at the institutional, professional, and patient levels and suggested several strategies to facilitate exercise promotion. These findings can inform future exercise interventions to increase exercise adherence and engagement in this population.
authors.affiliation: School of Rehabilitation Science.
authors.forename: Jenna
authors.initials: J
authors.lastname: Smith-Turchyn
authors.affiliation: School of Rehabilitation Science.
authors.forename: Julie
authors.initials: J
authors.lastname: Richardson
authors.affiliation: Juravinski Cancer Centre, Department of Oncology.
authors.forename: Richard
authors.initials: R
authors.lastname: Tozer
authors.affiliation: School of Rehabilitation Medicine, University of Alberta, Edmonton, Alta.
authors.forename: Margaret
authors.initials: M
authors.lastname: McNeely
authors.affiliation: Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Ont.
authors.forename: Lehana
authors.initials: L
authors.lastname: Thabane
keywords: breast cancer; exercise; health promotion; rehabilitation