title: The effectiveness of health care provider physical activity recommendations in cancer survivors: a systematic review and meta-analysis protocol.
abstract: Cancer survivors face a range of negative physical and psychological effects that can be mitigated by participating in physical activity. Despite this, most do not meet recommended levels. Health care providers may be in a unique position to promote participation in physical activity among cancer survivors. The aim of this systematic review and meta-analysis is to synthesize the findings from randomized controlled trials and controlled clinical trials investigating the effectiveness of health care provider-administered physical activity recommendations on participation in physical activity among cancer survivors.
  
  
  
  Ten electronic databases (CINAHL, CENTRAL, Education Source, EMBASE, LILACS, MEDLINE, OTSeeker, PEDro, PsycINFO, SPORTDiscus) will be searched to identify relevant studies. The electronic searches will be supplemented by scanning the reference lists of relevant articles retrieved during these searches to ensure all potentially relevant studies are identified. Two reviewers will independently screen all titles and abstracts resulting from the searches to identify potentially eligible studies. They will then screen the full-text articles passing the first screen to identify studies for inclusion using predetermined inclusion/exclusion criteria, extract data from studies meeting all criteria, and assess the risk of bias of these studies. Results will be summarized narratively and statistically.
  
  
  
  By summarizing the best available evidence for the effectiveness of health care provider physical activity recommendations for increasing participation in physical activity among cancer survivors, the results of this systematic review and meta-analysis will help determine if making physical activity recommendations effectively changes cancer survivors behaviour. It will also help to identify knowledge gaps and highlight areas in need of additional research.
authors.affiliation: School of Human Kinetics, University of Ottawa, 125 University Private, Montpetit Hall, Room 339, Ottawa, Ontario, K1N 6N5, Canada. jennifer.brunet@uottawa.ca.|Institut de Recherche de l'Hôpital Montfort, l'Hôpital Montfort, Ottawa, Ontario, Canada. jennifer.brunet@uottawa.ca.|Cancer Therapeutic Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada. jennifer.brunet@uottawa.ca.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Brunet
authors.affiliation: School of Human Kinetics, University of Ottawa, 125 University Private, Montpetit Hall, Room 339, Ottawa, Ontario, K1N 6N5, Canada.
authors.forename: Amanda
authors.initials: A
authors.lastname: Wurz
authors.affiliation: School of Human Kinetics, University of Ottawa, 125 University Private, Montpetit Hall, Room 339, Ottawa, Ontario, K1N 6N5, Canada.
authors.forename: Connor
authors.initials: C
authors.lastname: O'Rielly
authors.affiliation: Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.|University Health Network, (Princess Margaret Cancer Centre), Toronto, Ontario, Canada.
authors.forename: Doris
authors.initials: D
authors.lastname: Howell
authors.affiliation: Department of Family Medicine, Université de Sherbrooke, Moncton, New Brunswick, Canada.|Centre de Formation Médicale du Nouveau-Brunswick, Moncton, New Brunswick, Canada.|Vitalité Health Network, Moncton, New Brunswick, Canada.
authors.forename: Mathieu
authors.initials: M
authors.lastname: Bélanger
authors.affiliation: Department of Oncology, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Sussman
mesh_terms: D005081:Exercise Therapy / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D015201:Meta-Analysis as Topic; D009369:Neoplasms / Q000523:psychology / Q000534:rehabilitation*; D017741:Survivors / Q000706:statistics & numerical data; D000078202:Systematic Reviews as Topic
keywords: Behaviour change; Cancer; Health care providers; Physical activity; Systematic review