Diet and exercise advice and referrals for cancer survivors: an integrative review of medical and nursing perspectives.

Joseph, R; Hart, NH; Bradford, N; Agbejule, OA; Koczwara, B; Chan, A; Wallen, MP; Chan, RJ

Diet and exercise advice and referrals for cancer survivors: an integrative review of medical and nursing perspectives.

Joseph, R Hart, NH Bradford, N Agbejule, OA Koczwara, B Chan, A Wallen, MP Chan, RJ

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Publisher:: Springer
Publication Type:: Journal Article
Citation:: Supportive Care in Cancer, 2022, 30, (10), pp. 8429-8439
Issue Date:: 2022-10

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Field	Value	Language
dc.contributor.author	Joseph, R
dc.contributor.author	Hart, NH
dc.contributor.author	Bradford, N
dc.contributor.author	Agbejule, OA
dc.contributor.author	Koczwara, B
dc.contributor.author	Chan, A
dc.contributor.author	Wallen, MP
dc.contributor.author	Chan, RJ
dc.date.accessioned	2022-11-02T05:34:12Z
dc.date.available	2022-05-13
dc.date.available	2022-11-02T05:34:12Z
dc.date.issued	2022-10
dc.identifier.citation	Supportive Care in Cancer, 2022, 30, (10), pp. 8429-8439
dc.identifier.issn	0941-4355
dc.identifier.issn	1433-7339
dc.identifier.uri	http://hdl.handle.net/10453/163170
dc.description.abstract	PURPOSE: To examine the perspectives of medical and nursing health professionals concerning their roles and responsibilities in providing dietary and exercise advice to cancer survivors, and referrals to allied health professionals. METHODS: An integrative review. PubMed, CINAHL, PsycINFO, Embase, Web of Science databases, and bibliographies of relevant studies were searched from December 2011 to June 2021. All studies were eligible for inclusion. The Mixed-Methods Appraisal Tool (MMAT) was used to critically appraise included studies. Data were extracted and synthesised regarding the perspectives of medical and nursing health professionals on their roles, responsibilities, barriers, and facilitators. RESULTS: Twenty-one studies involving 3401 medical and nursing health professionals and 264 cancer survivors of diverse cancer types were included. Ten quantitative, nine qualitative, and two mixed-methods studies were eligible. All included studies met at least 80% of the quality criteria in the MMAT. Major findings include the following: (1) medical and nursing health professionals were unclear on their roles in providing dietary and exercise advice to cancer survivors but agreed they play a key role in referrals to dietitians and exercise professionals; (2) most cancer survivors valued the involvement of their general practitioner when receiving dietary and exercise advice. CONCLUSION: Although medical and nursing health professionals understand that referrals to allied health professionals form part of their role, there is a lack of clarity regarding their roles to provide dietary and exercise advice to cancer survivors. Future studies should address barriers and facilitators of dietary and exercise advice and referral by medical and nursing health professionals.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Springer
dc.relation.ispartof	Supportive Care in Cancer
dc.relation.isbasedon	10.1007/s00520-022-07152-w
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Oncology & Carcinogenesis
dc.subject.mesh	Cancer Survivors
dc.subject.mesh	Diet
dc.subject.mesh	Exercise
dc.subject.mesh	Health Personnel
dc.subject.mesh	Humans
dc.subject.mesh	Neoplasms
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Cancer Survivors
dc.subject.mesh	Diet
dc.subject.mesh	Exercise
dc.subject.mesh	Health Personnel
dc.subject.mesh	Humans
dc.subject.mesh	Neoplasms
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Humans
dc.subject.mesh	Neoplasms
dc.subject.mesh	Exercise
dc.subject.mesh	Diet
dc.subject.mesh	Health Personnel
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Cancer Survivors
dc.title	Diet and exercise advice and referrals for cancer survivors: an integrative review of medical and nursing perspectives.
dc.type	Journal Article
utslib.citation.volume	30
utslib.location.activity	Germany
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-02T05:34:08Z
pubs.issue	10
pubs.publication-status	Published
pubs.volume	30
utslib.citation.issue	10

Abstract:

PURPOSE: To examine the perspectives of medical and nursing health professionals concerning their roles and responsibilities in providing dietary and exercise advice to cancer survivors, and referrals to allied health professionals. METHODS: An integrative review. PubMed, CINAHL, PsycINFO, Embase, Web of Science databases, and bibliographies of relevant studies were searched from December 2011 to June 2021. All studies were eligible for inclusion. The Mixed-Methods Appraisal Tool (MMAT) was used to critically appraise included studies. Data were extracted and synthesised regarding the perspectives of medical and nursing health professionals on their roles, responsibilities, barriers, and facilitators. RESULTS: Twenty-one studies involving 3401 medical and nursing health professionals and 264 cancer survivors of diverse cancer types were included. Ten quantitative, nine qualitative, and two mixed-methods studies were eligible. All included studies met at least 80% of the quality criteria in the MMAT. Major findings include the following: (1) medical and nursing health professionals were unclear on their roles in providing dietary and exercise advice to cancer survivors but agreed they play a key role in referrals to dietitians and exercise professionals; (2) most cancer survivors valued the involvement of their general practitioner when receiving dietary and exercise advice. CONCLUSION: Although medical and nursing health professionals understand that referrals to allied health professionals form part of their role, there is a lack of clarity regarding their roles to provide dietary and exercise advice to cancer survivors. Future studies should address barriers and facilitators of dietary and exercise advice and referral by medical and nursing health professionals.

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http://hdl.handle.net/10453/163170