Evidence map›Paper›PMID 29740694›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2018

Knowledge, attitudes, and practice of oncologists and oncology health care providers in promoting physical activity to cancer survivors: an international survey.

Sarah J Hardcastle, Robert Kane, Paola Chivers, Dana Hince, Andrew Dean, Dominic Higgs, Paul A Cohen

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Perceived facilitators and barriers by esophageal cancer survivors participating in a post-treatment exercise program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Trial
  3. A Practical Approach to Using Integrated Knowledge Translation to Inform a Community-Based Exercise Study.International journal of environmental research and public health · 2020
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Healthcare professionals' beliefs on promoting physical activity in oncology: a COM-B framework analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Willingness to pay for exercise oncology services: a mixed methods study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  18. Non-commonly prescribed physical exercises, disciplines and sports in breast cancer survivors: a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
  19. Informal cancer caregivers' perceptions on dyadic exercise with their care recipients.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
  20. Article

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Sarah J HardcastleSchool of Psychology, Health Psychology and Behavioural Medicine Research Group, Curtin University, Perth, Australia. sarah.hardcastle@curtin.edu.au.
Robert KaneSchool of Psychology, Health Psychology and Behavioural Medicine Research Group, Curtin University, Perth, Australia.
Paola ChiversInsitute for Health Research, The University of Notre Dame Australia, Fremantle, WA, Australia.
Dana HinceInsitute for Health Research, The University of Notre Dame Australia, Fremantle, WA, Australia.
Andrew DeanSt. John of God Hospital Bendat Family Comprehensive Cancer Centre, Subiaco, WA, Australia.
Dominic HiggsSt. John of God Hospital Bendat Family Comprehensive Cancer Centre, Subiaco, WA, Australia.
Paul A CohenSchool of Medicine, University of Western Australia, Crawley, WA, Australia.
St John of God Subiaco Hospital · AUCurtin University · AUThe University of Notre Dame Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate knowledge, attitudes, and practices of oncologists towards physical activity (PA) in cancer survivors, and the association between oncologists' own PA behavior and PA promotion.

methodsOncologists (n = 123) completed a survey based on the Theory of Planned Behavior (TPB). Participants reported PA promotion behavior, PA involvement, attitudes, intentions, social norm, perceived behavioral control (PBC), and confidence and knowledge of exercise prescription. Structural equation modeling (SEM) evaluated these associations.

resultsLess than half of oncologists reported regularly promoting PA to patients (46%), with 20% providing written information and 23% referrals. Only 26% were physically active. TPB SEM pathways explained 54.6% of the variance in PA promotion (comparative fit index (CFI) = 0.905, standardized root mean square residual (SRMR) = 0.040). Social norm was not only the significant pathway to intention but also a significant indirect pathway to PA promotion (p = 0.007). Confidence to promote PA, PBC, and intentions were direct significant pathways to PA promotion (p < 0.05). Exploratory SEM pathways explained 19.6% of the variance of PA behavior, which in turn explained 13.1% social norm, 10.7% attitude, 10.0% confidence to recommend, and 17.8% PA promotion behavior (CFI = 0.921, SRMR = 0.076). Instrumental attitude was a direct significant pathway to PA behavior (p = 0.001). PA behavior was a direct significant pathway to social norms, attitude, confidence to recommend, and PA promotion (p < 0.05).

conclusionsOncologists reported a modest ability to promote PA, low PA promotion rates, and limited knowledge of exercise prescription. Patient physical activity promotion may be improved through strategies that increase oncologists' PBC, confidence, and their own personal PA participation.

Indexed as

Cancer SurvivorsExerciseExercise TherapyHealth Knowledge, Attitudes, PracticeOncologistsPractice Patterns, Physicians'AdultAgedBehavior TherapyCross-Sectional StudiesFemaleHealth PersonnelHealth PromotionHumansInternationalityMaleBehavior changeCancer survivorsExerciseHealth promotionMotivationOncology

Identifiers

PMID29740694
OpenAlexW2800944636

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.