How Can We Engage Oncology Care Providers and Glioblastoma Patients in Conversations About Physical Activity: A Qualitative Descriptive Study Using the Theoretical Domains Framework

Glioblastoma (GB) is the most common primary malignant brain tumour in adults. Physical activity (PA) has value as a supportive service for individuals living with a GB diagnosis to help maintain quality of life and physical functioning. The objective of this study is to understand how oncology care...

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Main Authors: Jodi E. Langley, Grace Warner, Christine Cassidy, Robin Urquhart, Mary MacNeil, Melanie R. Keats
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Current Oncology
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Online Access:https://www.mdpi.com/1718-7729/32/4/197
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author Jodi E. Langley
Grace Warner
Christine Cassidy
Robin Urquhart
Mary MacNeil
Melanie R. Keats
author_facet Jodi E. Langley
Grace Warner
Christine Cassidy
Robin Urquhart
Mary MacNeil
Melanie R. Keats
author_sort Jodi E. Langley
collection DOAJ
description Glioblastoma (GB) is the most common primary malignant brain tumour in adults. Physical activity (PA) has value as a supportive service for individuals living with a GB diagnosis to help maintain quality of life and physical functioning. The objective of this study is to understand how oncology care providers (OCPs), family/friend caregivers, and health system decision makers can include conversations of PA into care for those living with a GB. We conducted 19 semi-structured interviews guided by the Capability, Opportunity, Motivation–Behaviour (COM-B) model and further refined them by the theoretical domains framework (TDF). The data were then analyzed using a directed content analysis using a codebook generated using the TDF. Patients and family/friend caregivers appreciated hearing about PA from their OCPs, from initial diagnosis into follow-up appointments, and they saw PA as a way to take a break from cancer/medically focused care, and historical PA behaviours did not mean patients were more or less likely to be open about PA discussions. This study further emphasises the inclusion of PA discussions in clinical care. OCPs in GB care feel they have the knowledge to partake in PA conversations, and GB patients are open to having these conversations. However, specific barriers are in place that do not lead to widespread implementation of PA discussions for all patients.
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publishDate 2025-03-01
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series Current Oncology
spelling doaj-art-6499418b8d244e3ba2a39e7f2b2c54e22025-08-20T03:13:46ZengMDPI AGCurrent Oncology1198-00521718-77292025-03-0132419710.3390/curroncol32040197How Can We Engage Oncology Care Providers and Glioblastoma Patients in Conversations About Physical Activity: A Qualitative Descriptive Study Using the Theoretical Domains FrameworkJodi E. Langley0Grace Warner1Christine Cassidy2Robin Urquhart3Mary MacNeil4Melanie R. Keats5Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, CanadaFaculty of Health, Dalhousie University, Halifax, NS B3H 4R2, CanadaFaculty of Health, Dalhousie University, Halifax, NS B3H 4R2, CanadaBeatrice Hunter Cancer Research Institute, Halifax, NS B3H 0A2, CanadaFaculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, CanadaFaculty of Health, Dalhousie University, Halifax, NS B3H 4R2, CanadaGlioblastoma (GB) is the most common primary malignant brain tumour in adults. Physical activity (PA) has value as a supportive service for individuals living with a GB diagnosis to help maintain quality of life and physical functioning. The objective of this study is to understand how oncology care providers (OCPs), family/friend caregivers, and health system decision makers can include conversations of PA into care for those living with a GB. We conducted 19 semi-structured interviews guided by the Capability, Opportunity, Motivation–Behaviour (COM-B) model and further refined them by the theoretical domains framework (TDF). The data were then analyzed using a directed content analysis using a codebook generated using the TDF. Patients and family/friend caregivers appreciated hearing about PA from their OCPs, from initial diagnosis into follow-up appointments, and they saw PA as a way to take a break from cancer/medically focused care, and historical PA behaviours did not mean patients were more or less likely to be open about PA discussions. This study further emphasises the inclusion of PA discussions in clinical care. OCPs in GB care feel they have the knowledge to partake in PA conversations, and GB patients are open to having these conversations. However, specific barriers are in place that do not lead to widespread implementation of PA discussions for all patients.https://www.mdpi.com/1718-7729/32/4/197cancerphysical activityglioblastomatheoretical domains frameworkhealthcare communication
spellingShingle Jodi E. Langley
Grace Warner
Christine Cassidy
Robin Urquhart
Mary MacNeil
Melanie R. Keats
How Can We Engage Oncology Care Providers and Glioblastoma Patients in Conversations About Physical Activity: A Qualitative Descriptive Study Using the Theoretical Domains Framework
Current Oncology
cancer
physical activity
glioblastoma
theoretical domains framework
healthcare communication
title How Can We Engage Oncology Care Providers and Glioblastoma Patients in Conversations About Physical Activity: A Qualitative Descriptive Study Using the Theoretical Domains Framework
title_full How Can We Engage Oncology Care Providers and Glioblastoma Patients in Conversations About Physical Activity: A Qualitative Descriptive Study Using the Theoretical Domains Framework
title_fullStr How Can We Engage Oncology Care Providers and Glioblastoma Patients in Conversations About Physical Activity: A Qualitative Descriptive Study Using the Theoretical Domains Framework
title_full_unstemmed How Can We Engage Oncology Care Providers and Glioblastoma Patients in Conversations About Physical Activity: A Qualitative Descriptive Study Using the Theoretical Domains Framework
title_short How Can We Engage Oncology Care Providers and Glioblastoma Patients in Conversations About Physical Activity: A Qualitative Descriptive Study Using the Theoretical Domains Framework
title_sort how can we engage oncology care providers and glioblastoma patients in conversations about physical activity a qualitative descriptive study using the theoretical domains framework
topic cancer
physical activity
glioblastoma
theoretical domains framework
healthcare communication
url https://www.mdpi.com/1718-7729/32/4/197
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