Supplementary information files for “Fear of raising the problem without a solution”: a qualitative study of patients’ and healthcare professionals’ views regarding the integration of routine support for physical activity within breast cancer care

© the authors, CC-BY 4.0Supplementary files for article “Fear of raising the problem without a solution”: a qualitative study of patients’ and healthcare professionals’ views regarding the integration of routine support for physical activity within breast cancer care<b>Objective</b> The benefits of physical activity across the cancer continuum for many adult cancers are well established. However, physical activity is yet to be routinely implemented into health services throughout the world. This study aims to explore patients’ and healthcare professionals’ views about integrating conversations and support for physical activity into routine care during treatment for breast cancer.<b>Methods</b> Healthcare professionals and patients from across the UK living with or beyond breast cancer were invited to take part in semi-structured interviews that were conducted online. Recruitment for the study was advertised on social media, in cancer support groups and newsletters. Data were analysed using inductive thematic analysis.<b>Results</b> Three themes captured perceptions of integrating support for physical activity in routine breast cancer care among 12 health care professionals (who deliver breast cancer care) and 15 patients. Themes between healthcare professionals and patients overlapped, and therefore, combined themes are presented. These were: (1) current practice; (2) implementation in care and (3) training needs.<b>Conclusion</b> Many healthcare professionals who offer cancer care are reluctant to raise the topic of physical activity with patients, yet patients have suggested that they would like additional support to be physically active from their medical team. Providing healthcare professionals with education regarding the benefits of physical activity to reduce the risk of recurrence along with evidence based low-cost, remote interventions would allow them to integrate conversations about physical activity within routine cancer care for all patients.

© 作者团队，采用CC BY 4.0协议。本文为论文《“提出问题却无解决方案”的顾虑：关于将体力活动（physical activity）常规支持融入乳腺癌护理的患者与医护人员（healthcare professionals）观点的质性研究》的补充材料。**目的**：众多成人恶性肿瘤患者在整个癌症病程中开展体力活动的获益已得到充分证实，但目前体力活动仍未在全球范围内的医疗服务中实现常规化实施。本研究旨在探究乳腺癌治疗期间，患者与医护人员对于将体力活动相关沟通与支持融入常规护理的观点。**方法**：招募英国境内现患乳腺癌或已完成治疗的患者与医护人员，以线上形式开展半结构化访谈（semi-structured interviews）。本研究的招募信息通过社交媒体、癌症支持群组及通讯期刊发布。研究数据采用归纳式主题分析法（inductive thematic analysis）进行分析。**结果**：本研究共纳入12名提供乳腺癌护理服务的医护人员与15名患者，最终提炼出3个主题以阐释体力活动支持融入乳腺癌常规护理的相关认知。医护人员与患者的主题存在重叠，故合并呈现如下：（1）当前实践现状；（2）护理实施路径；（3）培训需求。**结论**：众多提供癌症护理的医护人员不愿与患者提及体力活动相关话题，但患者均表示希望医疗团队能为其开展体力活动提供额外支持。若能为医护人员提供体力活动可降低复发风险的相关教育，并辅以循证的低成本远程干预方案，即可推动其将体力活动相关沟通融入所有患者的常规癌症护理流程中。