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<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Physical Activity and Breast Cancer: A Qualitative Study on the Barriers to and Facilitators of Exercise Promotion from the Perspective of Health Care Professionals</title>
<author>
<name sortKey="Smith Turchyn, Jenna" sort="Smith Turchyn, Jenna" uniqKey="Smith Turchyn J" first="Jenna" last="Smith-Turchyn">Jenna Smith-Turchyn</name>
<affiliation>
<nlm:aff id="AFF1"> School of Rehabilitation Science</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Richardson, Julie" sort="Richardson, Julie" uniqKey="Richardson J" first="Julie" last="Richardson">Julie Richardson</name>
<affiliation>
<nlm:aff id="AFF1"> School of Rehabilitation Science</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tozer, Richard" sort="Tozer, Richard" uniqKey="Tozer R" first="Richard" last="Tozer">Richard Tozer</name>
<affiliation>
<nlm:aff id="AFF2"> Juravinski Cancer Centre, Department of Oncology</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mcneely, Margaret" sort="Mcneely, Margaret" uniqKey="Mcneely M" first="Margaret" last="Mcneely">Margaret Mcneely</name>
<affiliation>
<nlm:aff id="AFF4"> School of Rehabilitation Medicine, University of Alberta, Edmonton, Alta.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Thabane, Lehana" sort="Thabane, Lehana" uniqKey="Thabane L" first="Lehana" last="Thabane">Lehana Thabane</name>
<affiliation>
<nlm:aff id="AFF3"> Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Ont.</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">27904238</idno>
<idno type="pmc">5125502</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5125502</idno>
<idno type="RBID">PMC:5125502</idno>
<idno type="doi">10.3138/ptc.2015-84</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">003148</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003148</idno>
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<analytic>
<title xml:lang="en" level="a" type="main">Physical Activity and Breast Cancer: A Qualitative Study on the Barriers to and Facilitators of Exercise Promotion from the Perspective of Health Care Professionals</title>
<author>
<name sortKey="Smith Turchyn, Jenna" sort="Smith Turchyn, Jenna" uniqKey="Smith Turchyn J" first="Jenna" last="Smith-Turchyn">Jenna Smith-Turchyn</name>
<affiliation>
<nlm:aff id="AFF1"> School of Rehabilitation Science</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Richardson, Julie" sort="Richardson, Julie" uniqKey="Richardson J" first="Julie" last="Richardson">Julie Richardson</name>
<affiliation>
<nlm:aff id="AFF1"> School of Rehabilitation Science</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tozer, Richard" sort="Tozer, Richard" uniqKey="Tozer R" first="Richard" last="Tozer">Richard Tozer</name>
<affiliation>
<nlm:aff id="AFF2"> Juravinski Cancer Centre, Department of Oncology</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mcneely, Margaret" sort="Mcneely, Margaret" uniqKey="Mcneely M" first="Margaret" last="Mcneely">Margaret Mcneely</name>
<affiliation>
<nlm:aff id="AFF4"> School of Rehabilitation Medicine, University of Alberta, Edmonton, Alta.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Thabane, Lehana" sort="Thabane, Lehana" uniqKey="Thabane L" first="Lehana" last="Thabane">Lehana Thabane</name>
<affiliation>
<nlm:aff id="AFF3"> Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Ont.</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Physiotherapy Canada</title>
<idno type="ISSN">0300-0508</idno>
<idno type="eISSN">1708-8313</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
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<front>
<div type="abstract" xml:lang="en">
<p>
<bold>
<italic>Purpose:</italic>
</bold>
We determined the barriers to and facilitators of exercise promotion by health care professionals (HCPs) for women with breast cancer (BC).
<bold>
<italic>Methods:</italic>
</bold>
The study was a qualitative descriptive study. Semi-structured interviews were conducted with HCPs who treat individuals with BC in Ontario. The interviews were recorded and transcribed. Two reviewers independently used content analysis to determine codes and themes developed in the interviews. NVivo 10 was used during the coding process.
<bold>
<italic>Results:</italic>
</bold>
A total of 24 HCPs participated in this study. The data from the interviews were grouped into five main categories: (1) institutional barriers, (2) HCP barriers, (3) perceived patient barriers, (4) facilitators (resource and service needs), and (5) patient characteristics. A graphic depiction of the interaction was created for these categories and how they affect the promotion of exercise for women with BC.
<bold>
<italic>Conclusions:</italic>
</bold>
Participants in this study identified several barriers to exercise promotion at the institutional, professional, and patient levels and suggested several strategies to facilitate exercise promotion. These findings can inform future exercise interventions to increase exercise adherence and engagement in this population.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Physiother Can</journal-id>
<journal-id journal-id-type="iso-abbrev">Physiother Can</journal-id>
<journal-id journal-id-type="publisher-id">ptc</journal-id>
<journal-title-group>
<journal-title>Physiotherapy Canada</journal-title>
</journal-title-group>
<issn pub-type="ppub">0300-0508</issn>
<issn pub-type="epub">1708-8313</issn>
<publisher>
<publisher-name>University of Toronto Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27904238</article-id>
<article-id pub-id-type="pmc">5125502</article-id>
<article-id pub-id-type="doi">10.3138/ptc.2015-84</article-id>
<article-id pub-id-type="publisher-id">ptc.2015-84</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Physical Activity and Breast Cancer: A Qualitative Study on the Barriers to and Facilitators of Exercise Promotion from the Perspective of Health Care Professionals</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Smith-Turchyn</surname>
<given-names>Jenna</given-names>
</name>
<degrees>PhD(c), PT</degrees>
<xref ref-type="aff" rid="AFF1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Richardson</surname>
<given-names>Julie</given-names>
</name>
<degrees>PhD, PT</degrees>
<xref ref-type="aff" rid="AFF1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tozer</surname>
<given-names>Richard</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="AFF2">
<sup></sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>McNeely</surname>
<given-names>Margaret</given-names>
</name>
<degrees>PhD, PT</degrees>
<xref ref-type="aff" rid="AFF4">
<sup></sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thabane</surname>
<given-names>Lehana</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="AFF3">
<sup>§</sup>
</xref>
</contrib>
</contrib-group>
<aff id="AFF1">
<label>*</label>
School of Rehabilitation Science</aff>
<aff id="AFF2">
<label></label>
Juravinski Cancer Centre, Department of Oncology</aff>
<aff id="AFF3">
<label>§</label>
Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Ont.</aff>
<aff id="AFF4">
<label></label>
School of Rehabilitation Medicine, University of Alberta, Edmonton, Alta.</aff>
<author-notes>
<fn>
<p>
<bold>Contributors:</bold>
All authors designed the study; or collected, analyzed, or interpreted the data; and drafted or critically revised the article and approved the final draft.</p>
</fn>
<fn>
<p>
<bold>Competing Interests:</bold>
None declared. This study was funded by the Physiotherapy Foundation of Canada's Oncology Division Grant for Physiotherapy Research.</p>
</fn>
<corresp>
<bold>Correspondence to:</bold>
Jenna Smith-Turchyn, School of Rehabilitation Science, McMaster University, IAHS Rm. 403, 1400 Main St. W., Hamilton, ON L8S 1C7;
<email>smithjf@mcmaster.ca</email>
.</corresp>
</author-notes>
<pub-date pub-type="ppub">
<year>2016</year>
<string-date>Fall 2016</string-date>
</pub-date>
<volume>68</volume>
<issue>4</issue>
<fpage>383</fpage>
<lpage>390</lpage>
<permissions>
<copyright-statement>© Canadian Physiotherapy Association, 2016. All rights reserved.</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<self-uri content-type="pdf" xlink:href="ptc.2015-84.pdf"></self-uri>
<abstract>
<p>
<bold>
<italic>Purpose:</italic>
</bold>
We determined the barriers to and facilitators of exercise promotion by health care professionals (HCPs) for women with breast cancer (BC).
<bold>
<italic>Methods:</italic>
</bold>
The study was a qualitative descriptive study. Semi-structured interviews were conducted with HCPs who treat individuals with BC in Ontario. The interviews were recorded and transcribed. Two reviewers independently used content analysis to determine codes and themes developed in the interviews. NVivo 10 was used during the coding process.
<bold>
<italic>Results:</italic>
</bold>
A total of 24 HCPs participated in this study. The data from the interviews were grouped into five main categories: (1) institutional barriers, (2) HCP barriers, (3) perceived patient barriers, (4) facilitators (resource and service needs), and (5) patient characteristics. A graphic depiction of the interaction was created for these categories and how they affect the promotion of exercise for women with BC.
<bold>
<italic>Conclusions:</italic>
</bold>
Participants in this study identified several barriers to exercise promotion at the institutional, professional, and patient levels and suggested several strategies to facilitate exercise promotion. These findings can inform future exercise interventions to increase exercise adherence and engagement in this population.</p>
</abstract>
<trans-abstract xml:lang="fr">
<p>
<bold>
<italic>Objectif :</italic>
</bold>
déterminer les obstacles et les facteurs facilitants de la promotion de l'exercice par les professionnels de la santé (PS) auprès de femmes atteintes du cancer du sein (CS).
<bold>
<italic>Méthodes :</italic>
</bold>
il s'agit d'une étude qualitative descriptive. Des entrevues semi-structurées ont été menées avec les participants. Les entrevues ont été enregistrées et transcrites. Deux examinateurs ont analysé indépendamment le contenu pour déterminer les codes et les thèmes abordés durant les entrevues. NVivo 10 a été utilisé durant le processus de codage.
<bold>
<italic>Résultats :</italic>
</bold>
au total, 24 PS ont participé à cette étude. Les données des entrevues ont été groupées en cinq catégories principales : (1) obstacles organisationnels, (2) obstacles liés aux PS, (3) obstacles perçus des patientes, (4) facteurs facilitants : ressources et services requis et (5) caractéristiques des patients. Une représentation graphique de l'interaction de ces catégories et de la manière dont elles influencent la promotion de l'exercice chez les femmes atteintes de CS a été créée.
<bold>
<italic>Conclusions :</italic>
</bold>
les participants à l'étude ont ciblé certains obstacles à la promotion de l'exercice liés à l'organisation, aux professionnels et aux patientes et ont suggéré certaines stratégies pour faciliter la promotion de l'exercice. Ces résultats peuvent guider les interventions liées à l'exercice afin d'augmenter l'adhésion et l'engagement de cette population.</p>
</trans-abstract>
<kwd-group>
<title>Key Words </title>
<kwd>breast cancer</kwd>
<x xml:space="preserve">; </x>
<kwd>exercise</kwd>
<x xml:space="preserve">; </x>
<kwd>health promotion</kwd>
<x xml:space="preserve">; </x>
<kwd>rehabilitation</kwd>
</kwd-group>
<kwd-group xml:lang="fr">
<title>Mots clés </title>
<kwd>exercice</kwd>
<x xml:space="preserve">; </x>
<kwd>physiothérapie</kwd>
<x xml:space="preserve">; </x>
<kwd>promotion de la santé</kwd>
<x xml:space="preserve">; </x>
<kwd>réadaptation</kwd>
<x xml:space="preserve">; </x>
<kwd>tumeur mammaire</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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