Therapeutic Radiographers' perceptions of the barriers and enablers to effective smoking cessation support

Charlesworth, Laura; Hutton, D.; Hussain, Hannan

doi:10.1016/j.radi.2018.12.002

Cited by 6 publications

(11 citation statements)

References 27 publications

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“… 15 28 37 In one qualitative study a key facilitator reported among TRs in delivering smoking cessation support to patients was knowledge of the link between smoking and toxicity. 28 Another qualitative study that explored allied health professionals’ views regarding the provision of dietary advice to patients, highlighted that TRs report giving dietary advice to help counteract the side effects of radiotherapy. 37 Additionally, in our study, if TRs did provide dietary advice, this tended to be general advice rather than cancer-specific advice on healthy eating.…”

Section: Discussionmentioning

confidence: 99%

“…15 Similarly, focus group interviews with 38 TRs identified that lack of knowledge and training were barriers to the provision of smoking cessation advice. 28 Challenges remain in translating behaviour change interventions into existing care pathways and practices in a way that is appropriate for use by health professionals. 29 Understanding TRs' practices, and what support they need in delivering advice on the topics of physical activity, healthy eating, alcohol intake, smoking and weight management could inform the development of interventions that will enable TRs' in delivering advice on improving health behaviours to those LWBC.…”

Section: Introductionmentioning

confidence: 99%

“… 15 Similarly, focus group interviews with 38 TRs identified that lack of knowledge and training were barriers to the provision of smoking cessation advice. 28 …”

Section: Introductionmentioning

confidence: 99%

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Therapeutic radiographers’ delivery of health behaviour change advice to those living with and beyond cancer: a qualitative study

et al. 2020

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ObjectivesTherapeutic radiographers (TRs) are well placed to deliver health behaviour change advice to those living with and beyond cancer (LWBC). However, there is limited research on the opinions of TRs around delivering such advice to those LWBC. This study aimed to explore TRs’ practices and facilitators in delivering advice on physical activity, healthy eating, alcohol intake, smoking and weight management.Setting and participantsFifteen UK-based TRs took part in a telephone interview using a semi‐structured interview guide. Data was analysed using the framework analysis method.ResultsEmergent themes highlighted that TRs are mainly aware of the benefits of healthy behaviours in managing radiotherapy treatment related side effects, with advice provision lowest for healthy eating and physical activity. Participants identified themselves as well placed to deliver advice on improving behaviours to those LWBC, however reported a lack of knowledge as a limiting factor to doing so. The TRs reported training and knowledge as key facilitators to the delivery of advice, with a preference for online training.ConclusionsThere is a need for education resources, clear referral pathways and in particular training for TRs on delivering physical activity and healthy eating advice to those LWBC.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Therapeutic radiographers’ delivery of health behaviour change advice to those living with and beyond cancer: a qualitative study

et al. 2020

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“…However, whilst research shows that some oncology healthcare professionals (HCPs) offer guidance to oncology patients on healthy lifestyle changes, provision remains suboptimal [2][3][4][5][6]. In the UK, a qualitative study among ten oncology HCPs and sixteen prostate cancer patients found that HCPs do not routinely provide advice on diet and PA to men diagnosed with prostate cancer, with some patients unable to recall receiving any advice on diet or PA from their healthcare team [3].…”

Section: Introductionmentioning

confidence: 99%

“…In the UK, a qualitative study among ten oncology HCPs and sixteen prostate cancer patients found that HCPs do not routinely provide advice on diet and PA to men diagnosed with prostate cancer, with some patients unable to recall receiving any advice on diet or PA from their healthcare team [3]. Reported barriers among oncology HCPs in delivering advice on health behaviours include believing that giving advice is not part of their role, lack of support and time, lack of guidelines, lack of knowledge of the evidence base, and concerns around seeming to blame the patient [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

A Survey of Therapeutic Radiographers’ Knowledge, Practices, and Barriers in Delivering Health Behaviour Advice to Cancer Patients

et al. 2020

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Therapeutic radiographers (TRs) are well-placed to deliver advice to cancer patients; however, limited research exists on their practices in providing advice on healthy lifestyle behaviours. Through an online survey, this study aimed to explore TRs’ current practices, barriers, and facilitators around delivering healthy behaviour advice to cancer patients. An online survey was sent to 72 radiotherapy departments in the UK and 583 TRs responded to the survey. Findings showed that levels of enquiry and provision of advice on healthy behaviours were low, with less than 25% advising patients on physical activity, healthy eating, weight management, smoking cessation, and reducing alcohol intake as standard practice. Lack of knowledge, resources, and training were identified as barriers, in addition to perceived lack of patient interest and lack of time. TRs reported a strong desire to undergo training to enable them to deliver health behaviour advice to patients, with an identified preference for online training. Cancer patients look to healthcare professionals for advice on health behaviours, and TRs are well-placed to deliver this advice. The findings of this study provide insight into the areas that need addressing to enable TRs to support positive health behaviours among cancer patients.

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Building staff capability, opportunity, and motivation to provide smoking cessation to people with cancer in Australian cancer treatment centres: development of an implementation intervention framework for the Care to Quit cluster randomised controlled trial

Ryan

Young

Tait

et al. 2022

Health Serv Outcomes Res Method

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Few rigorous studies provide a clear description of the methodological approach of developing an evidence-based implementation intervention, prior to implementation at scale. This study describes the development, mapping, rating, and review of the implementation strategies for the Care to Quit smoking cessation trial, prior to application in nine cancer services across Australia. Key stakeholders were engaged in the process from conception through to rating, reviewing and refinement of strategies and principles. An initial scoping review identified 21 barriers to provision of evidence-based smoking cessation care to patients with cancer, which were mapped to the Theoretical Domains Framework and Behaviour Change Wheel (BCW) to identify relevant intervention functions. The mapping identified 26 relevant behaviour change techniques, summarised into 11 implementation strategies. The implementation strategies were rated and reviewed against the BCW Affordability, Practicality, Effectiveness and cost-effectiveness, Acceptability, Side-effects/safety, and Equity criteria by key stakeholders during two interactive workshops to facilitate a focus on feasible interventions likely to resonate with clinical staff. The implementation strategies and associated intervention tools were then collated by form and function to provide a practical guide for implementing the intervention. This study illustrates the rigorous use of theories and frameworks to arrive at a practical intervention guide, with potential to inform future replication and scalability of evidence-based implementation across a range of health service settings.

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Therapeutic Radiographers' perceptions of the barriers and enablers to effective smoking cessation support

Cited by 6 publications

References 27 publications

Therapeutic radiographers’ delivery of health behaviour change advice to those living with and beyond cancer: a qualitative study

Therapeutic radiographers’ delivery of health behaviour change advice to those living with and beyond cancer: a qualitative study

A Survey of Therapeutic Radiographers’ Knowledge, Practices, and Barriers in Delivering Health Behaviour Advice to Cancer Patients

Building staff capability, opportunity, and motivation to provide smoking cessation to people with cancer in Australian cancer treatment centres: development of an implementation intervention framework for the Care to Quit cluster randomised controlled trial

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