Increasing the frequency of physical activity very brief advice by nurses to cancer patients. A mixed methods feasibility study of a training intervention

Webb, Justin, Hall, J., Hall, K. and Fabunmi-Alade, R. (2016) Increasing the frequency of physical activity very brief advice by nurses to cancer patients. A mixed methods feasibility study of a training intervention. Public Health, 139. pp. 121-133. ISSN 0033-3506

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Official URL: http://dx.doi.org/10.1016/j.puhe.2016.05.015

Abstract / Description

Objectives
To examine the impact, acceptability, practicability and implementation of a training intervention, designed using the Behaviour Change Wheel, on the delivery of very brief advice on physical activity, by nurses to cancer patients.

Study design
A mixed methods feasibility study.

Method
A purposeful sample of nurses (n = 62) were recruited across two delivery arms, face-to-face (n = 55) and online (n = 7). Frequency of delivery of physical activity advice was collected at baseline with follow-up at 12 weeks. The ‘capability, opportunity and motivation’ of nurses to deliver very brief advice was measured via questionnaire. Semi-structured phone interviews (n = 14) were completed and analyzed thematically. A cost consequence analysis was undertaken.

Results
The intervention improved the ‘capability, opportunity and motivation’ of nurses resulting in a change in knowledge, attitudes and beliefs towards physical activity. The intervention was both acceptable and practical.

Face-to-face was the preferred mode of delivery, however there was also value in the online option. The cost of delivery per participant was £33.87 for face-to-face delivery, and £103.83 for online delivery inflated due to low recruitment numbers. A significant improvement was seen in delivery of very brief advice at 12 weeks (Z = −4.39, P ≤ 0.01).

Conclusion
The intervention is acceptable, practical and improves delivery of very brief advice on physical activity by nurses to cancer patients in the short-term. Both face-to-face and online delivery should be considered.

Item Type: Article
Uncontrolled Keywords: behaviour Change Wheel; COM-B model; very brief advice; cancer; physical activity
Subjects: 600 Technology > 610 Medicine & health
Department: School of Social Professions
Depositing User: Justin Webb
Date Deposited: 30 Oct 2018 10:13
Last Modified: 30 Oct 2018 10:13
URI: http://repository.londonmet.ac.uk/id/eprint/3635

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