Table 2 Theme summary
Theme | Description | Findings | Key Questions from Interview Guides |
|---|---|---|---|
Navigating the role of Cancer Care Clinicians in the ECRP | • Explores patient’s and CCC’s perceptions of their initial exercise conversations with their CCC, including the CCC’s role within the overall referral pathway. | Major Considerations • CCC exercise conversation promoted the credibility of exercise as adjunct cancer care treatment. • Perceived lack of awareness of EP services and their role in cancer care provision among patients. Additional Considerations • CCC exercise conversation was perceived as an effective cue to action. • Perceived sense of assumed exercise knowledge within patients | Patient • Did you find the brief consultation about exercise with your cancer care clinician helpful? • What information about exercise were you provided with during this consultation? • Were you satisfied with the amount of information provided to you during the consultation? CCC • Describe how your patient/s responded to including exercise as part of the information you discussed during the consultation? • How did your patient’s respond to the referral of an exercise physiologist? |
Implementing Patient-Orientated Care within a Standardised Pathway | • Describes the multitude of ways the ERCP pathway promotes a patient-orientated approach within its design and implementation. | Major Considerations • CCCs tailored the content and timing of their exercise conversation based on their patient’s health profile and emotional state. • Patient orientated approach within the referral pathway was well-received by patients. Additional Considerations • Personalised approach in EP consultations extended to the tailoring of exercise recommendations including identification and referral to appropriate EP clinics. | Patient • What was discussed when the exercise physiologist contacted you? • What was the most helpful information you received from the exercise physiologist? CCC • How did you initiate the conversation about exercise with your patient/s? • At which consultation did you first initiate the conversation about exercise? EP • Can you describe (step by step) the approach you undertook with this trial? • What parts of the overall consult do you think were most effective? Least effective? |
Taking steps towards action | • Identifies how the referral pathway aligns with a number behaviour change principles which may assist patients in taking steps to become more physically active. | Major Considerations • Referral pathway reduces barriers to accessing exercise counselling. • Increased patient knowledge of the Australian healthcare system including CDMPs sand rebated EP sessions. • Positive change in patients’ attitudes towards exercise. Additional Considerations. • Increased self-efficacy and perceived behavioural control amongst patients. • Referral pathway prompted initiation of exercise. | Patient • What was the most helpful information you received from the exercise physiologist? • What changes have you made to your exercise based on the recommendations or information you were given by the exercise physiologist? • Based on the consultation with your clinician and exercise physiologist, what are your initial thoughts about participating in exercise at this time? |