% IMPORTANT: The following is UTF-8 encoded.  This means that in the presence
% of non-ASCII characters, it will not work with BibTeX 0.99 or older.
% Instead, you should use an up-to-date BibTeX implementation like “bibtex8” or
% “biber”.

@ARTICLE{Ungar:143528,
      author       = {N. Ungar and A. Tsiouris and A. Haussmann$^*$ and F.
                      Herbolsheimer$^*$ and J. Wiskemann and K. Steindorf$^*$ and
                      M. Sieverding},
      title        = {{T}o rest or not to rest-{H}ealth care professionals'
                      attitude toward recommending physical activity to their
                      cancer patients.},
      journal      = {Psycho-oncology},
      volume       = {28},
      number       = {4},
      issn         = {1099-1611},
      address      = {New York, NY [u.a.]},
      publisher    = {Wiley},
      reportid     = {DKFZ-2019-01112},
      pages        = {784 - 791},
      year         = {2019},
      abstract     = {While in the past cancer patients were advised to rest,
                      recent research revealed various beneficial effects of
                      physical activity, including increased treatment
                      tolerability during cancer treatment and prolonged survival,
                      which has led to a paradigm shift in relevant guidelines.
                      This study examined if this paradigm shift from rest to
                      activity has been consolidated in health care professionals'
                      (HCP') attitude. It was investigated if the two dimensions
                      of attitude (rest and activity) are endorsed empirically
                      within the theory of planned behavior (TPB). Differences
                      between physicians and nurses were examined.Five hundred
                      forty seven physicians and 398 nurses treating breast,
                      prostate, or colorectal cancer patients completed a
                      cross-sectional questionnaire. To assess attitude toward
                      physical activity during cancer treatment, we developed a
                      15-item scale, which included original statements of HCP.
                      TPB variables were assessed.A factor analysis revealed the
                      proposed distinction of attitude into two dimensions. The
                      activity-paradigm was stronger represented in HCP' attitude
                      compared with rest-paradigm (Mactivity-paradigm  = 4.1
                      versus Mrest-paradigm  = 2.7, p < 0.001). Additionally,
                      the activity-paradigm had higher exploratory power in
                      explaining intention to recommend physical activity in
                      cancer patients. However, the rest-paradigm was able to
                      explain intention to recommend physical activity over and
                      above activity-paradigm (ΔR2  = 0.05). Nurses had higher
                      scores on the rest-paradigm than physicians.The
                      activity-paradigm has already been consolidated in HCP'
                      minds. However, the rest-paradigm is still present in the
                      daily routine of oncology physicians and nurses. Addressing
                      concerns and insecurities related to supporting cancer
                      patients in maintaining or building up a physically active
                      lifestyle is a very important educational task.},
      cin          = {C110},
      ddc          = {610},
      cid          = {I:(DE-He78)C110-20160331},
      pnm          = {313 - Cancer risk factors and prevention (POF3-313)},
      pid          = {G:(DE-HGF)POF3-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:30716190},
      doi          = {10.1002/pon.5020},
      url          = {https://inrepo02.dkfz.de/record/143528},
}