{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:10:23Z","timestamp":1790673023112,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,2,20]],"date-time":"2019-02-20T00:00:00Z","timestamp":1550620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005972","name":"Deutsche Krebshilfe","doi-asserted-by":"publisher","award":["110512, 110551, and 111223"],"award-info":[{"award-number":["110512, 110551, and 111223"]}],"id":[{"id":"10.13039\/501100005972","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Five hundred forty seven physicians and 398 nurses treating breast, prostate, or colorectal cancer patients completed a cross\u2010sectional questionnaire. To assess attitude toward physical activity during cancer treatment, we developed a 15\u2010item scale, which included original statements of HCP. TPB variables were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A factor analysis revealed the proposed distinction of attitude into two dimensions. The activity\u2010paradigm was stronger represented in HCP' attitude compared with rest\u2010paradigm (<jats:italic>M<\/jats:italic><jats:sub>activity\u2010paradigm<\/jats:sub>\u00a0=\u00a04.1 versus<jats:italic>M<\/jats:italic><jats:sub>rest\u2010paradigm<\/jats:sub>\u00a0=\u00a02.7,<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Additionally, the activity\u2010paradigm had higher exploratory power in explaining intention to recommend physical activity in cancer patients. However, the rest\u2010paradigm was able to explain intention to recommend physical activity over and above activity\u2010paradigm (<jats:italic>\u0394R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00.05). Nurses had higher scores on the rest\u2010paradigm than physicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The activity\u2010paradigm has already been consolidated in HCP' minds. However, the rest\u2010paradigm 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.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.5020","type":"journal-article","created":{"date-parts":[[2019,2,5]],"date-time":"2019-02-05T10:11:10Z","timestamp":1549361470000},"page":"784-791","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["To rest or not to rest\u2014Health care professionals' attitude toward recommending physical activity to their cancer patients"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4561-4228","authenticated-orcid":false,"given":"Nadine","family":"Ungar","sequence":"first","affiliation":[{"name":"Institute of Psychology Heidelberg University Heidelberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angeliki","family":"Tsiouris","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology National Center for Tumor Diseases (NCT) Heidelberg and University Hospital Heidelberg Heidelberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8586-3301","authenticated-orcid":false,"given":"Alexander","family":"Haussmann","sequence":"additional","affiliation":[{"name":"Division of Physical Activity, Prevention and Cancer National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ) Heidelberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2137-4082","authenticated-orcid":false,"given":"Florian","family":"Herbolsheimer","sequence":"additional","affiliation":[{"name":"Division of Physical Activity, Prevention and Cancer National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ) Heidelberg"},{"name":"Institute of the History, Philosophy and Ethics of Medicine Ulm University Ulm"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5971-5436","authenticated-orcid":false,"given":"Joachim","family":"Wiskemann","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology National Center for Tumor Diseases (NCT) Heidelberg and University Hospital Heidelberg Heidelberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5215-5651","authenticated-orcid":false,"given":"Karen","family":"Steindorf","sequence":"additional","affiliation":[{"name":"Division of Physical Activity, Prevention and Cancer National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ) Heidelberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9865-4525","authenticated-orcid":false,"given":"Monika","family":"Sieverding","sequence":"additional","affiliation":[{"name":"Institute of Psychology Heidelberg University Heidelberg"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0012825"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2011.02.005"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.34.3.160"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-009-0110-5"},{"key":"e_1_2_8_6_1","article-title":"Exercise interventions on health\u2010related quality of life for people with cancer during active treatment","author":"Mishra SI","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1546"},{"key":"e_1_2_8_8_1","article-title":"Exercise for the management of cancer\u2010related fatigue in adults","author":"Cramp F","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2016.11.010"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxx007"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2013.06.007"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3173-7"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2354.2010.01205.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1497"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.74.6032"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15324796abm2802_5"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2017.01.010"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006853"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29786"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0017896913508395"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4230-1"},{"issue":"2","key":"e_1_2_8_22_1","first-page":"235","article-title":"Physical activity promotion, beliefs, and barriers among Australasian oncology nurses","volume":"44","author":"Keogh JW","year":"2017","journal-title":"Oncol Nurs Forum"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-018-9980-1"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12853"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2015.06.001"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956797610373936"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2018.00098"},{"key":"e_1_2_8_29_1","unstructured":"AjzenI.Constructing a TpB\u2010questionnaire: Conceptual and methodological considerations.2002. Available from:http:\/\/people.umass.edu\/aizen\/pdf\/tpb.measurement.pdf."},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-003-1018-2"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016941"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15328007SEM0902_1"},{"key":"e_1_2_8_33_1","doi-asserted-by":"crossref","unstructured":"ByrneBM.Structural equation modeling with AMOS: basic concepts applications and programming: Routledge;2016.","DOI":"10.4324\/9781315757421"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4279-x"},{"key":"e_1_2_8_35_1","first-page":"1","article-title":"Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis","volume":"10","author":"Costello AB","year":"2005","journal-title":"PARE"},{"issue":"1","key":"e_1_2_8_36_1","first-page":"35","article-title":"Promotion of physical activity among oncologists in the United States","volume":"8","author":"Karvinen K","year":"2010","journal-title":"J Support Oncol"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-015-1250-9"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-015-0893-1"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-017-3640-9"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1188\/17.ONF.488-496"},{"key":"e_1_2_8_41_1","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1002\/pon.3032","article-title":"Promotion and support of physical activity among cancer survivors: a service provider perspective","volume":"22","author":"Robertson L","year":"2012","journal-title":"Psychooncology"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.5020","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.5020","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.5020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,14]],"date-time":"2024-07-14T15:02:24Z","timestamp":1720969344000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.5020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,20]]},"references-count":40,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1002\/pon.5020"],"URL":"https:\/\/doi.org\/10.1002\/pon.5020","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,20]]},"assertion":[{"value":"2018-05-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}