{"doi":"10.1007/s11764-025-01750-3","title":"Healthcare provider perspectives on a clinical decision tool to support individualized exercise prescriptions and discussions for breast cancer survivors","abstract":"PURPOSE: We evaluated healthcare providers' current knowledge, practices, and perspectives on a novel clinical decision tool (beta-version) to facilitate individualized exercise prescriptions and discussions in clinical settings. METHODS: We recruited healthcare providers who had treated or provided care to breast cancer survivors aged ≥ 35-years in the past 12 months. The participants were presented with a tool to provide individualized exercise recommendations considering women's individual, clinical, and contextual characteristics. Validated and reliable pre-existing instruments were used to survey providers' current knowledge, practices regarding exercise discussions, and perspectives on the beta-version (paper-draft) of the novel tool. RESULTS: The sample consisted of complete survey responses from 177 healthcare providers including breast oncologists (27.7%), primary care physicians (10.7%), exercise specialists (19.8%), occupational/physical therapists (18.1%), advanced care providers, nurses, navigators, and social workers (23.7%). Median years of experience was 8-years (range: 5-13). Overall, 62.1% (n = 110) reported that they were knowledgeable about counseling survivors based on exercise guidelines. Among breast oncologists and primary care physicians (n = 68), only 39.7% reported that they were knowledgeable about identifying patients for exercise referals. The majority agreed that they would find the tool offering individualized information useful (n = 148, 83.6%), and would use it regularly to inform practice (82.5%). 'Exercise Readiness', 'Exercise Resources at Home', and 'Quality-of-Life' were the highest rated items for inclusion in the tool for exercise prescriptions. Provider perspectives were incorporated into the beta-version of the tool. CONCLUSION: A clinical decision tool considering individual, clinical, and contextual characteristics may support exercise prescriptions and discussions in clinical settings. IMPLICATIONS FOR CANCER SURVIVORS: An evidence-based tool for exercise prescriptions may increase healthcare provider confidence to discuss, educate, encourage, and provide exercise referrals for breast cancer survivors.","journal":"Journal of Cancer Survivorship","year":2025,"id":519211,"datarank":0.29188652235829704,"base_score":1.9459101490553132,"endowment":1.9459101490553132,"self_citation_contribution":0.29188652235829704,"citation_network_contribution":0.0,"self_endowment_contribution":0.29188652235829704,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":6,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9001,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1091440,"name":"Oliver W.A. Wilson","orcid":"0000-0002-0174-3813","position":1,"is_corresponding":false},{"id":927035,"name":"Kaitlyn M. Wojcik","orcid":"0009-0004-7290-6343","position":2,"is_corresponding":false},{"id":1042936,"name":"Eleanor M. Kerr","orcid":"0000-0001-9390-4655","position":3,"is_corresponding":false},{"id":1122665,"name":"Rachelle Brick","orcid":"0000-0001-7099-7799","position":4,"is_corresponding":false},{"id":231465,"name":"Charles E. Matthews","orcid":"0000-0001-8037-3103","position":5,"is_corresponding":false},{"id":410003,"name":"Jennifer Y. Sheng","orcid":"0000-0002-4513-4235","position":6,"is_corresponding":false},{"id":1178513,"name":"Takeo Fujii","orcid":"0000-0003-3747-2688","position":7,"is_corresponding":false},{"id":1388126,"name":"Kathleen S. Thomas","orcid":null,"position":8,"is_corresponding":false},{"id":1387535,"name":"Henri K. Parson","orcid":"0000-0002-1447-8393","position":9,"is_corresponding":false},{"id":264323,"name":"Padma Sheila Rajagopal","orcid":"0000-0002-0489-0819","position":10,"is_corresponding":false},{"id":825326,"name":"Richard L. Street","orcid":"0000-0001-7392-9927","position":11,"is_corresponding":false},{"id":292840,"name":"Jinani Jayasekera","orcid":"0000-0001-9212-7225","position":0,"is_corresponding":true}],"reference_count":58,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:49:18.751199Z","pmid":"40074972","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}