Background: Non-communicable diseases, particularly cardiovascular conditions linked to sedentary behaviour, are increasingly prevalent among cancer survivors. Although physical activity offers significant benefits, adherence to recommended activity levels remains low in this population. Oncologists are well-positioned to encourage physical activity but face challenges such as time limitations and insufficient training.
Methods: This qualitative study examined cancer survivors’ perspectives on physical activity advice provided by their oncologists. Semi-structured interviews were conducted with 20 survivors of endometrial and colorectal cancer who had participated in a 12-week physical activity programme using wearable technology. Thematic analysis identified key themes concerning the advice’s content, delivery, and the perceived authority of oncologists.
Findings: Participants emphasised the importance of oncologists addressing physical activity as a means to reduce cancer recurrence risk and improve overall health. Survivors viewed oncologists as trusted authorities and expressed a preference for clear, concise recommendations. They also acknowledged the time constraints oncologists face, limiting the depth of physical activity counselling.
Discussion: The study highlights oncologists’ critical role as gatekeepers for promoting physical activity among cancer survivors. While they may lack the capacity to provide detailed counselling, oncologists can initiate discussions and direct patients to appropriate allied health professionals. Future research should focus on practical strategies to equip oncologists with the knowledge and tools needed to support patients effectively.
Implications: These findings call for systemic changes to integrate physical activity advice into routine cancer care. Strategies such as brief counselling sessions, streamlined referral pathways, and specialised training programmes could enhance oncologists’ ability to promote physical activity and improve survivorship outcomes.