Knowledge, Attitude and Practice of Healthcare Professionals in Promoting Physical Rehabilitation Among Breast Cancer Patients

Abstract

Background: Breast cancer patients are at heightened risk for functional impairments due to disease and treatment, with physical rehabilitation shown to mitigate adverse outcomes. However, the extent of knowledge, attitudes, and practices (KAP) of healthcare professionals in promoting rehabilitation among these patients, particularly in low-resource settings, remains underexplored. Objective: To comprehensively assess the knowledge, attitudes, and practices of healthcare professionals regarding the promotion of physical rehabilitation among breast cancer patients in major cities of Pakistan. Methods: A cross-sectional study was conducted among 250 healthcare professionals directly involved in breast cancer care in Sialkot, Lahore, and Islamabad. Data were collected using a self-modified, validated questionnaire encompassing four domains: socio-demographics, knowledge, attitudes, and practices related to physical activity promotion. Descriptive and inferential statistics, including chi-square tests and odds ratios, were used for analysis (SPSS v26). Results: Most clinicians (94%) agreed that physical activity is safe during breast cancer treatment, and 90% reported confidence in providing PA advice. However, only 56% felt PA counseling was a core part of their role. Referral to physiotherapy was reported by 82.4% of clinicians, but only 7.6% had worked in interdisciplinary rehabilitation teams. Barriers to integration included limited access to PT services (40.8%), patient reluctance (28.8%), and systemic resource constraints. Experience was positively associated with both confidence and referral rates. Conclusion: While Pakistani healthcare professionals report strong knowledge and favorable attitudes regarding physical rehabilitation for breast cancer patients, systemic and resource barriers constrain optimal practice. Structured professional education and improved interdisciplinary collaboration are needed to bridge the gap between knowledge and implementation.