Cross-sectoral physical activity-related health services: a qualitative study on the tasks and competencies in network coordination using the example of the Network ActiveOncoKids (NAOK)
Gesundheitswesen
DOI: 10.1055/a-2786-4697
Pediatric cancer leads to various health issues that call for long-term,
cross-sectoral aftercare. Physical activity and exercise are effective
regarding many outcomes, but remain underused in pediatric oncology.
Initiatives like the German ActiveOncoKids network (NAOK) aim to integrate
physical activity into usual care. Effective cross-sectoral networks require
coordination and leadership. NAOK has made recent advancements in network
coordination. This study aimed to better understand the role of network
coordination to strengthen future network development and explored the tasks
of network coordination and the required competencies from the viewpoint of
NAOK stakeholders.In an exploratory approach, qualitative, partly structured interviews were
led with 23 stakeholders of NAOK: members of the project team and the
advisory board, physicians and exercise therapists from acute clinics and
aftercare as well as affected families. The interviews were analyzed using
structuring content analysis with concurrent deductive and inductive
creation of main categories, dimensions and expressions.Based on the interviews, 3 main categories were created: current tasks on an
organizational level, current tasks on an individual level and required
competencies with 11 dimensions and 33 expressions overall. Regarding
organizational-level tasks, network management as well as public relations
were mentioned. Additionally, contact with locations such as clinics and
both research and implementation efforts were stressed. Tasks at the
individual level were identified by interviewees in counseling for both
affected families as well as professionals. Mentioned competencies stretched
across professional, socio-communicative and personal ones.The findings provide first insights into tasks and competencies in network
coordination at NAOK. Both tasks and competencies that are being mentioned
are very broad, which reflects the nature of pediatric oncology and
cross-sectoral physical activity promotion. The study offers hints for
future task allocation of network coordination and indicates the need for a
competency framework.
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