Barriers, facilitators, perceptions and preferences influencing physical activity participation, and the similarities and differences between cancer types and treatment stages - A systematic rapid review

Gildea, Gabrielle C.; Spence, Rosalind R.; Jones, Tamara L.; Turner, Jemma C.; Macdonald, Eliza R.; Hayes, Sandra C.; Sandler, Carolina X.

doi:10.1016/j.pmedr.2023.102255

Cited by 10 publications

(5 citation statements)

References 41 publications

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“…All participants in our study were receptive to receiving information and support about exercise and diet during treatment. This finding aligns with available literature in cancer survivors demonstrating an interest in personalised support to help people feel informed about what to do, as well as providing practical strategies to improve behaviours [ 14 , 15 , 29 – 33 ]. In particular, a systematic rapid review of 118 studies in 15 cancer types exploring factors influencing physical activity concluded that physical activity support and advice should be individualised, considering patient-specific needs and preferences [ 29 ].…”

Section: Discussionsupporting

confidence: 85%

“…This finding aligns with available literature in cancer survivors demonstrating an interest in personalised support to help people feel informed about what to do, as well as providing practical strategies to improve behaviours [ 14 , 15 , 29 – 33 ]. In particular, a systematic rapid review of 118 studies in 15 cancer types exploring factors influencing physical activity concluded that physical activity support and advice should be individualised, considering patient-specific needs and preferences [ 29 ]. Similarly, in a scoping review of dietary information provision in Australia, cancer survivors reported receiving limited or ineffective dietary advice, and identified a need for individualised dietary strategies and practical skills for healthy eating [ 14 ].…”

Section: Discussionsupporting

confidence: 85%

“…Our finding that cancer survivors would be more motivated to exercise and eat well if they understood why it was beneficial for managing their cancer diagnosis is important as a lack of motivation was a common consideration identified by participants. This aligns closely with the aforementioned systematic rapid review, which identifies patient education about the importance of physical activity post-cancer, as well as the incorporation of behaviour change strategies to increase physical activity levels among cancer survivors [ 29 ]. Strategies to specifically address a lack of motivation among cancer survivors, such as motivational interviewing, have shown promising effects on various lifestyle behaviours including physical activity and diet [ 35 ].…”

Section: Discussionsupporting

confidence: 63%

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Exercise and diet support in breast and prostate cancer survivors: findings from focus groups

Dalla Via,

Andrew,

Baguley

et al. 2024

Support Care Cancer

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Purpose Cancer survival is improving, making optimal management of long-term treatment-related adverse effects increasingly important. Exercise and a healthy diet are beneficial and regularly recommended in cancer survivorship guidelines; however, few cancer survivors meet these recommendations so there is a need to explore why. This study aimed to understand experiences receiving exercise and diet support among Australian breast and prostate cancer survivors during and following treatment, and to explore what support they would like to receive. Methods Adults who completed active treatment for breast or prostate cancer were recruited via a private cancer care centre. Using a qualitative descriptive study design, participants attended in-person focus groups that were recorded, transcribed, then analysed using reflexive thematic analysis. Results In total, 26 cancer survivors (15 breast, 11 prostate) participated in one of seven focus groups (4 breast, 3 prostate). Two themes were developed: 1) It was just brushed over, and 2) Wanting more. Theme 1 reports that exercise, and especially diet, were rarely discussed. If they were, it was often limited to general recommendations. Theme 2 shows that participants wanted more specific and personalised support, and information about how exercise and/or diet could benefit their cancer treatment. Conclusion Despite strong interest in receiving personalised exercise and diet support, neither are routinely provided to Western Australian breast and prostate cancer survivors. If support was provided, there was inconsistency in the level and type of support provided. These findings identify important gaps in exercise and diet support provision to cancer survivors and will inform future strategies aiming to improve cancer survivorship care.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 63%

See 1 more Smart Citation

Exercise and diet support in breast and prostate cancer survivors: findings from focus groups

Dalla Via,

Andrew,

Baguley

et al. 2024

Support Care Cancer

View full text Add to dashboard Cite

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“…45,47 This preference for walking was also reported in two recent reviews of over 100 studies of physical activity participation across all cancer types and treatment stages. 48,49 Previous research conducted by our group and others suggests that people LWBC find that walking is the most achievable form of physical activity both during and after treatment. 45,48 While after treatment has been identified by people LWBC as the preferred time to start physical activity programmes, 48 evidence suggests that limited awareness about the benefits of physical activity engagement during treatment may also play a role in these findings.…”

Section: Physical Activity Interventions In People Lwbcmentioning

confidence: 97%

The feasibility and acceptability of an app‐based intervention with brief behavioural support (APPROACH) to promote brisk walking in people diagnosed with breast, prostate and colorectal cancer in the UK

Lally,

Kennedy,

Smith

et al. 2024

Cancer Medicine

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IntroductionIncreased moderate to vigorous physical activity (MVPA) can improve clinical and psychosocial outcomes for people living with and beyond cancer (LWBC). This study aimed to assess the feasibility and acceptability of trial procedures in a pilot randomised controlled trial (RCT) of a theory‐driven app‐based intervention with behavioural support focused on promoting brisk walking (a form of MVPA) in people LWBC (APPROACH).MethodsParticipants diagnosed with breast, prostate or colorectal cancer were recruited from a single UK hospital site. Assessments at baseline and 3 months included online questionnaires, device‐measured brisk walking (activPAL accelerometer) and self‐reported weight and height. Participants were randomised to intervention or control (care as usual). The intervention comprised a non‐cancer‐specific app to promote brisk walking (National Health Service ‘Active 10’) augmented with print information about habit formation, a walking planner and two behavioural support telephone calls. Feasibility and acceptability of trial procedures were explored. Initial estimates for physical activity informed a power calculation for a phase III RCT. A preliminary health economics analysis was conducted.ResultsOf those medically eligible, 369/577 (64%) were willing to answer further eligibility questions and 90/148 (61%) of those eligible were enrolled. Feasibility outcomes, including retention (97%), assessment completion rates (>86%) and app download rates in the intervention group (96%), suggest that the trial procedures are acceptable and that the intervention is feasible. The phase III RCT will require 472 participants to be randomised. As expected, the preliminary health economic analyses indicate a high level of uncertainty around the cost‐effectiveness of the intervention.ConclusionsThis pilot study demonstrates that a large trial of the brisk walking intervention with behavioural support is both feasible and acceptable to people LWBC. The results support progression onto a confirmatory phase III trial to determine the efficacy and cost‐effectiveness of the intervention.

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“… 59 Thus, a holistic model of treatment, such as cognitive-behavioral and group education therapy, should be incorporated alongside modern medicinal techniques, such as hormonal supplementation and intimacy enhancement programs, to ensure multi-pronged management of SD in BCSs. 60 …”

Section: Bodymentioning

confidence: 99%

Care for breast cancer survivors in Asian countries: A review of sexual dysfunction

Jehan,

Azam,

Taimuri

et al. 2024

Womens Health (Lond Engl)

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Breast cancer accounts for one in three new cancer cases in women each year. Despite having a higher survival rate than other cancers, it is associated with various side effects, including anorgasmia, vaginismus, hair loss, and decreased libido. This review aims to explore trends in the incidence of sexual dysfunction in breast cancer survivors, the etiology of sexual dysfunction, and the role of factors such as family history, age, duration of marriage, and depression in predisposing patients. We summarize the limitations of the treatment modalities already used to cater to sexual dysfunction in breast cancer survivors and patients. The authors conducted searches on databases such as PubMed and Google Scholar using relevant search terms: sexual dysfunction, breast cancer, breast cancer survivors, chemotherapy, dyspareunia, vaginismus, and anorgasmia from 1997–2023. The inclusion criteria encompassed all types of articles with abstracts or titles indicating research on sexual dysfunction in breast cancer survivors in Asia. A total of 64 articles were included out of which 10 were systematic reviews and meta-analyses. The literature search yielded results showing high incidence rates of breast cancer in Asia (45.4%), with 31.6%–91.2% of breast cancer survivors likely to experience sexual dysfunction. Regional differences were noted, as female sexual dysfunction occurred in 74.1% of Asian breast cancer women. Further randomized controlled trials should be conducted to assess the effectiveness of treatment modalities. Personalized approaches should be tailored to address beliefs, such as the potential impact of sexual activity on disease recovery. Utilizing a family history of breast cancer as a preemptive tool can help reduce the risk of developing female sexual dysfunction in survivors, and factors such as age and depression should be considered when formulating solutions.

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Barriers, facilitators, perceptions and preferences influencing physical activity participation, and the similarities and differences between cancer types and treatment stages - A systematic rapid review

Cited by 10 publications

References 41 publications

Exercise and diet support in breast and prostate cancer survivors: findings from focus groups

Exercise and diet support in breast and prostate cancer survivors: findings from focus groups

The feasibility and acceptability of an app‐based intervention with brief behavioural support (APPROACH) to promote brisk walking in people diagnosed with breast, prostate and colorectal cancer in the UK

Care for breast cancer survivors in Asian countries: A review of sexual dysfunction

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