Bright spots, physical activity investments that work: Active Everyday, Sheffield’s physical activity service for all people living with and beyond cancer

Humphreys, Liam; Crank, Helen; Frith, Gabriella; Speake, Helen; Reece, Lindsey

doi:10.1136/bjsports-2017-098672

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…Participants received personalised behaviour change support and sign-posting to local PA opportunities. 31 Participants with a previous diagnosis of colorectal cancer were identified. Macmillan Move More Programme -Northern Ireland Participants receive personalised support with one-to-one consultations and advice to increase their activity levels and appropriate sign-posting to local opportunities including group-based exercise programmes for people LWBC.…”

Section: Active Everydaymentioning

confidence: 99%

Exploring maintenance of physical activity behaviour change among people living with and beyond gastrointestinal cancer: a cross-sectional qualitative study and typology

et al. 2020

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ObjectivesIn the last decade, there has been a rapid expansion of physical activity (PA) promotion programmes and interventions targeting people living with and beyond cancer (LWBC). The impact that these initiatives have on long-term maintenance of PA remains under-researched. This study sought to explore the experiences of participants in order to characterise those who have and have not successfully sustained increases in PA following participation in a PA intervention after a diagnosis of gastrointestinal (GI) cancer, and identify barriers and facilitators of this behaviour.DesignCross-sectional qualitative study. Semi-structured interviews with participants who had previously taken part in a PA programme in the UK, explored current and past PA behaviour and factors that promoted or inhibited regular PA participation. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Themes and subthemes were identified. Differences between individuals were recognised and a typology of PA engagement was developed.ParticipantsTwenty-seven individuals (n=15 male, mean age=66.3 years) with a diagnosis of GI cancer who had participated in one of four interventions designed to encourage PA participation.SettingUK.ResultsSeven themes were identified: disease processes, the role of ageing, emotion and psychological well-being, incorporating PA into everyday life, social interaction, support and self-monitoring and competing demands. A typology with three types describing long-term PA engagement was generated: (1) maintained PA, (2) intermittent PA, (3) low activity. Findings indicate that identifying an enjoyable activity that is appropriate to an individual’s level of physical functioning and is highly valued is key to supporting long-term PA engagement.ConclusionThe typology described here can be used to guide stratified and personalised intervention development and support sustained PA engagement by people LWBC.

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Section: Active Everydaymentioning

confidence: 99%

Exploring maintenance of physical activity behaviour change among people living with and beyond gastrointestinal cancer: a cross-sectional qualitative study and typology

et al. 2020

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“…We identified an unmet need for cancer rehabilitation (including prehabilitation) in Sheffield and are addressing this by implementing the Active Together service. The service was co-designed using insight from previous research 26 , service delivery 24 , and robust stakeholder engagement, which prioritised the voice of patients. Robust evaluation is now needed to evidence the service's acceptability and effectiveness.…”

Section: Discussionmentioning

confidence: 99%

“…The Active Together service has been co-produced by cancer patients, clinical and professional stakeholders, and academics over a 2-year period. The service has also been informed by our previous work in cancer rehabilitation 24,25 , where we identified the critical factors needed to create a model of exercise support for cancer patients 26,27 . These include time during consultations to discuss rehabilitation, sufficient knowledge of the benefits of rehabilitation for cancer patients, and trust in the services that professionals refer patients to [26][27][28] .…”

Section: Development Of the Active Together Servicementioning

confidence: 99%

The Development of a Multi-Modal Cancer Rehabilitation (including Prehabilitation) Service in Sheffield, UK: Designing the Active Together Service

Humphreys,

Myers,

Frith

et al. 2023

Preprint

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Cancer patients undergoing major interventions face numerous challenges, including the adverse effects of cancer and the side effects of treatment. Cancer rehabilitation is vital in ensuring cancer patients have the support they need to maximise treatment outcomes and minimise treatment-related side effects and symptoms. The Active Together service is a multi-modal rehabilitation service designed to address critical support gaps for cancer patients. The service is located and provided in Sheffield, UK, an area with higher cancer incidence and mortality rates than the national average. The service aligns with local and regional cancer care objectives and aims to improve clinical and quality of life outcomes of cancer patients by using lifestyle behaviour change techniques to address their physical, nutritional, and psychological needs. This paper describes the design and initial implementation of the Active Together service, highlighting its potential to support and benefit cancer patients.

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“…Active Everyday (AE) [ 27 ] aimed to pilot the physical activity behaviour change care pathway model developed by Macmillan Cancer Support [ 28 ]. The model was based on the NHS physical activity pathway model, Let’s Get Moving [ 29 ], NICE guidance [ 30 ], and Macmillan’s insight research [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

Evaluation of a city-wide physical activity pathway for people affected by cancer: the Active Everyday service

Humphreys

Frith

Humphreys

et al. 2023

Support Care Cancer

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Purpose The primary goal of this article is to present an evaluation of a UK-based city-wide physical activity pathway for patients with a cancer diagnosis, the Active Everyday service. Active Everyday was a co-produced physical activity service for people affected by cancer. The service was underpinned by a behaviour change care pathway model developed by Macmillan Cancer Support charity. Methods This was a retrospective evaluation assessing physical activity levels and changes to outcome measures (fatigue, perceived health, and self-efficacy) over 6 months. Each participant self-reported their levels of physical activity for the previous 7 days at three-time points: baseline (T1), at 12-week exit from the scheme (T2), and at 6-month follow-up (T3). Results The Active Everyday service received 395 referrals, of which 252 attended a baseline assessment. Participants’ fatigue and self-efficacy improved between T1 and T2 and T1 and T3. Perceived health improved across all time points. Participant exercise levels showed significant differences between T1 and T2. Conclusion The service, provided over 3 years, resulted in positive health and wellbeing outcomes in people affected by cancer who engaged in the service. Future services must routinely include exercise referrals/prescriptions as a standard part of care to help engage inactive individuals. Services should focus on targeted promotion to people from ethnic minority groups, and a wide socioeconomic population.

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Bright spots, physical activity investments that work: Active Everyday, Sheffield’s physical activity service for all people living with and beyond cancer

Cited by 4 publications

References 6 publications

Exploring maintenance of physical activity behaviour change among people living with and beyond gastrointestinal cancer: a cross-sectional qualitative study and typology

Exploring maintenance of physical activity behaviour change among people living with and beyond gastrointestinal cancer: a cross-sectional qualitative study and typology

The Development of a Multi-Modal Cancer Rehabilitation (including Prehabilitation) Service in Sheffield, UK: Designing the Active Together Service

Evaluation of a city-wide physical activity pathway for people affected by cancer: the Active Everyday service

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