Determinants of exercise adherence and maintenance for cancer survivors: Implementation of a community-based group exercise program. A qualitative feasibility study

Ranes, Maria; Wiestad, Tor Helge; Thormodsen, Inger; Arving, Cecilia

doi:10.1016/j.pecinn.2022.100088

Cited by 6 publications

(16 citation statements)

References 56 publications

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“…From the 31 included studies, 14 had a quantitative design, [12][13][14][15][16][17][18][19][20][21][22][23][24][25] nine had a qualitative design, [26][27][28][29][30][31][32][33]41 two reported on a two-part study incorporating both quantitative and qualitative approaches, 34,42 and six employed a mixed methods design [35][36][37][38][39][40] (Supplemental Table 1, http://links. lww.com/PHM/C344).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…lww.com/PHM/C344). Studies originated from European (n = 13), 15,16,18,20,21,23,27,32,33,36,37,39,41 Oceanian (n = 11), 12,14,19,22,25,26,[29][30][31]38,40 and North American (n = 7) 13,17,24,28,34,35,42 countries.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The mean or median age of the participants was available in 28/31 (90%) studies. [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][28][29][30][31][32][33][34][35][38][39][40][41][42] It was also partially available in 2/31 (6%) studies, 36,37 where the mean age was provided for one of the study steps but not the others. Overall, the reported mean age ranged from 44 to 83 yrs old.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Overall, the reported mean age ranged from 44 to 83 yrs old. Targeted conditions were either: a) orthopedic: arthritis, osteoarthritis, axial spondyloarthritis, ligament reconstruction, and chronic pain (n = 7) 13,14,18,29,31,32,35 ; b) associated with gait and balance: impaired mobility and risk of falling (n = 7) 20,22,25,33,34,36,37 ; c) neurological: stroke, multiple sclerosis, Parkinson's disease, and neuromuscular diseases (n = 5) 21,24,[38][39][40] ; d) cardiorespiratory: overweight or obese, and other cardiovascular risk factors or general cardiac rehabilitation profiles (n = 5) 17,19,23,28,30 ; or e) other types: specific surgery recovery (n = 4), 12,15,16,26 cancer survivors (n = 2), 41,42 and psychiatric conditions, such as bulimia nervosa (n = 1). 27 Sample sizes ranged from only three participants to large cohorts of 1945 participants.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Implementation of group-based exercise programs in physiotherapy: a rapid scoping review

Le Berre,

Forest,

Dumoulin

2024

Am J Phys Med Rehabil

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This review synthesized implementation literature on group-based exercise programs in physiotherapy. MEDLINE and EMBASE databases were searched for English and French articles published between 2000 and 2022. Through a two-step process (titles/abstracts and full text), two independent reviewers selected studies. The independent reviewers then extracted data and assessed study quality using the Mixed Methods Appraisal Tool (MMAT). A total of 31 studies involving 4,555 participants were included. Data on the group-based programs were extracted using the Consensus on Exercise Reporting Template (CERT) and reported narratively. Implementation outcomes were reported narratively. The most frequently reported constructs pertained to feasibility and acceptability. Overall, the implementation of group-based programs appeared to be feasible, yielding high rates of adherence and attendance (between 36% and 91%), moderate-to-high completion rates (between 46% and 100%), low-to-moderate dropout rates (between 4.5% and 35.9%), and high satisfaction (satisfaction scores generally ranging above 7/10). The present findings also indicate a high acceptability for group-based physiotherapy exercise programs among patients. This review provided an overview of the literature on the implementation of group-based exercise programs in physiotherapy. In addition, it identified the need for more evidence on fidelity and costs. Future research should address these gaps to better inform healthcare stakeholders.

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Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Implementation of group-based exercise programs in physiotherapy: a rapid scoping review

Le Berre,

Forest,

Dumoulin

2024

Am J Phys Med Rehabil

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“…Moreover, a meta-analysis demonstrated that both low and moderate-intensity exercise can reduce the severity of depressive symptoms among women suffering from PPD [15]. The efficacy of aerobic exercise as an intervention for PPD may be attributed to the combined effects of several factors [16][17][18][19][20], including exercise type, frequency, intensity, duration, supervision, intervention objectives, and whether the exercise was conducted individually or in a group setting. However, at present, there is a dearth of comprehensive data on the most effective aerobic exercise intervention program for preventing and treating PPD.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of aerobic exercise in the prevention and treatment of postpartum depression: Meta-analysis and network meta-analysis

Xu,

Liu,

Wang

et al. 2023

PLoS ONE

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Background Aerobic exercise is widely recognized for improving mental health and reducing negative emotions, including anxiety. However, research on its role in preventing and treating postpartum depression (PPD) has yielded inconsistent results. Some studies show positive effects on PPD symptoms, while others find limited impact, suggesting various factors at play, such as exercise type, intensity, and individual differences. To address this gap, our study aims to comprehensively gather evidence on the preventive and therapeutic effects of aerobic exercise for PPD. We’ll focus on differences in exercise program design and implementation, exploring how these factors impact intervention outcomes. By identifying effective exercise approaches, we aim to provide more comprehensive exercise prescription recommendations for this vulnerable population. Methods We conducted a quantitative systematic review of the study in 5 representative databases for the effect of aerobic exercise on PPD. Meta-analysis and network meta-analysis were performed with Review-Manager.5.4 and Stata.16.0 software, respectively. This study has been registered on the official Prospero website, and the registration code is CRD42023398221. Results Twenty-six studies with 2,867 participants were eventually included and the efficacy of aerobic exercise in preventing and treating postpartum depression is significant compared to standard care. (MD = -1.90; 95%CL: -2.58 to -1.21; I2 = 86%). Subgroup analysis suggests that the intervention objective (prevention vs. treatment) of exercise could potentially be a source of heterogeneity in this study, as the “Test for subgroup difference” revealed the presence of significant distinctions (p = 0.02<0.05). The “Test for subgroup difference” yielded non-significant results for both the supervised vs. unsupervised subgroup comparison (p = 0.55 > 0.05) and the individual vs. team subgroup comparison (p = 0.78 > 0.05). Nonetheless, when assessing their effect sizes [Subtotal (95%CL)], the supervised exercise group [-1.66 (-2.48, -0.85)] exhibited a slightly better performance than the unsupervised exercise group [-1.37 (-1.86, -0.88)], while the team exercise group [-1.43 (-1.94, -0.93)] slightly outperformed the individual exercise group [-1.28 (-2.23, -0.33)]. Network meta-analysis indicated that moderate intensity (35~45 min) group demonstrated a more pronounced intervention effect compared to low intensity (50~60 min) group [-2.63 (-4.05, -1.21)] and high intensity (20~30 min) group [-2.96 (-4.51, -1.41)], while the 3~4 times/week group had a more significant intervention effect compared to 1~2 times/week groups [-2.91 (-3.99, -1.83)] and 5~6 times/week groups [-3.28 (-4.75, -1.81)]. No significant differences were observed in pairwise comparisons of intervention effects among the five common types of aerobic exercises. (95%CL including 0). The Surface Under the Cumulative Ranking curve (SUCRA) results align with the findings mentioned above and will not be reiterated here. Conclusion The efficacy of aerobic exercise in preventing and treating postpartum depression is significant compared to standard care, with a greater emphasis on prevention. The optimal prescribed exercise volume for intervention comprises a frequency of 3~4 exercise sessions per week, moderate intensity (35~45 minutes). Currently, several uncharted internal factors influence the optimal intervention effect of aerobic exercise, such as the potential enhancement brought by team-based and supervised exercise. Given the absence of significant differences in certain results and the limitations of the study, it is essential to exercise caution when interpreting the outcomes. Further research is needed in the future to provide a more comprehensive understanding.

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Group medical visits in cancer survivorship care: a scoping review

Dixit,

Avilez,

Honcharov

et al. 2024

J Cancer Surviv

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Background More than 60% of cancer survivors report unmet physical, psychosocial, and informational needs. The care of cancer survivors includes surveillance, health maintenance monitoring, referral for long-term adverse effects of cancer treatment, and coordination of care. Group medical visits (GMV) include medical care, education, and peer support and can be used to facilitate the delivery of multidisciplinary survivorship care. We aimed to characterize the current state of related research describing the role of GMV in cancer survivorship care. Methods For this scoping review, we searched for published literature using PubMed, Embase, and other resources. We included intervention studies of multidisciplinary care involving GMVs of adult patients with a history of cancer requiring the presence of medical personnel, physicians, advanced practitioners, or oncology nurses. We included studies that focused on broad cancer survivorship care, rather than those using specific modalities, such as yoga, or limited to specific aspects of cancer survivorship care, such as weight loss. We characterized the studies by cancer type, structure of GMVs, and reported outcomes. Results We identified 2311 studies (2122 from PubMed and 189 from Embase). We excluded 1524 duplicates and screened 787 studies for title and abstract review. Finally, 63 studies were retrieved for full-text review, and six were included in this scoping review. Of the included studies, four were non-randomized, and two were randomized. Breast cancer was the most common site (4); other studies included breast and other cancers (1) and hematopoietic transplant cancer survivors (1). There was heterogeneity in the structure and frequency of sessions and the survivorship domains addressed. The outcomes studied included quality of life, healthcare utilization, and costs. Conclusions Limited high-quality research exists on the role of GMV in cancer survivorship. Though shown to be effective in chronic disease, the evidence for the effectiveness of this important and widely used approach in multidisciplinary survivorship care remains inconsistent and preliminary; the literature to date provides a starting point for larger-scale studies of GMV in cancer survivorship care. Implications for Cancer Survivors While Group medical visits are a promising intervention to provide multidisciplinary care, larger studies are needed to support their benefit in the care of cancer survivors.

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Determinants of exercise adherence and maintenance for cancer survivors: Implementation of a community-based group exercise program. A qualitative feasibility study

Cited by 6 publications

References 56 publications

Implementation of group-based exercise programs in physiotherapy: a rapid scoping review

Implementation of group-based exercise programs in physiotherapy: a rapid scoping review

Effectiveness of aerobic exercise in the prevention and treatment of postpartum depression: Meta-analysis and network meta-analysis

Group medical visits in cancer survivorship care: a scoping review

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