Determining patient needs to enhance exercise program implementation and uptake in rural settings for women after a cancer diagnosis

Adams, Jessica; Martin, Michelle Y.; Pisu, Maria; Oster, Robert A.; Qu, Haiyan; Shewchuk, Richard M.; Sheffield, Mary E.; Minter, Alex; Baumann, Ana A.; Rogers, Laura Q.

doi:10.1007/s00520-021-05990-8

Cited by 13 publications

(26 citation statements)

References 22 publications

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“…Several intervention adaptations were made when adapting BEAT Cancer for rural women cancer survivors in a community site. The participant education materials (e.g., text, worksheets) were simplified and adapted for application to any cancer type (rather than only breast cancer) by original efficacy study research team members using literature review and our previously published stakeholder input (15)(16)(17). The community interventionists were informed of the program core components and their intent as follows: 1) group sessions for support, encouragement, accountability, and behavioral capability; 2) participant education materials for facilitating learning and engagement; 3) supervised exercise sessions for individualization, accountability, behavioral capability, selfefficacy, overcoming barriers, and identifying personally important benefits; 4) unsupervised exercise for self-efficacy and overcoming barriers; and 5) update physical activity counseling sessions for support, encouragement, individualization, positive reinforcement, and overcoming barriers.…”

Section: Intervention Description and Adaptations During Implementationmentioning

confidence: 99%

“…Self-efficacy barriers (cancer survivor confidence in overcoming exercise barriers) were assessed using a nine-item scale previously used with cancer survivors (30). A walking task selfefficacy scale included six items to assess a cancer survivor's confidence in her ability to walk at a moderately fast pace for several durations (5,10,15,20,25, and 30 min) (31). The Likert scale was used, and scale items were averaged to calculate both barriers and walking task self-efficacy with a possible range of 0% (not at all confident) to 100% (extremely confident).…”

Section: Social Cognitive Theory Constructsmentioning

confidence: 99%

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Promoting Physical Activity in Rural Settings: Effectiveness and Potential Strategies

et al. 2021

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Implementing efficacious physical activity interventions in real-world rural settings is needed because rural cancer survivors are more physically inactive and experience poorer health. To address this gap, this study evaluated the effectiveness of an evidenced-based physical activity program (Better Exercise Adherence after Treatment for Cancer [BEAT Cancer]) for rural women cancer survivors when implemented by community-based nonresearch staff. Sixteen rural women cancer survivors received BEAT Cancer implemented by a rural community organization and nonresearch staff; physical activity, patient-reported outcomes, and social cognitive constructs were measured at baseline and postprogram. Cancer survivors and interventionists completed program evaluations postprogram. Cancer survivor mean age was 58 ± 12 yr; 62% were White. Mean months since diagnosis was 54 ± 72; 69% had breast cancer. Significant improvements from pre-to postprogram occurred for self-report weekly minutes of moderate to vigorous physical activity (mean change [M] = 146 ± 186, P = 0.009), anxiety (M = −1.3 ± 1.8, P = 0.016), depression (M = −2.1 ± 2.0, P = 0.001), self-efficacy (M = 20.9 ± 30.5, P = 0.019), barriers interference (M = −15.0 ± 14.1, P = 0.001), and social support (M = 5.0 ± 7.4, P = 0.02). Cancer survivors ranked the program highly, identified strategies that were helpful (e.g., group activities, personalized exercise plan, etc.), and suggested additional implementation strategies (e.g., guide for home-based phase, etc.). Interventionists identified strategies (e.g., logistics, staff training and certification, cost, etc.) for enhancing organizational readiness for program delivery. Evidence-based physical activity programs can be effective when implemented by nonresearch staff in rural settings. Further research testing strategies that improve implementation are needed. Effectiveness and identified strategies supporting delivery when implemented by a rural organization can improve physical activity promotion for rural at-risk populations.

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Section: Intervention Description and Adaptations During Implementationmentioning

confidence: 99%

Section: Social Cognitive Theory Constructsmentioning

confidence: 99%

Promoting Physical Activity in Rural Settings: Effectiveness and Potential Strategies

et al. 2021

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“…In fact, such a system would be able to reduce perceived negative aspects of exercise such as cost, transportation, weather, inconvenience, lack of flexibility of courses and safety [22].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Virtual Dance Class for Cancer Patients and Their Partners during the Corona Pandemic—A Real-World Observational Study

et al. 2023

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Background: During the corona pandemic, all courses on physical activity for cancer patients were canceled. The aim of our study was to evaluate the feasibility of switching dancing classes for patients and their partners to online classes. Methods: Patients and partners from courses at four different locations who consented to the online course offer were asked to fill in a pseudonymous questionnaire on access to the training, technical challenges, acceptance and well-being (1-item visual analog scale from 1 to 10) before and after the training. Results: Sixty-five participants returned the questionnaire (39 patients and 23 partners). Fifty-eight (89.2%) had danced before, and forty-eight (73.8%) had visited at least one course of ballroom dancing for cancer patients before. The first access to the online platform was difficult for 39 participants (60%). Most participants (57; 87.7%) enjoyed the online classes, but 53 (81.5%) rated them as less fun than the real classes as direct contact was missing. Well-being increased significantly after the lesson and remained improved for several days. Conclusion: Transforming a dancing class is feasible for participants with digital experience and goes along with technical difficulties. It is a substitute for real classes if mandatory and improves well-being.

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“…Given the COVID-19 pandemic, future programmes should be oriented towards mixed or bi-modal interventions which include both face-to-face and online supervision depending on patient’s preferences [ 49 ] and demographics [ 50 ]. In addition, implementing technology-supported interventions [ 51 ] may allow to offer this service to a greater number of patients in those cases in which supervision is less required [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Design and implementation of a standard care programme of therapeutic exercise and education for breast cancer survivors

Roldán-Jiménez

Pajares

Ruiz-Medina

et al. 2021

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Background Breast cancer survivors (BCS) face several symptoms and are at higher risk of weight gain following diagnosis. Current literature shows that both exercise and diet play a key role in recovery of BCS. However, there is a gap between current guidelines and the real-world context. The aim of this article is to describe the process behind a free, not-for-profit community-based therapeutic exercise and education programme (TEEP) for BCS in the clinical setting. Methods The “Onco-Health Club” (OHC) consists of therapeutic exercise (TE) intervention aimed at ameliorating cancer-related fatigue (CRF) and improving QoL and physical function. TE is supplemented with nutritional education, providing information about the Mediterranean diet. To this end, patients are recruited from an oncologist and are referred to a physiotherapist and a nutritionist for baseline assessment. TEEP consists of a 3-month intervention, delivered twice a week in a group format with 1 h of TE and 30 min of nutritional education. BCS then have a final assessment and are advised to continue with a healthy lifestyle. Data about referral, compliance and assessment were collected. Results From May 2017 to February of 2020, a total of 158 patients were recruited from 8 cohorts and 142 initially started the OHC. From 119 that joined the program, 96 patients were considered to have finished it with good adherence (assistance > 80%). BCS significantly improved their QoL, as well as upper and lower limb’s function, and increased their level of physical activity. CRF tended to decrease (p = 0.005). Conclusions This study obtained data on recruitment, compliance, and possible limitations of these kinds of programmes in a real-world context. Further research is needed in order to optimize patient engagement and compliance, as well as to determine the transferability of these programmes in the clinical setting. Trial registration NCT03879096, Registered 18th March 2019. Retrospectively registered.

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Determining patient needs to enhance exercise program implementation and uptake in rural settings for women after a cancer diagnosis

Cited by 13 publications

References 22 publications

Promoting Physical Activity in Rural Settings: Effectiveness and Potential Strategies

Promoting Physical Activity in Rural Settings: Effectiveness and Potential Strategies

Evaluation of a Virtual Dance Class for Cancer Patients and Their Partners during the Corona Pandemic—A Real-World Observational Study

Design and implementation of a standard care programme of therapeutic exercise and education for breast cancer survivors

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