Experiences of people with cancer who have participated in a hospital-based exercise program: a qualitative study

Ferri, Alessia; Gane, Elise; Smith, Michelle D.; Pinkham, Elizabeth P.; Gomersall, Sjaan R.; Johnston, Venerina

doi:10.1007/s00520-020-05647-y

Cited by 18 publications

(55 citation statements)

References 27 publications

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“…For example, some participants lacked the confidence to use the online platform in their daily lives, and the perception that using an online platform was “extra work” also hindered, to a certain degree, by the intervention implementation. Similar results were found in a qualitative process evaluation study [ 44 ]. Participants focused on the fact they could naturally learn about psychological care while undergoing treatment, without having to expend additional energy.…”

Section: Discussionsupporting

confidence: 89%

An Implementation Process Evaluation Based on an Integrated Psychosocial Support Program of Colorectal Cancer Couples in China: A Pilot Study

Luo

2021

Healthcare

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Studies have shown that the qualitative process assessment of cancer couple-based psychosocial interventions is often ignored. This article aims to evaluate the implementation process of an integrated psychosocial program developed for colorectal cancer couples. Semi-structured qualitative interviews were conducted with eight colorectal cancer couple participants and two intervention facilitators. Normalization Process Theory was used to guide the data collection and analysis. Data analysis was conducted using a directed content analysis approach within a framework approach. Participants had a good understanding of the program significance. For most participants, the intervention duration was appropriate, and was well integrated into daily life. A lack of understanding of psychological nursing, and a lack of confidence in the use of online platforms and other personal factors, inhibited participants’ experience of participating in the intervention. The facilitator’s challenge in the implementation process was being flexible in dealing with situations occurring outside of the framework plan. Face-to-face and online psychological interventions require more flexibility, and participant cognition of psychosocial care was the key to the successful implementation of the intervention. Future research should consider raising participants’ awareness of psychological care to better integrate this type of intervention into participants’ daily lives and routine care.

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Section: Discussionsupporting

confidence: 89%

An Implementation Process Evaluation Based on an Integrated Psychosocial Support Program of Colorectal Cancer Couples in China: A Pilot Study

Luo

2021

Healthcare

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“…However, the home-based definition requires caution interpretation 21 , and proper planning must be conducted even during independent exercise. In line with this, the transition from a supervised environment to a non-supervised was reported as the most significant barrier to exercise by cancer patients 58 . Moreover, a systematic review by Ormel et al 59 emphasizes that supervision in a home-based setting can increase exercise adherence by enhancing family support and improving the knowledge and exercise skills of the cancer patient.…”

Section: Discussionmentioning

confidence: 74%

Home-based, supervised, and mixed exercise intervention on functional capacity and quality of life of colorectal cancer patients: a meta-analysis

Kraemer

Priolli

Reis

et al. 2022

Sci Rep

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This systematic review and meta-analysis of randomized controlled trials tested the effects of home-based, supervised, or mixed exercise interventions on the functional capacity (FC) and quality of life (QoL) in colorectal cancer patients. A literature search was performed using the PubMed, Embase, Cochrane, and Medline databases. Two reviewers screened the literature through March 10, 2021 for studies related to exercise and colorectal cancer. Of the 1161 screened studies in the initial search, 13 studies met the eligibility criteria (home-based = 6 studies; supervised or mixed = 7 studies). Overall, 706 patients were enrolled in the trials, and 372 patients were submitted to home-based, supervised, or mixed exercise intervention. The overall results from the main meta-analysis showed a significant effect regarding supervised or mixed intervention (6 studies; p = 0.002; I2 = 43%; PI 0.41–1.39); however, no significant effect was observed for home-based intervention (5 studies; p = 0.05; I2 = 25%; PI − 0.34–0.76). A sensitivity analysis based on studies with intervention adherence ≥ 80% (home-based = 3 studies; supervised or mixed = 4 studies) revealed that home-based intervention or intervention entirely supervised or with some level of supervision (mixed) are effective in improving the QoL and FC of CRC patients. In summary, this meta-analysis verified that supervised and home-based exercise can modify QoL and FC when intervention adherence ≥ 80%. Regardless of the supervision characteristics, future RCTs are strongly encouraged to provide a detailed description of the exercise variables in physical interventions for CRC prescription. This perspective will allow a refined exercise prescription for patients with CRC, mainly according to their clinical status.

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“…As indicated by our results, peer support may be a potential, favorable facilitator for the maintenance of exercise after rehabilitation. Exercise with peers can help preserve a normal identity and escape the otherwise dominating patient role, change survivors' mindset, promote more positive outlook life and gaining psychosocial support (16,31). Participants in the present study stressed that the group size must not be too large to enable appropriate monitoring and promote friendship and solidarity.…”

Section: Discussionmentioning

confidence: 90%

“…The group in this study wished for a place to sit down after exercise to take a cup of coffee and converse with their peers. Similarly, other survivors have expressed that more time to debrief after classes would help to overcome emotional challenges (31). At this stage of understanding, we believe an environment that attends to both physical and psychological factors is a central element when implementing exercise for survivors, the social aspect can involve improved exercise behavior.…”

Section: Discussionmentioning

confidence: 99%

Determinants for Exercise Adherence and Maintenance for Cancer Survivors: Implementation of a Community-based Exercise Program. A Quality Feasibility Study

Ranes¹,

Wiestad²,

Thormodsen³

et al. 2021

Preprint

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PurposeResearch verifies that physical exercise plays an important part in recovery after cancer treatment. Despite this knowledge, multiple studies have shown that maintaining a physically active lifestyle after cancer is challenging. There is a need for effective implementation of exercise programs for cancer survivors in community care, with focus on exercise adherence and maintenance. This qualitative descriptive feasibility study explores experiences from the implementation of a four-month community-based exercise program for cancer survivors after completion of rehabilitation in the specialist health care service. MethodsFocus group interviews of fourteen cancer survivors after completing Rehabilitation: Physical activity and Coping, feasibility study. Data were analyzed using the systematic text condensation method. ResultsThe category determinates for exercise adherence and maintenance added four subcategories: peer-support, environment, structure and knowledge. ConclusionsA social and supportive exercise environment is important for exercise adherence and maintenance among cancer survivors. This knowledge can be useful in the further work with implementing high quality community-based exercise program for cancer survivors.

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Experiences of people with cancer who have participated in a hospital-based exercise program: a qualitative study

Cited by 18 publications

References 27 publications

An Implementation Process Evaluation Based on an Integrated Psychosocial Support Program of Colorectal Cancer Couples in China: A Pilot Study

An Implementation Process Evaluation Based on an Integrated Psychosocial Support Program of Colorectal Cancer Couples in China: A Pilot Study

Home-based, supervised, and mixed exercise intervention on functional capacity and quality of life of colorectal cancer patients: a meta-analysis

Determinants for Exercise Adherence and Maintenance for Cancer Survivors: Implementation of a Community-based Exercise Program. A Quality Feasibility Study

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