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

Grimmett, Chloe; Foster, Claire; Bradbury, Katherine; Lally, Phillippa; May, Carl; Myall, Michelle; Pinto, Bernardine M.; Corbett, Teresa

doi:10.1136/bmjopen-2020-037136

Cited by 13 publications

(34 citation statements)

References 29 publications

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“…In depth analysis of the barriers and facilitators to physical activity reported by participants during the pilot study will also help the inform future intervention development decisions, and guide potential changes to the environment and services. Future design considerations for CanMOVE will include when to time the intervention, which outcome measures to use, how to engage the multi-disciplinary team, and how changes of behavior changes may be maintained over the entire length of acute treatment and into survivorship ( 87 ).…”

Section: Discussionmentioning

confidence: 99%

Promoting positive physical activity behaviors for children and adolescents undergoing acute cancer treatment: Development of the CanMOVE intervention using the Behavior Change Wheel

Grimshaw

Taylor²,

Conyers³

et al. 2022

Front. Pediatr.

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BackgroundIncreasing participation in physical activity has the potential to improve outcomes for children and adolescents with cancer during treatment and into survivorship. The aim of this study is to outline the theoretical process behind development of CanMOVE, a behavior change intervention designed to increase physical activity for children and adolescents with cancer.Study designThis study followed a theoretical design process consistent with the Behavior Change Wheel to inform the design of a complex intervention.Materials and methodsThe three stages of the Behavior Change Wheel intervention design process include: (1) understanding physical activity behavior within the pediatric cancer setting, (2) identifying potential intervention functions, and (3) identifying appropriate behavior change and implementation strategies. Qualitative and behavior change literature relevant to the pediatric cancer treatment setting were used to inform each stage.ResultsAn individualized and flexible approach to physical activity promotion that considers intrinsic factors specific to the child/adolescent and their environment is required. Fifteen behavioral change strategies were identified to form the intervention components of CanMOVE. Implementation strategies were identified to build motivation, opportunity and capacity toward increasing physical activity behaviors. Key intervention components of CanMOVE include standardized assessment and monitoring (physical activity, physical function, and health-related quality of life), provision of an activity monitor to both child/adolescent and parent, and one-on-one capacity building sessions with a healthcare professional. Capacity building sessions include education, goal setting, an active supervised physical activity session, barrier identification and problem solving, and action planning.ConclusionCanMOVE is a novel approach to physical activity promotion in the pediatric cancer treatment setting. The use of a theoretical intervention design process will aid evaluation and replication of CanMOVE when it is assessed for feasibility in a clinical setting. The design process utilized here can be used as a guide for future intervention development.

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Section: Discussionmentioning

confidence: 99%

Promoting positive physical activity behaviors for children and adolescents undergoing acute cancer treatment: Development of the CanMOVE intervention using the Behavior Change Wheel

Grimshaw

Taylor²,

Conyers³

et al. 2022

Front. Pediatr.

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“…Given the challenges of scaling and sustaining PA maintenance interventions and addressing PA barriers, technology-based tools are being explored to support PA maintenance [ 9 , 10 , 11 , 12 ]. The key advantages of technology-supported interventions include their suitability for low-cost remote delivery, increasing reach and scale-up potential, and unique features such as enhanced self-monitoring and feedback on behavior, which can support PA maintenance in oncology [ 13 , 14 , 15 , 16 , 17 ]. The use of technology to support PA maintenance is particularly relevant for rural and remote cancer populations, who have greater PA barriers and more limited access to local PA resources compared to those in urban areas [ 18 , 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Perspectives on Ease of Use and Value of a Self-Monitoring Application to Support Physical Activity Maintenance among Individuals Living with and beyond Cancer

Ester,

McDonough,

Bansal

et al. 2024

Current Oncology

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Background: Physical activity (PA) can improve the physical and psychosocial health of individuals with cancer, yet PA levels remain low. Technology may address PA maintenance barriers in oncology, though the intervention effectiveness to date remains mixed. Qualitative research can reveal the nuances of using technology-based PA maintenance tools. The present study aimed to understand the perspectives of individuals with cancer on using an app to support PA maintenance. Methods: Individuals were interviewed after using a self-monitoring app for 24 weeks, asking about their app use, ease of use, and perceived value for supporting PA. Analyses were guided by an interpretive description. Results: Eighteen individuals were interviewed. The participants were 37–75 years old; lived in seven Canadian provinces/territories; identified as White, South Asian, or Indigenous; and had eight different cancers. Four themes were developed: some did not need the app to stay physically active, some valued the app for helping them maintain their PA, the user experience ranged from intuitive to confusing, and the time burden of app use ranged from acceptable to overwhelming. Conclusions: The participants provided insights on using a self-monitoring app to improve PA maintenance in oncology. Work is needed to capture additional perspectives and apply findings to the development of technology-based PA maintenance tools.

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“…Previous digital PA interventions have shown potential among YACS, but most studies are limited by small sample sizes and short duration (8–12 weeks) 12,13 . For cancer survivors to experience the benefits of PA interventions, sustained adherence is needed; 14 yet, they face challenges engaging in and maintaining PA after treatment 14–16 . Few randomized trials of PA behavior change interventions among cancer survivors report long‐term outcomes at 12 months or beyond, 17–20 and previous systematic reviews have identified the need for more studies to evaluate longer‐term PA behavior change and maintenance of PA outcomes following interventions among cancer survivors 19,21–24 .…”

Section: Introductionmentioning

confidence: 99%

Physical activity maintenance among young adult cancer survivors in an mHealth intervention: Twelve‐month outcomes from the IMPACT randomized controlled trial

et al. 2023

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BackgroundMost physical activity (PA) interventions in young adult cancer survivors (YACS) have focused on short‐term outcomes without evaluating longer‐term outcomes and PA maintenance. This study examined the effects of an mHealth PA intervention at 12 months, after 6 months of tapered contacts, relative to a self‐help group among 280 YACS.MethodsYACS participated in a 12‐month randomized trial that compared self‐help and intervention groups. All participants received an activity tracker, smart scale, individual videochat session, and access to a condition‐specific Facebook group. Intervention participants also received lessons, tailored feedback, adaptive goal setting, text messages, and Facebook prompts for 6 months, followed by tapered contacts. Accelerometer‐measured and self‐reported PA (total [primary outcome], moderate‐to‐vigorous [MVPA], light, steps, sedentary behaviors) were collected at baseline, 6, and 12 months. Generalized estimating equation analyses evaluated group effects on outcomes from baseline to 12 months.ResultsFrom baseline to 12 months, there were no between‐ or within‐group differences in accelerometer‐measured total PA min/week, while increases in self‐reported total PA were greater in the intervention versus self‐help group (mean difference = +55.8 min/week [95% CI, 6.0–105.6], p = 0.028). Over 12 months, both groups increased accelerometer‐measured MVPA (intervention: +22.5 min/week [95% CI, 8.8–36.2] vs. self‐help: +13.9 min/week [95% CI, 3.0–24.9]; p = 0.34), with no between‐group differences. Both groups maintained accelerometer‐measured and self‐reported PA (total, MVPA) from 6 to 12 months. At 12 months, more intervention participants reported meeting national PA guidelines than self‐help participants (47.9% vs. 33.1%, RR = 1.45, p = 0.02).ConclusionThe intervention was not more effective than the self‐help group at increasing accelerometer‐measured total PA over 12 months. Both groups maintained PA from 6 to 12 months. Digital approaches have potential for promoting sustained PA participation in YACS, but additional research is needed to identify what strategies work for whom, and under what conditions.

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

Cited by 13 publications

References 29 publications

Promoting positive physical activity behaviors for children and adolescents undergoing acute cancer treatment: Development of the CanMOVE intervention using the Behavior Change Wheel

Promoting positive physical activity behaviors for children and adolescents undergoing acute cancer treatment: Development of the CanMOVE intervention using the Behavior Change Wheel

Perspectives on Ease of Use and Value of a Self-Monitoring Application to Support Physical Activity Maintenance among Individuals Living with and beyond Cancer

Physical activity maintenance among young adult cancer survivors in an mHealth intervention: Twelve‐month outcomes from the IMPACT randomized controlled trial

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