Perspective of older African-American and Non-Hispanic white breast cancer survivors from diverse socioeconomic backgrounds toward physical activity: A qualitative study

Owusu, Cynthia; Antognoli, Elizabeth; Nock, Nora L.; Hergenroeder, Paul; Austin, Kristina; Bennet, Elizabeth; Berger, Nathan A.; Cerne, Stephen; Foraker, Katelyn; Heine, Kevin; Heyman, Ellen; Moore, Halle C. F.; Petkac, Jean; Schluchter, Mark D.; Schmitz, Kathryn H.; Whitson, Anastasia J.; Flocke, Susan A.

doi:10.1016/j.jgo.2017.12.003

Cited by 26 publications

(38 citation statements)

References 16 publications

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“…Resistance weight and strength training were also commonly reported PA types. In their qualitative and quantitative studies, Owusu et al [ 54 ] and Rogers et al [ 55 ] found that half of breast cancer patient participants preferred resistance weight and strength training during the treatment and post-treatment stages. Other PA type preferences reported by patients across cancer types included gardening, jogging, ball sports, dancing, gymnastics and stretching.…”

Section: Resultsmentioning

confidence: 99%

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Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review

Elshahat

Treanor

Donnelly

2021

Int J Behav Nutr Phys Act

134

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Background It has been posited that physical activity (PA) has the potential to improve health outcomes and the health-related quality of life of people living with or beyond cancer. Despite the well-documented health benefits of PA, there is a low level of PA among cancer patients. A systematic scoping review was conducted to investigate attitudes, perceptions, preferences and barriers vs. facilitators to cancer patients’ PA participation. Methods A systematic search was performed across four automated databases (PubMed, Embase, PsycINFO and Medline) in keeping with the PRISMA guideline. All cancer types were included, and any age/gender groups were eligible. Both qualitative and quantitative studies were included. The Health Belief Model provided a conceptual framework for the conduct of the scoping review as well as guiding thinking to inform evidence-based interventions. Results Ninety-eight articles were included in this review. Nearly half of the studies focused on mixed cancer sites; breast cancer was the most commonly examined cancer type (19%). Post-treatment was the most commonly investigated stage (33%), followed by studies of mixed stages of the cancer trajectory (27%), the acute treatment stage (23%) and pre-treatment stage (1%). Patient treatment stage was not reported in 16% of studies. Cancer patients reported positive attitudes to PA and recognized its benefits for health and wellbeing. Cancer-related side effects (e.g. fatigue) were a leading physiological barrier to PA participation, whereas effective symptom management techniques/tools acted as a powerful facilitator. Psychosocial barriers included low motivation and kinesiophobia, and perceived health benefits and social support/guidance by healthcare providers were significant facilitators. Inaccessible fitness facilities hindered cancer patients’ PA engagement though the availability of tailored amenities appeared to be a strong facilitator. PA preferences varied in terms of type, place, time, company and source of information and pointed to the need for individualized PA programs. Conclusions There is a need for further research to identify barriers and facilitators to PA that are faced by patients with particular cancer types. Recommended PA promoting-strategies involve including exercise science professionals in healthcare teams and ensuring that fitness facilities are accessible.

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Section: Resultsmentioning

confidence: 99%

“…Companionship was a common facilitator reported by patients across cancer types. In their qualitative and quantitative studies, Owusu et al [ 54 ] and Mizrahi et al [ 71 ] found that group exercising with significant others and/or other cancer patients who face similar challenges was a major facilitator among 80–95% of the participants.…”

Section: Resultsmentioning

confidence: 99%

Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review

Elshahat

Treanor

Donnelly

2021

Int J Behav Nutr Phys Act

134

View full text Add to dashboard Cite

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“…Older breast cancer survivors mentioned that an active lifestyle help to reduce the stress levels and combat depression. 17 At the same time, Mazzoni et al 28 found that patients exercising during oncological treatments reported a feeling of self-control.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Physical Activity in Cancer Patients During Oncological Treatments: A Qualitative Study

et al. 2020

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Introduction: Although the literature supports the importance of physical activity in the oncological context, in Italy a large number of patients are not sufficiently active. Methods: The present study aimed to explore factors influencing an active lifestyle in cancer patients during oncological treatments. Semi-structured focus groups, including 18 patients with different cancer types, were conducted at the Oncology Unit in the University Hospital Trust of Verona (Italy). The interviews were audio-recorded, transcribed verbatim, and analyzed with content analysis. Results: According to the Health Belief Model, transcripts were categorized into the following themes: benefits, barriers, and cues to action. Patients reported a series of physical, physiological, and psychological benefits deriving from an active lifestyle. The main barriers hampering the physical activity participation were represented by treatment-related side effects, advanced disease, and some medical procedures, for example, ileostomy. Several strategies that can trigger patients to exercise were identified. Medical advice, social support from family and friends, features such as enjoyment, setting goals, and owning an animal can motivate patients to perform physical activity. At the same time, an individualized program based on patients’ characteristics, an available physical activity specialist to consult, more detailed information regarding physical activity in the oncological setting, and having accessible structures were found important facilitators to implementing active behavior. Conclusions: Overall, patients have a positive view regarding physical activity, and a variety of obstacles and cues to action were recognized. Considering this information may help to improve adherence to a physical activity program over time, consequently increasing the expected benefits.

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“…Inspired by Engel's critique of the biomedical approach to illness [32] and in line with contemporary health-behaviour models [33,34], it could be argued that a multi-perspective understanding of PA behaviour in long-term BC survivorship, including both qualitative and quantitative dimensions of PA, could direct greater attention to the specific challenges of all sub-groups of BCSs. Hence, knowing that lack of time, in combination with fatigue, is a pronounced challenge among BCSs [7,11], and that time scarcity may be related to social health inequalities [35], approaches depicting BCSs' time-use might allow important, but previously overlooked, aspects of these variables to surface.…”

Section: Introductionmentioning

confidence: 99%

Physical activity in long-term breast cancer survivors – A mixed-methods approach

et al. 2019

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Objectives: Traditional methods measuring physical activity (PA) may misrepresent breast cancer survivors (BCSs) and low-socioeconomic status (SES) groups. This study identifies PA-levels, routines and experiences among BCSs, in general and by SES, and explores whether a mixed-methods approach might unveil diversities of PA in BCS across SES. Materials and methods: 250 BCSs referred to postoperative radiation therapy in 2007e2008 participated in a longitudinal follow-up study examining health-related quality-of-life and late-effects. Subsampledata on SES and PA were collected by questionnaires (n ¼ 52), activity-logs (n ¼ 52) and interviews (n ¼ 37). Parallel mixed analyses were conducted, in combination with sequential, full-sample analyses of questionnaires and contrasting case analyses of logs and interviews. Results: Dependent on which measurement used, 23%, 35%, 54% and 63% of BCSs met PA guidelines. Questionnaire-data revealed no significant differences in PA levels between SES groups. Log-data showed more PA bouts in high-SES BCSs, but no difference in min/week across SES. Neighbourhood walking was preferred, while scheduled exercise was rare. Interview-data added that PA was medicating, normatively described and accompanied by unfulfilled ambitions, particularly in low-SES BCSs. Balancing duties and activities was demanding. PA constraints were similar across groups. Domestic PA was important in low-SES, while high-SES BCSs described more energy. Conclusion: Although PA levels among BCSs were similar across SES and equal to PA in the general population, SES differences became evident when measured by activity-logs and as stated in interviews. Future follow-up programs for BCSs could benefit from expanding the PA perspectives, thus better meet the needs of different SES groups.

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Perspective of older African-American and Non-Hispanic white breast cancer survivors from diverse socioeconomic backgrounds toward physical activity: A qualitative study

Cited by 26 publications

References 16 publications

Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review

Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review

Factors Influencing Physical Activity in Cancer Patients During Oncological Treatments: A Qualitative Study

Physical activity in long-term breast cancer survivors – A mixed-methods approach

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