Physical activity preferences of early-stage lung cancer survivors

Abstract

Purpose Engagement in physical activity can provide important benefits for cancer patients and survivors, including those diagnosed with lung cancer. Despite this, many survivors do not engage in recommended levels of physical activity and little is known about the obstacles encountered by lung cancer survivors. The current study examines the physical activity preferences of early-stage lung cancer survivors. Method As part of a larger survey study, 175 non-small cell lung cancer survivors who were on average 3.6 years from surgical treatment responded to questions regarding their preferences for physical activity and physical activity advice. Demographic and medical characteristics were also collected. Results The majority of respondents (62%) reported a desire to receive advice regarding physical activity, predominantly before treatment (68%), in face-to-face interactions (95%) with a physician (80%), and within the context of a cancer care center (92%). Approximately half of participants indicated they would be interested in an exercise program tailored to lung cancer survivors and most individuals (73%) reported feeling capable of engaging in an exercise program. Differences in physical activity preferences emerged based on demographic and disease characteristics. Conclusions The majority of participants reported a desire for physical activity advice and a willingness to engage in physical activity. Important differences were found based on demographic and medical characteristics, which may warrant consideration in the development and dissemination of physical activity interventions for this cancer survivor population.

Practical clinical interventions for diet, physical activity, and weight control in cancer survivors

“…In a recent study of 175 patients with nonsmall cell lung cancer who, on average, were 3.6 years postsurgery, Philip and colleagues observed that the clear majority desired advice regarding physical activity, with 80% identifying a preference for a face‐to‐face recommendation by a physician, and 92% stating that they preferred this interaction under the auspices of a cancer center . Although the generalizability of these findings may be limited, there is little debate that one of the most powerful influences over patients' behavior is the recommendation of the physician.…”

Cancer survivors’ attitudes towards and knowledge of physical activity, sources of information, and barriers and facilitators of engagement: A qualitative study

“…Cancer survivors may therefore particularly seek guidance on appropriate physical activity (i.e. quantity, duration, physical activity type), and how to be physically active following diagnosis (Philip et al., ). However, a recent review of the availability of information about lifestyle for cancer survivors in England from statutory and charitable sector organisations and from cancer centres, found that most did not provide adequate information and advice about lifestyle for cancer survivors (Williams et al., ).…”

How is physical activity measured in lung cancer?A systematic review of outcome measures and their psychometric properties

“…Nineteen (56%) studies measured PA using patient self‐reported questionnaires, surveys or diaries (Table ). The most commonly used questionnaire was The Godin Leisure Time Exercise Questionnaire (GLTEQ), or a modified version, being used in seven studies . Other questionnaires utilized include the Physical Activity Scale for the Elderly (PASE), Baecke Physical Activity Questionnaire, Rotterdam Symptom Checklist and Stage of Change Physical Activity Questionnaire.…”

“…Fifty‐six percent of included studies used patient‐reported measures. The most frequently used PROM was the GLTEQ, being reported in seven studies of five patient samples . Next commonly, the PASE was reported in two studies .…”