Survivors speak: a qualitative analysis of motivational factors influencing breast cancer survivors’ participation in a sprint distance triathlon

Robinson, Karen M.; Piacentine, Linda B.; Waltke, Leslie J.; Ng, Alexander V.; Tjoe, Judy A.

doi:10.1111/jocn.13067

Cited by 16 publications

(31 citation statements)

References 29 publications

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“…Consistent with the opinions of a number of our participants, previous research has also noted that peer volunteers involved in exercise interventions are beneficial in motivating breast cancer patients (Pinto, Stein, & Dunsiger, , ). Additionally, other studies have shown that exercise adherence can be promoted through the use of team‐based exercise training programmes (Piacentine, Robinson, Waltke, Tjoe, & Ng, ; Robinson, Piacentine, Waltke, Ng, & Tjoe, ). Thus, future studies should examine team‐based exercise as a potential motivator for exercise adherence among BCS.…”

Section: Discussionmentioning

confidence: 99%

The experience of cancer‐related fatigue, exercise and exercise adherence among women breast cancer survivors: Insights from focus group interviews

Kim

Han

Lee

et al. 2019

Journal of Clinical Nursing

119

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Aims and objectives To identify the experience of breast cancer survivors regarding cancer‐related fatigue, exercise and exercise adherence. Background Cancer‐related fatigue is a common symptom among cancer survivors that limits quality of life. Despite exercise being recommended as a viable solution to manage cancer‐related fatigue, relatively few research studies on the experience of cancer‐related fatigue and exercise adherence have been conducted. Design This was a qualitative study to identify breast cancer survivors’ experience of cancer‐related fatigue, exercise and exercise adherence. This paper adhered to the COREQ checklist in reporting. Methods Four focus group interviews were conducted with 16 breast cancer survivors who had fatigue score of 4 out of 10 (moderate fatigue) or greater. Ethical approval was obtained and participants met for focus group interview discussion. The interview guide included questions on cancer‐related fatigue, barriers and facilitators of exercising, strategies for exercise adherence and suggestions for a supportive programme. Results Four themes were identified through thematic analysis: (a) The insidious and overpowering nature of cancer‐related fatigue; (b) exercising when experiencing fatigue surrounded by prevailing myths; (c) multiple barriers to exercise; and (d) facilitative factors to continue exercising despite fatigue. Conclusions Participants’ experience of moderate or greater cancer‐related fatigue prevented them from exercising, despite knowing its importance, and limited them to passive activities. Misconceptions that exercise is associated with lymphedema and risk of recurrence, poor psychosocial self‐image and lack of clear knowledge and exercise programmes for cancer survivors further limited adherence to exercise. In contrast, finding comfort and strength through exercising and interacting with other breast cancer survivors were facilitative factors. Relevance to clinical practice The insights shared by breast cancer survivors experiencing cancer‐related fatigue can contribute to developing an exercise adherence programme as a way to manage and alleviate fatigue and establish healthy survivorship care.

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Section: Discussionmentioning

confidence: 99%

The experience of cancer‐related fatigue, exercise and exercise adherence among women breast cancer survivors: Insights from focus group interviews

Kim

Han

Lee

et al. 2019

Journal of Clinical Nursing

119

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“…BCS have better outcomes when participating in group exercise, in part due to feelings of being safe and supported (Balneaves et al, 2014; Courneya et al, 2016; Husebø, Karlsen, Allan, Søreide, & Bru, 2015; Luoma et al, 2014). Survivors may be unable to enlist social support from their own family and friends and benefit from a team “family” of women with similar stories (Robinson et al, 2016). A team training focus is found in a small group of studies.…”

Section: Discussionmentioning

confidence: 99%

“…Understanding motivations of sedentary African American BCS to engage and continue participation in routine exercise can help in planning interventions to increase exercise. One possible motivator is social support (Courneya et al, 2016; Robinson, Piacentine, Waltke, Ng, & Tjoe, 2016). Activity participation has been shown to improve when social support, such as team development, camaraderie in exercise, or friendship, is present for cancer survivors (Carter et al, 2012; Wurz, St-Aubin, & Brunet, 2015) as well as for healthy African American women (Peterson & Cheng, 2010).…”

Section: Exercise Among African American Bcsmentioning

confidence: 99%

“…Activity participation has been shown to improve when social support, such as team development, camaraderie in exercise, or friendship, is present for cancer survivors (Carter et al, 2012; Wurz, St-Aubin, & Brunet, 2015) as well as for healthy African American women (Peterson & Cheng, 2010). A BCS community triathlon training study highlighted the impact of a supportive team environment (Robinson et al, 2016). Women looked forward to team training as they felt supported by teammates, had fun among women with similar stories, and they wanted the team to continue long past training.…”

Section: Exercise Among African American Bcsmentioning

confidence: 99%

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Promoting Team-Based Exercise Among African American Breast Cancer Survivors

et al. 2018

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Physical activity benefits the health and well-being of breast cancer survivors (BCS). Yet, many African American survivors do not routinely exercise and have increased risk of poor outcomes. The purpose of this mixed-method study was to identify motivational factors compelling African American BCS to participate in a 14-week team walking program and to intend to continue exercise after the intervention concluded. Focus groups were held with participants ( n = 12) before and after training. Content analysis discovered themes before the intervention: Not wanting to go at it alone, exercise not a life or treatment priority, cancer treatment affected activity, advocates to exercise, and can exercise really help? Four themes postintervention themes included: In the same boat, changed mind-set, improved weight and activity, and overcoming barriers. Physical data verified improvements. Results suggest that a team-based exercise training program may assist in overcoming a sedentary behavior tendency and subsequently improve health among survivors.

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“…It has been reported that an external incentive can reduce an individual's internal motivation and diminish the personal desire for behavior change as they become dependent on the reward [55]. However, financial incentives may be an important form of motivation to get participants started [56], with the intention of shifting participant' perceptions from external reinforcements (i.e., financial incentive) to other forms of internal motivation such as team cohesiveness or "doing it for the team" [57]. Findings from this study revealed that helping the team towards achieving the incentive and not letting the members of the team down facilitated PA maintenance and participant retention during the program, further supporting the notion that financial incentives may be a good starting point for program maintenance.…”

Section: Discussionmentioning

confidence: 99%

Utilizing RE-AIM to examine the translational potential of Project MOVE, a novel intervention for increasing physical activity levels in breast cancer survivors

Pullen

Bottorff

Sabiston

et al. 2018

Translational Behavioral Medicine

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Translating effective research into community practice is critical for improving breast cancer (BC) survivor health. The purpose of this study is to utilize the RE-AIM framework to evaluate the translational potential of Project MOVE, an innovative intervention focused on increasing physical activity (PA) in BC survivors. A mixed-methods design, including a self-report questionnaire, accelerometry, focus groups, and interviews, was used to inform each RE-AIM dimension. Reach was evaluated by the representativeness of participants. Effectiveness was reflected by change in PA levels and perceptions of satisfaction and acceptability. Adoption was examined using participants' perceived barriers/facilitators to program uptake. Implementation was examined by participants' perceived barriers/facilitators to implementing the program. Maintenance was assessed by participant retention. Assessments occurred at baseline and 6-months. Mixed analysis of variance and content analysis were used to analyze the data. A total of 87 participants participated in Project MOVE and were demographically comparable to similar studies (Reach). Participants indicated high levels of program satisfaction (88%) and previously inactive survivors' significantly increased PA levels from baseline to 6-month follow-up (Effectiveness). Participants reported that a program focused on PA rather than disease helped them overcome barriers to PA (Adoption) and having leaders with BC and exercise expertise was essential to accommodate population specific barriers (Implementation). At 6-months, participant retention was 83% (Maintenance). Project MOVE is an acceptable, practical, and effective program for engaging BC survivors in PA and has the potential to be highly transferable to other populations and regions.

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Survivors speak: a qualitative analysis of motivational factors influencing breast cancer survivors’ participation in a sprint distance triathlon

Cited by 16 publications

References 29 publications

The experience of cancer‐related fatigue, exercise and exercise adherence among women breast cancer survivors: Insights from focus group interviews

The experience of cancer‐related fatigue, exercise and exercise adherence among women breast cancer survivors: Insights from focus group interviews

Promoting Team-Based Exercise Among African American Breast Cancer Survivors

Utilizing RE-AIM to examine the translational potential of Project MOVE, a novel intervention for increasing physical activity levels in breast cancer survivors

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