The Factors Affecting the Choice of Supervisor Type for Postoperative Exercises in Cancer Patients with Bone Tumor Resection -A Qualitative Study

Abstract

Objective The aim of this study was to investigate the motivators and barriers affecting the choice of supervisor type for post-operative exercises and the effect of the experience with the preferred supervisor on future type of supervisor choice in patients with bone tumor resection. Design: This study used a qualitative approach with thematic analysis. Subjects participated in either supervised or non-supervised exercise program according to their choices. Semi-structured, in-depth manner interviews were done with participants both pre and post-exercises period. Two researchers determined codes and themes by analysing content using Atlas.ti.23. Participants: Subjects underwent bone tumor resection surgery were included. Results Participants preferred face to face supervisor because of desire feeling safe, ensuring that the exercises are done correctly, and adhering to the program in a disciplined manner. Time flexibility and home comfort encouraged the choice of online supervisor. Negative experiences, health system problems, and difficulty in transport made the participants away from the preference of face-to-face supervisor. Participants with self-discipline did not choose the presence of a supervisor while doing exercise. Technical inadequacies were found to be the only barrier to choosing the online supervisor type. Conclusion The factors determining the supervisor type were individual, environmental and related to health professional factors. Self-discipline, the need for a companion, transportation, the need to feel confident are the strongest factors that determine the type of supervisor.