Factors influencing non-participation in an exercise program and attitudes towards physical activity amongst cancer survivors
Factors influencing non-participation in an exercise program and attitudes towards physical activity amongst cancer survivors
复制标题
DOI：
10.1007/s00520-017-3952-9
复制
发表时间：
2018-04-01
影响因子：
3.1
通讯作者：
Cohen, Paul A.
中科院分区：
文献类型：
--
作者：
Hardcastle, Sarah J.;Maxwell-Smith, Chloe;Cohen, Paul A.
本研究的目的是探讨癌症幸存者不参加有组织的运动计划的影响因素，并探讨幸存者参与体育活动的经历和态度。面对面或电话采访的对象是已经注册或参与由西澳大利亚癌症委员会运营的“生活现在”运动项目的个人。参与者为20名癌症幸存者（平均年龄63.90岁，标准差15.29），他们在过去2年内取消了注册或退出了锻炼计划。访谈记录采用专题分析进行分析。出现了七个主要主题：项目的可用性；获取、时间和成本；缺乏动力或信心；不舒服的或疲劳的；体育活动偏好；了解身体活动指南；缺乏推荐或建议。主要的障碍与环境有关，包括项目的可用性和可及性。参与者表示更喜欢在家进行体育锻炼。旨在促进癌症幸存者体育活动的干预措施应该提供以家庭为基础的项目，并包括肿瘤学家的推荐和建议。提高癌症幸存者对锻炼计划的参与和依从性可能需要以家庭为基础的策略，并需要肿瘤学家向联合健康专业人员推荐个性化护理。
The purposes of this study are to investigate factors influencing non-participation in a structured exercise program for cancer survivors and to explore survivors' experiences and attitudes in relation to physical activity participation.Face-to-face or telephone interviews were conducted with individuals who had registered for, or engaged in, the 'Life Now' exercise program run by Cancer Council Western Australia. Participants were 20 cancer survivors (mean age 63.90 years, SD 15.29) who had either cancelled their registration or withdrawn from the exercise program during the preceding 2 years. Interview transcripts were analysed using thematic analysis.Seven main themes emerged: availability of the program; access, time and cost; lack of motivation or confidence; unwell or fatigued; physical activity preferences; knowledge of physical activity guidelines; and lack of referral or advice. The main barriers were contextual and included availability of, and access to, the program. Participants expressed a preference for home-based physical activity.Interventions aimed at promoting physical activity in cancer survivors should offer home-based programs and include referral and advice from oncologists.Increasing cancer survivors' participation in, and compliance with, exercise programs may require home-based strategies and referrals from oncologists to allied health professionals to individualise care.