Young adult cancer survivors' experience of taking part in a 12-week exercise referral programme: a qualitative study of the Trekstock RENEW initiative.

Young adult cancer survivors' experience of taking part in a 12-week exercise referral programme: a qualitative study of the Trekstock RENEW initiative.
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DOI:
10.1007/s00520-020-05746-w
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发表时间:
2021-05
期刊:
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
影响因子:
--
通讯作者:
Pugh G
Pugh G
中科院分区:
其他
文献类型:
--
作者:
Below N;Fisher A;Epstone S;Reynolds J;Pugh G

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有新的证据表明,身体活动干预有可能改善年轻成年癌症幸存者的身体功能和心理健康。然而,大多数针对年轻成年癌症幸存者的现有干预措施都是在住院医院实施的。这项研究的目的是探索年轻的成年癌症幸存者(YACS)的RENEW计划,一个为期12周的社区为基础的运动转介计划,由Trekstock,一个英国的癌症慈善机构提供的经验。16个半结构化的采访进行了YACS(平均年龄,33岁,87.5%的女性)谁参加了RENEW运动转介计划。每次访谈都遵循相同的半结构化访谈指南,询问参与者对RENEW计划的经验以及他们对该计划未来发展的想法。对数据进行录音、逐字记录,并使用框架分析法进行分析。青年活动家主要选择参加RENEW方案,以此改善他们的健康状况,克服与癌症有关的障碍(如疲劳、体力丧失、身体信心不足)。提供一对一的量身定制的支持和无限制的健身房使用经常被认为是促使入学的一个因素。总体而言,YACS的经验,该计划是积极的,许多描述改善身体功能和一般福祉。参加该方案的障碍包括在登记前得到临床医生的签字,前往健身房和害怕独自锻炼。运动推荐计划是可以接受的YACS和提供一个有希望的机会,为年轻人与癌症,以改善他们的身体和心理健康,通过体育活动。本文的在线版本(10.1007/s 00520 -020-05746-w)包含补充材料,可供授权用户使用。
There is emerging evidence that physical activity interventions have the potential to improve the physical function and psychosocial well-being of young adult cancer survivors. However, most existing interventions for young adult cancer survivors have been delivered in an in-patient hospital setting. The purpose of this study is to explore young adult cancer survivors’ (YACS) experiences of the RENEW programme, a 12-week community-based exercise referral scheme delivered by Trekstock, a UK-based cancer charity. Sixteen semi-structured interviews were conducted with YACS (mean age, 33 years; 87.5% female) who participated in the RENEW exercise referral programme. Each interview followed the same semi-structured interview guide which asked participants about their experiences of the RENEW programme and their ideas for the future development of the scheme. Data was audio-recorded, transcribed full verbatim and analysed using framework analysis. YACs predominantly chose to take part in the RENEW programme as a means to improve their health and overcome cancer related impairments (e.g. fatigue, loss of strength, low body confidence). The offer of one-to-one tailored support and unlimited gym access was often cited as a factor which motivated enrolment. Overall, YACS experience of the programme was positive with many describing improvements in physical function and general well-being. Barriers to participating in the programme included sign-off from clinicians prior to enrolment, travelling to the gym and fear of exercising alone. Exercise referral schemes are acceptable to YACS and provide a promising opportunity for young people with cancer to improve their physical and psychosocial health through physical activity. The online version of this article (10.1007/s00520-020-05746-w) contains supplementary material, which is available to authorized users.
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