Barriers to physical activity participation in colorectal cancer survivors at high risk of cardiovascular disease

Abstract

With survivors holding the advice of clinicians in high regard, an opportunity exists for clinicians to facilitate lifestyle change. Health care professionals such as nurses can implement motivational strategies and provide additional health information during follow-up visits, to ensure long-term adherence. Individuals who reported psychological, motivational, and environmental barriers may benefit from interventions to improve self-regulation, planning, and problem-solving skills.

A randomized controlled trial of WATAAP to promote physical activity in colorectal and endometrial cancer survivors

“…Participants were assisted to complete action‐planning and goal‐setting activities. Session 2 focused on reviewing goals, forming “if‐then” plans to overcome barriers, on the basis of our previous research Participants received a 20‐minute phone call during week 8 to provide support and feedback regarding PA progress, review goals, action plans, and coping‐planning strategies. …”

“…Session 2 focused on reviewing goals, forming "if-then" plans to overcome barriers, on the basis of our previous research. 12,13 Home-based strength exercises were demonstrated with an opportunity for practice, and participants were encouraged to log strength training manually on the Fitbit app.…”

“…Most PA interventions in cancer survivors are facility based, supervised, or group based, despite survivors identifying barriers around cost, accessibility, and intimidation . Many survivors express a preference for unsupervised, self‐paced, low‐moderate intensity PA, specifically walking …”

“…7 Most PA interventions in cancer survivors are facility based, supervised, or group based, 11 despite survivors identifying barriers around cost, accessibility, and intimidation. 12,13 Many survivors express a preference for unsupervised, self-paced, low-moderate intensity PA, specifically walking. 14,15 Home-based interventions may mitigate barriers to exercise, complement exercise preferences, and facilitate exercise adherence.…”

Knowledge, attitudes, and practice of oncologists and oncology health care providers in promoting physical activity to cancer survivors: an international survey

“…However, less than 30% are meeting these recommendations [1,13]. Despite patients' wishing to receive PA information, with their preferred source of information being oncologists and oncology nurses [14][15][16][17][18], many do not receive PA guidance from their treating specialists [15,16,[18][19][20].…”