Meeting Physical Activity Guidelines in Rural Breast Cancer Survivors

Olson, E. A.; Mullen, Sean P.; Rogers, Laura Q.; Courneya, Kerry S.; Verhulst, Steven J.; McAuley, Edward

doi:10.5993/ajhb.38.6.11

Cited by 30 publications

(18 citation statements)

References 38 publications

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“…Specifically, focus group participants described such barriers as personal illnesses and injuries and caretaking a sick parent or spouse. PA interventions for rural women should target them during significant time points, including after a chronic disease diagnosis, or after the disease diagnosis of a parent, family member, or partner ( 28 ). Interventions may also be relevant during other significant times, such as during pregnancy and after childbirth ( 29 , 30 ).…”

Section: Discussionmentioning

confidence: 99%

Age-Associated Perceptions of Physical Activity Facilitators and Barriers Among Women in Rural Southernmost Illinois

Zimmermann¹,

Carnahan²,

Peacock³

2016

Prev. Chronic Dis.

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IntroductionWomen living in rural areas in the United States experience disproportionately high rates of diseases such as obesity and heart disease and are less likely than women living in urban areas to meet daily physical activity (PA) recommendations. The purpose of our research was to understand age-specific perceptions of barriers and facilitators to rural women engaging in PA and to identify strategies to promote PA among these women.MethodsAs part of a community health assessment to learn about women’s health issues, 110 adult women participated in 14 focus groups. The women were divided into 4 age groups, and focus groups were held in various community settings. We used qualitative analysis methods to explore themes in the women’s narratives, including themes related to PA knowledge, PA behavior, and access to PA facilities.ResultsParticipants described multiple and often conflicting individual, social, and environmental barriers and facilitators to PA. Several barriers and facilitators were shared across age groups (eg, competing priorities and inadequate knowledge about PA’s role in disease prevention and disease management). Other barriers (eg, illness and injury) and facilitators (eg, PA as a social opportunity) differed by age group.ConclusionRural women in southernmost Illinois have often contradictory barriers and facilitators to PA, and those barriers and facilitators are different at different points in a woman’s life. Our findings suggest the need for multilevel, multisector approaches to promote PA. Additionally, this research supports the need for tailored PA promotion programs for rural women to address the barriers these women face across their lifespan.

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Section: Discussionmentioning

confidence: 99%

Age-Associated Perceptions of Physical Activity Facilitators and Barriers Among Women in Rural Southernmost Illinois

Zimmermann¹,

Carnahan²,

Peacock³

2016

Prev. Chronic Dis.

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“…Prior work with cancer survivors and technology-assisted physical activity interventions has shown survivors preferred support from family, peer coaches (25) and health care providers. (26,27) There are several limitations to this study. Snowball sampling for instructors and program graduates may have led to unbalanced demographic characteristics of the population.…”

Section: Discussionmentioning

confidence: 97%

Experiences and perceptions of referrals to a community-based physical activity program from cancer survivors: A qualitative exploration

Faro

Mattocks

Mourao

et al. 2020

Preprint

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Background Physical activity rates in cancer survivors continue to be low despite the known benefits and availability of evidence-based programs. LIVESTRONG at the Y is a national community-based physical activity program offered cost-free to cancer survivors, though is underutilized. We explored perceptions and experiences of staff and participating survivors to better understand program awareness, referrals and participation. Methods LIVESTRONG at the Y program staff [directors (n = 16), instructors (n = 4)] and survivors (n = 8) from 8 United States YMCAs took part in 30-minute semi-structured phone interviews. Interviews were digitally recorded, transcribed, and evaluated using a thematic analysis approach. Results and Discussion Program staff themes included: 1) Program awareness should be further developed for both the general public and medical providers; 2) Strong relationships with medical providers increased program referrals; 3) Electronic referral systems between providers and LIVESTRONG would help to streamline the referral process; and 4) Bi-directional communication between program staff and medical providers is key to providing patient progress updates. Survivor themes included: 1) Survivors trust their medical team and the information they provide about physical activity; 2) Providers need to incorporate an action plan and referrals for survivors to be active once treatments are completed; and 3) Personal experiences of those who participated in LIVESTRONG resonate with survivors and increase participation. Conclusions LIVESTRONG staff reported the need for an integrated electronic referral system and bi-directional communication with providers about participant progress. Survivors want physical activity education, electronic referrals and follow-up from their healthcare team, coupled with peer support from other survivors. Cancer care provider knowledge and electronic referrals during and after treatment may expedite and increase participation in this community-based program.

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“…Individuals living in rural communities report poorer overall health outcomes than their urban counterparts [15][16][17]. Across developed and underdeveloped nations, data on geographical location point to an increase in cancer-related morbidity and mortality for those living in rural communities [18], which may, in part, be due to lower PA participation [19] and FV consumption [20]. For FV consumption, rural residents experience greater economic burden, increased spatial distance, lower quality, and limited availability of FVs [21][22][23][24].…”

Section: Rural-living Young Adult Cancer Survivormentioning

confidence: 99%

Utilizing the Internet to promote health behaviour change for rural-living young adult cancer survivors

Price

Brunet

2019

UOJM

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Regular physical activity (PA) participation and fruit and vegetable (FV) consumption confers numerous health benefits for cancer survivors. Rural-living young adult cancer survivors have reported many barriers to participation in health-promoting behaviours such as the lack of physician/specialist availability, access to PA programming and/or affordable FV, and reliable transportation. Interventions seeking to promote PA participation and FV consumption fail to address many barriers as they are traditionally offered in urban centres. Alternative means for delivering PA and FV behaviour change interventions need to be developed, implemented, and evaluated for this population.

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Meeting Physical Activity Guidelines in Rural Breast Cancer Survivors

Cited by 30 publications

References 38 publications

Age-Associated Perceptions of Physical Activity Facilitators and Barriers Among Women in Rural Southernmost Illinois

Age-Associated Perceptions of Physical Activity Facilitators and Barriers Among Women in Rural Southernmost Illinois

Experiences and perceptions of referrals to a community-based physical activity program from cancer survivors: A qualitative exploration

Utilizing the Internet to promote health behaviour change for rural-living young adult cancer survivors

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