Physical activity levels and barriers to exercise referral among patients with cancer

Yang, Dorothy; Hausien, Omar; Aqeel, Mohammed; Klonis, Alexios; Foster, Jo; Renshaw, Derek; Thomas, Robert

doi:10.1016/j.pec.2017.01.019

Cited by 18 publications

(16 citation statements)

References 23 publications

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“…Question prompts, that is, lists of personally relevant questions for use during consultations with physicians have demonstrated to be beneficial [46]. Providing patients with access to programs fostering health behavior change in everyday life, such as increasing physical activity and healthy diet, would be suitable [47], while taking barriers to participation, such as health concerns and time pressures, into account [48]. From the patients' perspective, physicians' recommendations have a major role in motivating patients to participate in such programs [49].…”

Section: Discussionmentioning

confidence: 99%

Supportive care needs and quality of life in patients with breast and gynecological cancer attending inpatient rehabilitation. A prospective study

Faller

Hass²,

Engehausen³

et al. 2019

Acta Oncologica

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Background: Among patients with breast or gynecological cancer, supportive care needs are both highly prevalent and enduring. However, little is known about whether meeting patients' needs is accompanied by increased quality of life (QoL). We aimed to explore patients' supportive care needs reported at the beginning of inpatient rehabilitation and examined whether meeting these needs resulted in improved QoL. Material and methods: In a multicenter, prospective cohort study with 2 measurement occasions (beginning and end of inpatient rehabilitation), 292 patients with breast and gynecological cancer (mean age 55 years; 71% breast cancer) were enrolled. In 73%, time since diagnosis was longer than 6 months. We obtained self-reports of supportive care needs in 12 domains and measured QoL using the EORTC QLQ-C30 functioning subscales. Results: At the beginning of inpatient rehabilitation, top-ranking severe supportive care needs concerned coordination of care (48%), medical information (45%), alleviation of physical symptoms (42%) and support with improving health behaviors (36%). At the end of inpatient rehabilitation, all needs assessed declined significantly, although many patients still expressed strong needs in some domains. However, meeting patients' needs was accompanied by improvements in all functioning subscales. Conclusions: This is the first study to show that meeting breast and gynecological cancer patients' supportive care needs during inpatient rehabilitation resulted in improved QoL. Given the considerable proportions of patients still reporting unmet needs at the end of their stay, stronger and continuing efforts seem warranted to meet these needs and thus further increase QoL. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 99%

Supportive care needs and quality of life in patients with breast and gynecological cancer attending inpatient rehabilitation. A prospective study

Faller

Hass²,

Engehausen³

et al. 2019

Acta Oncologica

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“…Community‐based programs are generally perceived to be more accessible and affordable and reduce the barriers of distance, cost, and time compared with participation in HCP‐supervised exercise programs . In several community settings, fitness instructors are trained specifically in cancer, including exercise guidelines and prescription, to supervise the exercise sessions/classes.…”

Section: Types Of Programmingmentioning

confidence: 99%

“…Community-based programs are generally perceived to be more accessible and affordable and reduce the barriers of distance, cost, and time compared with participation in HCP-supervised exercise programs. 74,75 In several community settings, fitness instructors are trained specifically in cancer, including exercise guidelines and prescription, to supervise the exercise sessions/classes. Examples of such training courses designed by professionals with cancer exercise expertise include ACSM/ACS Certified Cancer Exercise Trainer (acsm.org/get-stay-certi fied/get-certi fied/ speci aliza tion/cet) and CanRehab cancer exercise specialist courses (canre hab.co.uk/fitne ss-works hops/).…”

Section: Community-based Programsmentioning

confidence: 99%

Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer

Schmitz

Campbell

Stuiver

et al. 2019

CA A Cancer J Clinicians

503

465

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Multiple organizations around the world have issued evidence‐based exercise guidance for patients with cancer and cancer survivors. Recently, the American College of Sports Medicine has updated its exercise guidance for cancer prevention as well as for the prevention and treatment of a variety of cancer health‐related outcomes (eg, fatigue, anxiety, depression, function, and quality of life). Despite these guidelines, the majority of people living with and beyond cancer are not regularly physically active. Among the reasons for this is a lack of clarity on the part of those who work in oncology clinical settings of their role in assessing, advising, and referring patients to exercise. The authors propose using the American College of Sports Medicine's Exercise Is Medicine initiative to address this practice gap. The simple proposal is for clinicians to assess, advise, and refer patients to either home‐based or community‐based exercise or for further evaluation and intervention in outpatient rehabilitation. To do this will require care coordination with appropriate professionals as well as change in the behaviors of clinicians, patients, and those who deliver the rehabilitation and exercise programming. Behavior change is one of many challenges to enacting the proposed practice changes. Other implementation challenges include capacity for triage and referral, the need for a program registry, costs and compensation, and workforce development. In conclusion, there is a call to action for key stakeholders to create the infrastructure and cultural adaptations needed so that all people living with and beyond cancer can be as active as is possible for them.

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“…In another study of 975 cancer survivors, 45% were reported as physically active after their treatment [36]. In contrast, other studies found only 11 to 18% were active [7,37]. Differences in sampling and measurement methods may account for some of this variance.…”

Section: Discussionmentioning

confidence: 96%

“…Research has found health-related barriers to participating in exercise are particularly prevalent in a cancer population [33,37]. A study in mixed cancer patients showed the top four health barriers were illness or other health problems, joint stiffness, fatigue, and pain [38].…”

Section: Discussionmentioning

confidence: 99%

Cancer survivors’ experiences of a community-based cancer-specific exercise programme: results of an exploratory survey

Catt

Sheward²,

Sheward³

et al. 2018

Support Care Cancer

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Physical activity levels and barriers to exercise referral among patients with cancer

Cited by 18 publications

References 23 publications

Supportive care needs and quality of life in patients with breast and gynecological cancer attending inpatient rehabilitation. A prospective study

Supportive care needs and quality of life in patients with breast and gynecological cancer attending inpatient rehabilitation. A prospective study

Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer

Cancer survivors’ experiences of a community-based cancer-specific exercise programme: results of an exploratory survey

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