Predictors of attendance to an oncologist-referred exercise program for women with breast cancer

Bland, Kelcey A.; Neil-Sztramko, Sarah; Kirkham, Amy A.; Bonsignore, Alis; Patten, Cheri L. Van; McKenzie, Donald C.; Gelmon, Karen A.; Campbell, Kristin L.

doi:10.1007/s00520-018-4180-7

Cited by 17 publications

(39 citation statements)

References 36 publications

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“…Our analyses should be interpreted as exploratory, since the study was not primarily powered for the current study; consequently, additional predictors might have been missed. In other studies, exercise facility location [20], fewer endocrine symptoms [13], lower durations of exercise [13], fewer exercise limitations [13], shorter chemotherapy protocol [13], exercise history [19], being employed[18, 21], high income [21], early stage disease [18] and being Caucasian [22] were found as predictors for adherence, while these predictors were not assessed in this study. In univariate analyses, several predictors were found to be significant but were not supported in the multivariable analysis, which might have been the result of multicollinearity or restricted statistical power.…”

Section: Discussionmentioning

confidence: 74%

“…Two of these studies found that a high peak oxygen consumption (VO 2peak ), a measure of physical fitness, was an important predictor of high attendance rates [12, 13]. Furthermore, quality of life, being employed before treatment and a high personal income predicted high attendance rates in breast cancer patients [21]. However, in these studies predictors of exercise compliance were not addressed.…”

Section: Introductionmentioning

confidence: 99%

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Attendance and compliance with an exercise program during localized breast cancer treatment in a randomized controlled trial: The PACT study

et al. 2019

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Purpose Maintaining high adherence rates (session attendance and compliance) in exercise programs during breast cancer treatment can be challenging. We aimed to identify adherence rates and predictors to an exercise program during adjuvant breast cancer treatment. Methods Ninety-two patients with localized breast cancer undergoing chemotherapy were randomly assigned to an 18-week supervised moderate-to-high intensity aerobic and resistance exercise program, including two 1-hour sessions/week. Additionally, participants were asked to be physically active for at least 30 minutes/day on at least three other days. We report median percentages for attendance, compliance with the prescribed duration and intensity of aerobic and muscle strength exercises, and the exercise advice given. Predictors included in univariate and multivariable linear regression models were demographical, tumor- and treatment-related factors, constructs of the theory of planned behavior, psychological and physical factors. Results Patients attended 83% (interquartile range: 69–91%) of the supervised sessions. Compliance with the duration of aerobic exercise, high-intensity aerobic exercise (cycling at the ventilatory threshold), muscle strength exercises and the exercise advice were 88%(64–97%), 50%(22–82%), 84%(65–94%) and 61%(33%–79%), respectively. Education, radiotherapy, BMI and physical fatigue were important predictors of adherence to supervised exercise. Beliefs about planned behaviors were important predictors, especially for compliance with the exercise advice. Conclusions Attendance to and compliance with an 18-week aerobic and strength exercise program were high. The lowest compliance was found for high-intensity supervised aerobic exercise. The identified predictors should be considered when designing or adapting exercise programs for patients with localized breast cancer to increase adherence. Trial registration Current Controlled Trials ISRCTN43801571 Dutch Trial Register NTR2138

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Section: Discussionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Attendance and compliance with an exercise program during localized breast cancer treatment in a randomized controlled trial: The PACT study

et al. 2019

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“…These results are promising considering cancer patients can experience day to day variations in physiological, functional and psychological factors [22], which may impact on QoL during treatment. In addition, higher QoL measured at the end of treatment is associated with higher post treatment exercise attendance [36]. Patient 6, who exhibited the largest change in Global QoL (+33) was the only patient who was not on active treatment, having completed her last cycle, 4 weeks previously.…”

Section: Discussionmentioning

confidence: 98%

Personalised and progressive neuromuscular electrical stimulation (NMES) in patients with cancer—a clinical case series

O'Connor

Fernández

Signorelli

et al. 2019

Support Care Cancer

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PurposeNeuromuscular electrical stimulation (NMES) may be a pragmatic short-term alternative to voluntary exercise to augment cancer rehabilitation. However, previous attempts to use NMES as an exercise modality in this cohort have been unsuccessful, largely due to the use of NMES protocols that were developed for other rehabilitation contexts. We assessed the effects of a personalised and progressive NMES exercise intervention, designed with early stage cancer rehabilitation in mind, on exercise capacity, lower body functional strength and quality of life in (QoL) in patients who are currently undergoing or have recently completed treatment for cancer. MethodsTen adult patients were recruited. A personalised and progressive NMES exercise intervention was implemented in each case over a 4 -8-week period. The 30 seconds sit to stand test (STS), 6-minute walk test (6MWT), and EORTC QLQ C-30 were performed pre-and post-intervention. Patients completed semi structured interviews post intervention to explore their experiences and views on the intervention, and its impact on their daily lives.

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“…Seventeen participants completed baseline assessment and 16 (94%) completed the follow-up questionnaire assessment (see Figure 1). The median (IQR) age of participants was 59 [44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63] years ( Table 3). The majority of participants were married, female, and retired and most of them were well-nourished at baseline (Table 3).…”

Section: Demographic Informationmentioning

confidence: 99%

A 12-Week Multi-Modal Exercise Program: Feasibility of Combined Exercise and Simplified 8-Style Tai Chi Following Lung Cancer Surgery

Denehy

Cao

et al. 2020

Integr Cancer Ther

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Objective: To assess the feasibility, safety, and preliminary effect of a 12-week multi-modal rehabilitation program targeted at improving health-related quality of life and physical activity levels of patients with lung cancer following treatment. Methods: Patients with stage I to IIIA non-small cell lung cancer were included 6 to 12 weeks following completion of treatment. The intervention comprised of aerobic exercise (brisk walking), resistance training and 8-style Tai Chi. The 12-week program included 2 supervised center-based sessions per week of 90 minutes duration and home-based exercise. The primary outcomes were the feasibility and safety of the intervention. Secondary outcomes (assessed pre and post program) were physical and patient-reported outcomes. Results: Seventy-eight patients were approached during the 6-month recruitment period and 17 (22%) consented to the study. Eight participants (47%) met the definition of adherence to the program (attending at least 70% of supervised sessions). No serious adverse events occurred. A significant reduction in anxiety and depression was observed post-program. In addition, improvements in respiratory function, sleep quality, and some health-related quality of life domains were observed post-program. There were no significant differences in functional capacity or physical activity levels. Conclusion: This multi-modal exercise training program was safe, although the feasibility of the program in its current state is not supported given the low consent rate and low adherence to the intervention.

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Predictors of attendance to an oncologist-referred exercise program for women with breast cancer

Cited by 17 publications

References 36 publications

Attendance and compliance with an exercise program during localized breast cancer treatment in a randomized controlled trial: The PACT study

Attendance and compliance with an exercise program during localized breast cancer treatment in a randomized controlled trial: The PACT study

Personalised and progressive neuromuscular electrical stimulation (NMES) in patients with cancer—a clinical case series

A 12-Week Multi-Modal Exercise Program: Feasibility of Combined Exercise and Simplified 8-Style Tai Chi Following Lung Cancer Surgery

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