Social support and physical activity for cancer survivors: a qualitative review and meta-study

McDonough, Meghan H.; Beselt, L. Jayne; Kronlund, Liam; Albinati, Natalia K; Daun, Julia T.; Trudeau, Melanie S.; Wong, Janet B.; Culos-Reed, S Nicole; Bridel, William

doi:10.1007/s11764-020-00963-y

Cited by 53 publications

(49 citation statements)

References 65 publications

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“…Patients with advanced cancer who have engaged in professionally supervised, structured exercise interventions with other people with cancer often report positive experiences [ 58 – 62 ]. Indeed, prior research suggests physical activity or exercise interventions among people with cancer can provide opportunities to build relationships and provides a shared experience that is positive [ 63 ]. Our findings support that exercise interventions specifically for people with cancer may offer social benefits, as participants discussed their potential to foster social connectedness and create a sense of normalcy.…”

Section: Discussionmentioning

confidence: 99%

“I want to get myself as fit as I can and not die just yet” – Perceptions of exercise in people with advanced cancer and cachexia: a qualitative study

et al. 2022

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Cachexia is a prevalent muscle wasting syndrome among people with advanced cancer that profoundly impacts patient quality of life (QoL) and physical function. Exercise can improve QoL, physical function, and overall health in people with cancer and may be an important addition to treatment approaches for cancer cachexia. Greater understanding of patients’ perception of exercise can help elucidate the feasibility of implementing exercise interventions for cancer cachexia and facilitate the design of patient-centered interventions. We aimed to describe the perception of exercise in patients with advanced cancer and cachexia, and capture exercise motivators, barriers, and preferences, to inform the feasibility of exercise interventions. Individual interviews (n = 20) with patients with locally advanced or metastatic cancer with cachexia were conducted and analyzed using reflexive thematic analysis. Main themes from interviews were: 1) Life is disrupted by cancer and cachexia; 2) Exercise offers hope; 3) Exercise barriers are multifaceted; and 4) Exercise access and support are important. Participants reported that their cancer and cachexia had intensely altered their lives, including ability to exercise. Exercise was perceived as important and participants described a hope for exercise to improve their health and wellbeing. Yet, several complex exercise barriers, such as burdensome cancer symptoms and the overwhelming impact of the COVID-19 pandemic, hindered exercise participation and prevented participants from fully realizing the perceived benefits of exercise. Factors believed to improve exercise engagement and overcome exercise barriers included increased exercise support (e.g., professional supervision) and accessibility (e.g., convenient locations). Patient-reported exercise barriers and preferences can inform the design of exercise interventions, particularly within future research studies aiming to establish exercise feasibility and efficacy in people with advanced cancer and cachexia.

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Section: Discussionmentioning

confidence: 99%

“I want to get myself as fit as I can and not die just yet” – Perceptions of exercise in people with advanced cancer and cachexia: a qualitative study

et al. 2022

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“…A recent meta-study revealed social support can facilitate PA motivation in cancer patients [ 15 ], and diverse studies provided evidence of the positive associations between social support and PA [ 16 ]. Social support is complex and multi-facet [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Promoting moderate-to-vigorous physical activities in patients with advanced lung cancer: preferences and social cognitive factors, and the mediating roles

Takemura

Fong

Lin

2022

Support Care Cancer

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Purpose The purpose of this study is to assess the prevalence and preferences of moderate-to-vigorous physical activities (MVPA) in patients with advanced lung cancer, explore the social cognitive factors that were associated with MVPA and interest in PA counseling and program, and examine the mediating role of social cognitive factors. Methods This was a cross-sectional study. Questionnaires on PA levels, PA counseling and programming preferences, and social cognitive variables (social support and self-efficacy) were administered to 105 patients with advanced lung cancer. Linear regression model was used to explore the social cognitive factors associated with MVPA, and logistic regression model was used to explore the factors associated with interest in PA counseling and program. Mediation analysis was used to examine the mediating role of self-efficacy on social support and MVPA. Results Merely 30.5% of patients met the recommended level of MVPA; however, the majority of patients (89.5%) were interested in PA program. Social support ( β = 0.60; p = 0.007) and self-efficacy ( β = 1.06; p = 0.027) were positively associated with MVPA. Specifically, self-efficacy mediated the relationship between social support and MVPA ( β = 0.63, p = 0.004). Conclusion The majority of the patients with advanced lung cancer did not meet the recommended level of MVPA; however, they are interested in receiving PA counseling and joining PA programs. Social support was key to promoting higher levels of MVPA, and the association was mediated by self-efficacy. The established mediating model provides insights into designing PA programs and targeting the mediating variable, self-efficacy, to enhance the level of MVPA. Supplementary Information The online version contains supplementary material available at 10.1007/s00520-022-07149-5.

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“…They focused on opportunities and not limitations. In relation with a meta-study, which recognized the importance of replacing disease-focused follow-up care with wellness-focused survivorship care (13). The sense of fellowship and understanding by peers, the participants experienced the peer support during training sessions as encouraging and motivated them to achieve a higher intensity and maximized their bene t.They also helped regulate each other's intensity, when their exercise partner had a bad day and/or lack of energy.…”

Section: Discussionmentioning

confidence: 99%

“…Lack of support, information and recommendations from health care professionals, treatment side effect, lack of time and motivation, feeling uncomfortable in a tness center due to changed appearance and physical level after treatment are common barriers due to reduced PE levels post treatment (11,12). However, cancer survivors show a high level of interest in participating in health promoting exercise programs and exercise interventions (6,13,14), but adherence to exercise program and maintenance after interventions seems to be challenging (15,16). Exercise adherence and maintenance is affected by multiple factors including sociodemographic, physical and medical variables (17).…”

Section: Introductionmentioning

confidence: 99%

“…Social Cognitive Theory-based interventions demonstrate an improved health behavior in cancer survivors, and self-e cacy appears to be the variable most strongly associated with positive behavior change for PE (19,20). Further, social rewards, offers of encouragement and assistance in monitoring exercise progress are important aspect of social support to consider when developing exercise intervention strategies (13).…”

Section: Introductionmentioning

confidence: 99%

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Determinants for Exercise Adherence and Maintenance for Cancer Survivors: Implementation of a Community-based Exercise Program. A Quality Feasibility Study

Ranes¹,

Wiestad²,

Thormodsen³

et al. 2021

Preprint

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PurposeResearch verifies that physical exercise plays an important part in recovery after cancer treatment. Despite this knowledge, multiple studies have shown that maintaining a physically active lifestyle after cancer is challenging. There is a need for effective implementation of exercise programs for cancer survivors in community care, with focus on exercise adherence and maintenance. This qualitative descriptive feasibility study explores experiences from the implementation of a four-month community-based exercise program for cancer survivors after completion of rehabilitation in the specialist health care service. MethodsFocus group interviews of fourteen cancer survivors after completing Rehabilitation: Physical activity and Coping, feasibility study. Data were analyzed using the systematic text condensation method. ResultsThe category determinates for exercise adherence and maintenance added four subcategories: peer-support, environment, structure and knowledge. ConclusionsA social and supportive exercise environment is important for exercise adherence and maintenance among cancer survivors. This knowledge can be useful in the further work with implementing high quality community-based exercise program for cancer survivors.

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Social support and physical activity for cancer survivors: a qualitative review and meta-study

Cited by 53 publications

References 65 publications

“I want to get myself as fit as I can and not die just yet” – Perceptions of exercise in people with advanced cancer and cachexia: a qualitative study

“I want to get myself as fit as I can and not die just yet” – Perceptions of exercise in people with advanced cancer and cachexia: a qualitative study

Promoting moderate-to-vigorous physical activities in patients with advanced lung cancer: preferences and social cognitive factors, and the mediating roles

Determinants for Exercise Adherence and Maintenance for Cancer Survivors: Implementation of a Community-based Exercise Program. A Quality Feasibility Study

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