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. 2019 Oct;13(5):703-712.
doi: 10.1007/s11764-019-00789-3. Epub 2019 Jul 25.

Implementing physical activity programs for patients with cancer in current practice: patients' experienced barriers and facilitators

Charlotte IJsbrandy  1   2   3 , Rosella P M G Hermens  4 , Laura W M Boerboom  4 , Winald R Gerritsen  5 , Wim H van Harten  6   7 , Petronella B Ottevanger  5
Affiliations

Implementing physical activity programs for patients with cancer in current practice: patients' experienced barriers and facilitators

Charlotte IJsbrandy et al. J Cancer Surviv. 2019 Oct.

Abstract

Purpose: The present study aimed to identify patients' experienced barriers and facilitators in implementing physical activity programs for patients with cancer.

Methods: We interviewed 34 patients in focus-group-interviews from three different hospital-types. We included patients with cancer who were either receiving curative treatment or had recently completed it. Barriers and facilitators were explored in six domains: (1) physical activity programs, (2) patients, (3) healthcare professionals (HCPs), (4) social setting, (5) organization, and (6) law and governance.

Results: We found 12 barriers and 1 facilitator that affect the implementation of physical activity programs. In the domain of physical activity programs, the barrier was physical activity programs not being tailored to the patient's needs. In the domain of patients, lacking responsibility for one's own health was a barrier. Knowledge and skills for physical activity programs and non-commitment of HCPs impeded implementation in the domain of HCPs. Barriers in the domain of organization included inconvenient place, time of day, and point in the health treatment schedule for offering the physical activity programs, inadequate capacity, inaccessibility of contact persons, lack of information about physical activity programs, non-involvement of the general practitioner in the cancer care process, and poor communication between secondary and primary HCPs. Insufficient insurance-coverage of physical activity programs was a barrier in the domain of law and governance. In the domain of physical activity programs, contact with peers facilitated implementation. We found no barriers or facilitators at the social setting.

Conclusions: Factors affecting the implementation of physical activity programs occurred in various domains. Most of the barriers occurred in the domain of organization.

Implications for cancer survivors: An implementation strategy that deals with the barriers might improve the implementation of physical activity programs and quality of life of cancer survivors.

Keywords: Cancer survivors; Health plan implementation; Healthcare quality improvement; Qualitative research; Rehabilitation.

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Conflict of interest statement

The authors have declared no conflicts of interest.

References

    1. Mishra SI, Scherer RW, Geigle PM, Berlanstein DR, Topaloglu O, Gotay CC, et al. Exercise interventions on health-related quality of life for cancer survivors. Cochrane Database Syst Rev. 2012;8:CD007566. - PMC - PubMed
    1. Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev. 2012;11:CD006145. - PMC - PubMed
    1. Markes M, Brockow T, Resch KL. Exercise for women receiving adjuvant therapy for breast cancer. Cochrane Database Syst Rev. 2006;4:CD005001. - PubMed
    1. van Waart H, Stuiver MM, van Harten WH, Geleijn E, Kieffer JM, Buffart LM, de Maaker-Berkhof M, Boven E, Schrama J, Geenen MM, Meerum Terwogt JM, van Bochove A, Lustig V, van den Heiligenberg SM, Smorenburg CH, Hellendoorn-van Vreeswijk JAJH, Sonke GS, Aaronson NK. Effect of low-intensity physical activity and moderate- to high-intensity physical exercise during adjuvant chemotherapy on physical fitness, fatigue, and chemotherapy completion rates: results of the PACES randomized clinical trial. J Clin Oncol. 2015;33(17):1918–1927. doi: 10.1200/JCO.2014.59.1081. - DOI - PubMed
    1. Kampshoff CS, Chinapaw MJ, Brug J, Twisk JW, Schep G, Nijziel MR, et al. Randomized controlled trial of the effects of high intensity and low-to-moderate intensity exercise on physical fitness and fatigue in cancer survivors: results of the Resistance and Endurance exercise After ChemoTherapy (REACT) study. BMC Med. 2015;13:275. doi: 10.1186/s12916-015-0513-2. - DOI - PMC - PubMed

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