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Randomized Controlled Trial
. 2025 Feb;19(1):149-161.
doi: 10.1007/s11764-023-01455-5. Epub 2023 Sep 21.

Determinants of physical activity maintenance and the acceptability of a remote coaching intervention following supervised exercise oncology rehabilitation: a qualitative study

Anouk T R Weemaes  1   2 , Judith M Sieben  3   4 , Milou Beelen  5   6 , Louisa T M A Mulder  5   3 , Antoine F Lenssen  5   3
Affiliations
Randomized Controlled Trial

Determinants of physical activity maintenance and the acceptability of a remote coaching intervention following supervised exercise oncology rehabilitation: a qualitative study

Anouk T R Weemaes et al. J Cancer Surviv. 2025 Feb.

Abstract

Purpose: The purpose of the study was to investigate perceived determinants of physical activity (PA) maintenance following supervised exercise oncology rehabilitation and the acceptability of a remote coaching intervention during this period.

Methods: A phenomenological qualitative study with semi-structured interviews was conducted. Nineteen participants (16 women, 3 men) were recruited from the intervention (n = 12) and control group (n = 7) of a randomized controlled trial on the effectiveness of remote coaching following hospital-based, supervised exercise oncology rehabilitation. Participants in the intervention group received a 6-month remote coaching intervention after completing the exercise program, aimed at stimulating PA maintenance. The interviews were based on the Capability, Opportunity, and Motivation model of Behaviour (COM-B model) and the framework of acceptability (TFA) and were coded using template analysis.

Results: Key themes regarding determinants of PA maintenance were self-efficacy, PA habits, accountability, physical complaints, and facilities. Remote coaching was perceived acceptable because it stimulated PA maintenance by offering a source of structure and social support and thereby increased accountability. Moreover, it improved confidence to perform PA, leading to increased levels of self-efficacy. The remote nature of the intervention was perceived as convenient by some of the participants, while others would have preferred additional physical appointments.

Conclusions: Cancer survivors considered remote coaching acceptable to stimulate PA maintenance following supervised rehabilitation. Interventions should focus on increasing accountability, self-efficacy, forming habits, and helping cancer survivors to overcome barriers.

Implications for cancer survivors: The ability to maintain PA beyond supervised exercise oncology programs depends on many determinants. Remote coaching interventions have potential to target individually relevant determinants following exercise programs in cancer survivors.

Keywords: Acceptability; Behaviour change; Qualitative research; Telerehabilitation.

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Conflict of interest statement

Declarations. Ethics approval: Procedures were approved by the Ethical Review Board of MUMC + (registration number 18–050). Consent to participate: Informed consent was obtained from all participants. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
COM-B model. Reproduced from [19]
Fig. 2
Fig. 2
Key determinants and determinants of physical activity maintenance following supervised exercise rehabilitation, clustered in the constructs of the COM-B model. Arrows to show the relation between key themes, with self-efficacy as a central theme
See this image and copyright information in PMC

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References

    1. Ebede CC, Jang Y, Escalante CP. Cancer-related fatigue in cancer survivorship. Med Clin North Am. 2017;101(6):1085–97. 10.1016/j.mcna.2017.06.007. - PubMed
    1. Jean CY, Syrjala KL. Anxiety and depression in cancer survivors. Med Clinics. 2017;101(6):1099–113. 10.1016/j.mcna.2017.06.005. - PMC - PubMed
    1. Jones LW, Courneya KS, Mackey JR, Muss HB, Pituskin EN, Scott JM, et al. Cardiopulmonary function and age-related decline across the breast cancer survivorship continuum. J Clin Oncol. 2012;30(20):2530–7. 10.1200/JCO.2011.39.9014. - PMC - PubMed
    1. Marques VA, Ferreira-Junior JB, Lemos TV, Moraes RF, Junior JRS, Alves RR, et al. Effects of chemotherapy treatment on muscle strength, quality of life, fatigue, and anxiety in women with breast cancer. Int J Environ Res Public Health. 2020;17(19):7289. 10.3390/ijerph17197289. - PMC - PubMed
    1. Nayak MG, George A, Vidyasagar MS, Mathew S, Nayak S, Nayak BS, et al. Quality of life among cancer patients. Indian J Palliat Care. 2017;23(4):445–50. 10.4103/IJPC.IJPC_82_17. - PMC - PubMed

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