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"There is no expiration date": a qualitative analysis using the Social Cognitive Theory to identify factors influencing physical activity among adults living with advanced cancer.
Agnew, Megan; Cadmus-Bertram, Lisa; Kwekkeboom, Kristine; Gorzelitz, Jessica; Ruzicka, Marla; Gangnon, Ronald; Andersen, Shaneda Warren.
Afiliación
  • Agnew M; Department of Population Health Sciences, University of Wisconsin Madison, 610 Walnut St #707, Madison, WI, 53726, USA. maagnew@wisc.edu.
  • Cadmus-Bertram L; Department of Kinesiology, University of Wisconsin Madison, 1300 University Ave, Madison, WI, 53706, USA.
  • Kwekkeboom K; University of Wisconsin Carbone Cancer Center, 600 Highland Ave, Madison, WI, 53705, USA.
  • Gorzelitz J; University of Wisconsin Carbone Cancer Center, 600 Highland Ave, Madison, WI, 53705, USA.
  • Ruzicka M; School of Nursing, University of Wisconsin Madison, 701 Highland Ave, Madison, WI, 53705, USA.
  • Gangnon R; Department of Health and Human Physiology, University of Iowa, 225 E Market St, Iowa City, IA, 52242, USA.
  • Andersen SW; Holden Comprehensive Cancer Center, University of Iowa, 200 Hawkins Dr, Iowa City, IA, 52242, USA.
Support Care Cancer ; 32(4): 242, 2024 Mar 22.
Article en En | MEDLINE | ID: mdl-38514490
ABSTRACT

PURPOSE:

To identify cognitive, behavioral, environmental, and other factors that influence physical activity in adults with advanced cancer using qualitative, semi-structured interviews.

METHODS:

Eighteen semi-structured interviews were conducted with adults living with stage IV breast, prostate, or colorectal cancer; or multiple myeloma recruited from the University of Wisconsin Carbone Cancer Center. We used the Social Cognitive Theory to design the interview guide and a reflexive thematic approach for analysis.

RESULTS:

Participants were 62 years old on average and currently receiving treatment. Despite reporting numerous barriers to physical activity, most participants discussed engaging in some physical activity. Participants reported difficulties coping with changes in physical functioning especially due to fatigue, weakness, neuropathy, and pain. While cold weather was seen as a deterrent for activity, access to sidewalks was a commonly reported feature of neighborhood conduciveness for physical activity. Regardless of current activity levels, adults with advanced cancer were interested in engaging in activities to meet their goals of gaining strength and maintaining independence. Having a conversation with a provider from their cancer care team about physical activity was seen as encouraging for pursuing some activity.

CONCLUSIONS:

Adults living with advanced cancer are interested in pursuing activity to gain strength and maintain independence despite reported barriers to physical activity. To ensure patients are encouraged to be active, accessible resources, targeted referrals, and interventions designed to address their goals are critical next steps. RELEVANCE Integrating conversations about physical activity into oncology care for adults living with advanced cancer is an important next step to encourage patients to remain active and help them improve strength and maintain quality of life and independence.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Neoplasias Límite: Adult / Humans / Male / Middle aged Idioma: En Revista: Support Care Cancer Asunto de la revista: NEOPLASIAS / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Neoplasias Límite: Adult / Humans / Male / Middle aged Idioma: En Revista: Support Care Cancer Asunto de la revista: NEOPLASIAS / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos
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