Skip to main content
Top
Published in: Supportive Care in Cancer 8/2019

01-08-2019 | Original Article

Breast cancer survivors’ perspectives on a home-based physical activity intervention utilizing wearable technology

Authors: Renee L. Kokts-Porietis, Chelsea R. Stone, Christine M. Friedenreich, Alyssa Froese, Meghan McDonough, Jessica McNeil

Published in: Supportive Care in Cancer | Issue 8/2019

Login to get access

Abstract

Purpose

To gain breast cancer survivors’ perspectives on participation in a home-based physical activity intervention and the factors that contributed to their acceptance and adherence to physical activity.

Methods

Semi-structured interviews were conducted with six women who had participated in a 12-week, home-based physical activity intervention using Polar A360® activity trackers. Additionally, 22 participants from the physical activity interventions provided scaled responses to barriers of physical activity on weeks 3, 6, 9, and 12. Interviews were transcribed verbatim. Thematic analysis was used for qualitative data.

Results

Perceptions (n = 6) were categorized into three main themes including (i) Study Environment which consisted of three subthemes acrchversusfear of failure, power of results, and reminders of cancer and moving beyond. (ii) Influence of People encompassed two subthemes, i.e., personal relationships and self as a source of motivation; and (iii) Wearable Technology which was divided into two subthemes, i.e., objective insights into health and disconnect of person and technology. From the scaled responses, the most impactful barriers for participants within the intervention groups (n = 22) were “feeling busy,” “lack of motivation,” and “weather.”

Conclusion

Wearable technology was perceived largely as a facilitator to physical activity in the current study, but technologic difficulties created a barrier to physical activity adherence. Additionally, participants’ perceptions of study design elements and social support influenced their acceptance and adherence to the home-based physical activity interventions and should be considered to inform the design and implementation of future studies.
Literature
1.
go back to reference Canadian Cancer Statistics (2018) In Canadian Cancer Society. Toronto, ON Canadian Cancer Statistics (2018) In Canadian Cancer Society. Toronto, ON
2.
go back to reference Palesh O et al (2018) Management of side effects during and post-treatment in breast cancer survivors. Breast J 24(2):167–175CrossRefPubMed Palesh O et al (2018) Management of side effects during and post-treatment in breast cancer survivors. Breast J 24(2):167–175CrossRefPubMed
3.
go back to reference Boyle T et al (2016) How sedentary and physically active are breast cancer survivors, and which population subgroups have higher or lower levels of these behaviors? Support Care Cancer 24(5):2181–2190CrossRefPubMed Boyle T et al (2016) How sedentary and physically active are breast cancer survivors, and which population subgroups have higher or lower levels of these behaviors? Support Care Cancer 24(5):2181–2190CrossRefPubMed
4.
go back to reference Lahart IM et al (2015) Physical activity, risk of death and recurrence in breast cancer survivors: a systematic review and meta-analysis of epidemiological studies. Acta Oncol 54(5):635–654CrossRefPubMed Lahart IM et al (2015) Physical activity, risk of death and recurrence in breast cancer survivors: a systematic review and meta-analysis of epidemiological studies. Acta Oncol 54(5):635–654CrossRefPubMed
5.
go back to reference Backman M et al (2016) Experiencing health - physical activity during adjuvant chemotherapy treatment for women with breast cancer. Eur J Oncol Nurs 21:160–167CrossRefPubMed Backman M et al (2016) Experiencing health - physical activity during adjuvant chemotherapy treatment for women with breast cancer. Eur J Oncol Nurs 21:160–167CrossRefPubMed
6.
go back to reference Wurz A, St-Aubin A, Brunet J (2015) Breast cancer survivors’ barriers and motives for participating in a group-based physical activity program offered in the community. Support Care Cancer 23(8):2407–2416CrossRefPubMedPubMedCentral Wurz A, St-Aubin A, Brunet J (2015) Breast cancer survivors’ barriers and motives for participating in a group-based physical activity program offered in the community. Support Care Cancer 23(8):2407–2416CrossRefPubMedPubMedCentral
7.
go back to reference Gresham G et al (2018) Wearable activity monitors in oncology trials: current use of an emerging technology. Contemp Clin Trials 64:13–21CrossRefPubMed Gresham G et al (2018) Wearable activity monitors in oncology trials: current use of an emerging technology. Contemp Clin Trials 64:13–21CrossRefPubMed
8.
9.
go back to reference Nguyen NH et al (2017) A qualitative evaluation of breast cancer survivors’ acceptance of and preferences for consumer wearable technology activity trackers. Support Care Cancer 25(11):3375–3384CrossRefPubMed Nguyen NH et al (2017) A qualitative evaluation of breast cancer survivors’ acceptance of and preferences for consumer wearable technology activity trackers. Support Care Cancer 25(11):3375–3384CrossRefPubMed
11.
go back to reference Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101CrossRef Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101CrossRef
12.
go back to reference Phil M, David R (2003) Critical realism: a way forward for evaluation research in nursing? J Adv Nurs 43(4):411–420CrossRef Phil M, David R (2003) Critical realism: a way forward for evaluation research in nursing? J Adv Nurs 43(4):411–420CrossRef
13.
go back to reference Boddy CR (2016) Sample size for qualitative research. Qual Mark Res Int J 19(4):426–432CrossRef Boddy CR (2016) Sample size for qualitative research. Qual Mark Res Int J 19(4):426–432CrossRef
14.
go back to reference StataCorp, Stata Statistical Software: Release 15 (2017) College Station, TX, StataCorp LLC StataCorp, Stata Statistical Software: Release 15 (2017) College Station, TX, StataCorp LLC
15.
go back to reference NVivo qualitative data analysis Software (2015) QSR International Pty Ltd Version 11 NVivo qualitative data analysis Software (2015) QSR International Pty Ltd Version 11
16.
go back to reference Clifford BK et al (2018) Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer 26(3):685–700CrossRefPubMed Clifford BK et al (2018) Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer 26(3):685–700CrossRefPubMed
17.
go back to reference McArthur D et al (2014) Factors influencing adherence to regular exercise in middle-aged women: a qualitative study to inform clinical practice. BMC Womens Health 14(1):49CrossRefPubMedPubMedCentral McArthur D et al (2014) Factors influencing adherence to regular exercise in middle-aged women: a qualitative study to inform clinical practice. BMC Womens Health 14(1):49CrossRefPubMedPubMedCentral
18.
go back to reference Kinnafick FE, Thogersen-Ntoumani C, Duda JL (2014) Physical activity adoption to adherence, lapse, and dropout: a self-determination theory perspective. Qual Health Res 24(5):706–718CrossRefPubMed Kinnafick FE, Thogersen-Ntoumani C, Duda JL (2014) Physical activity adoption to adherence, lapse, and dropout: a self-determination theory perspective. Qual Health Res 24(5):706–718CrossRefPubMed
19.
go back to reference Henriksson A et al (2016) Perceived barriers to and facilitators of being physically active during adjuvant cancer treatment. Patient Educ Couns 99(7):1220–1226CrossRefPubMed Henriksson A et al (2016) Perceived barriers to and facilitators of being physically active during adjuvant cancer treatment. Patient Educ Couns 99(7):1220–1226CrossRefPubMed
20.
go back to reference Burke S et al (2017) Physical activity and quality of life in cancer survivors: a meta-synthesis of qualitative research. Cancers 9(5):53CrossRefPubMedCentral Burke S et al (2017) Physical activity and quality of life in cancer survivors: a meta-synthesis of qualitative research. Cancers 9(5):53CrossRefPubMedCentral
21.
go back to reference Lupton D (2014) Self-tracking cultures: towards a sociology of personal informatics. In: Proceedings of the 26th Australian Computer-Human Interaction Conference on Designing Futures: the Future of Design. ACM, Sydney, New South Wales, p 77–86 Lupton D (2014) Self-tracking cultures: towards a sociology of personal informatics. In: Proceedings of the 26th Australian Computer-Human Interaction Conference on Designing Futures: the Future of Design. ACM, Sydney, New South Wales, p 77–86
23.
go back to reference Watson SD (2017) Everyday nationalism and international hockey: contesting Canadian national identity. Nat National 23(2):289–308CrossRef Watson SD (2017) Everyday nationalism and international hockey: contesting Canadian national identity. Nat National 23(2):289–308CrossRef
24.
go back to reference Hefferon K et al (2013) Understanding barriers to exercise implementation 5-year post-breast cancer diagnosis: a large-scale qualitative study. Health Educ Res 28(5):843–856CrossRefPubMed Hefferon K et al (2013) Understanding barriers to exercise implementation 5-year post-breast cancer diagnosis: a large-scale qualitative study. Health Educ Res 28(5):843–856CrossRefPubMed
Metadata
Title
Breast cancer survivors’ perspectives on a home-based physical activity intervention utilizing wearable technology
Authors
Renee L. Kokts-Porietis
Chelsea R. Stone
Christine M. Friedenreich
Alyssa Froese
Meghan McDonough
Jessica McNeil
Publication date
01-08-2019
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 8/2019
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4581-7

Other articles of this Issue 8/2019

Supportive Care in Cancer 8/2019 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine