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Published in: Journal of Cancer Education 2/2023

19-04-2022

Patient Comments on a Hospital- and University-Based Exercise Oncology Program

Authors: Stephen M. LoRusso, Shaelyn L. Parry, Travis P. Yahner, Karen Y. Wonders

Published in: Journal of Cancer Education | Issue 2/2023

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Abstract

The purpose of this study was to identify referral source and patient-reported factors that promoted follow-through and participation in exercise oncology rehabilitation programs. A three question open-ended survey was administered to patients enrolled in trainer-supervised, hospital-based (n = 101), or university-based (n = 17) cancer rehabilitation program that provided 12 weeks of individualized one on one aerobic and resistance training 1–3 days per week. Significant themes for each question were as follows: Question #1. Who referred you to the program/facility? Oncology team (Χ2 = 145.814 P ≤ 0.001); Question #2. What convinced you to follow through with the referral? Health, fatigue, and need for supervision (Χ2 = 74.814 P ≤ 0.001); and Question #3. What motivates you to continue in the program? Personal results, getting healthy, and the trainer (Χ2 = 108.729 P ≤ 0.001). In this study, oncology team referral confirms previous work. Patient follow-through and continuation appear largely self-motivated as patients’ health and the attainment of health through personal results are primary motivators for continuation in the program. Question #3 responses note the importance of the trainer in maintaining continuation in an exercise oncology rehabilitation program.
Literature
2.
go back to reference Troeschel AN, Leach CR, Shuval K, Stein KD, Patel AV. Physical activity in cancer survivors during “re-entry” following cancer treatment. Prev Chronic Dis. 2018; 15. Troeschel AN, Leach CR, Shuval K, Stein KD, Patel AV. Physical activity in cancer survivors during “re-entry” following cancer treatment. Prev Chronic Dis. 2018; 15.
3.
go back to reference Blaney JM, Lowe-Strong A, Rankin-Watt J, Campbell A, Gracey JH (2013) Cancer survivors’ exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: a questionnaire-survey. Psychooncology 22(1):186–194CrossRefPubMed Blaney JM, Lowe-Strong A, Rankin-Watt J, Campbell A, Gracey JH (2013) Cancer survivors’ exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: a questionnaire-survey. Psychooncology 22(1):186–194CrossRefPubMed
4.
go back to reference Giovannucci EL (2012) Physical activity as a standard cancer treatment. J Natl Cancer Inst 104(11):797–799CrossRefPubMed Giovannucci EL (2012) Physical activity as a standard cancer treatment. J Natl Cancer Inst 104(11):797–799CrossRefPubMed
6.
go back to reference Midtgaard J, Hammer NM, Andersen C, Larsen A, Bruun DM, Jarden M (2015) Cancer survivors’ experience of exercise-based cancer rehabilitation – a meta-synthesis of qualitative research. Acta Oncol 54(5):609–617CrossRefPubMed Midtgaard J, Hammer NM, Andersen C, Larsen A, Bruun DM, Jarden M (2015) Cancer survivors’ experience of exercise-based cancer rehabilitation – a meta-synthesis of qualitative research. Acta Oncol 54(5):609–617CrossRefPubMed
7.
go back to reference Cheville AL, Rhudy L, Basford JR, Griffin JM, Flores AM (2017) How receptive are patients with late stage cancer to rehabilitation services and what are the sources of their resistance? Arch Phys Med Rehabil 98(2):203–210CrossRefPubMed Cheville AL, Rhudy L, Basford JR, Griffin JM, Flores AM (2017) How receptive are patients with late stage cancer to rehabilitation services and what are the sources of their resistance? Arch Phys Med Rehabil 98(2):203–210CrossRefPubMed
9.
go back to reference Hardcastle SJ, Galliott M, Lynch BM, Nguyen NH, Cohen PA, Mohan GR, Johansen NJ, Saunders C (2019) ‘If I had someone looking over my shoulder…’: exploration of advice received and factors influencing physical activity among non-metropolitan cancer survivors. Int J Behav Med 26(5):551–561. https://doi.org/10.1007/s12529-019-09808-0CrossRefPubMed Hardcastle SJ, Galliott M, Lynch BM, Nguyen NH, Cohen PA, Mohan GR, Johansen NJ, Saunders C (2019) ‘If I had someone looking over my shoulder…’: exploration of advice received and factors influencing physical activity among non-metropolitan cancer survivors. Int J Behav Med 26(5):551–561. https://​doi.​org/​10.​1007/​s12529-019-09808-0CrossRefPubMed
10.
go back to reference Santa Mina D, Sabiston CM, Au D, Fong AJ, Capozzi LC, Langelier D, Chasen M, Chiarotto J, Tomasone JR, Jones JM, Chang E, Culos-Reed SN (2018) Connecting people with cancer to physical activity and exercise programs: a pathway to create accessibility and engagement. Curr Oncol. 25(2):149–162. https://doi.org/10.3747/co.25.3977CrossRefPubMed Santa Mina D, Sabiston CM, Au D, Fong AJ, Capozzi LC, Langelier D, Chasen M, Chiarotto J, Tomasone JR, Jones JM, Chang E, Culos-Reed SN (2018) Connecting people with cancer to physical activity and exercise programs: a pathway to create accessibility and engagement. Curr Oncol. 25(2):149–162. https://​doi.​org/​10.​3747/​co.​25.​3977CrossRefPubMed
11.
go back to reference Schmitz KH, Campbell AM, Stuiver MM, Pinto BM, Schwartz AL, Morris GS, Ligibel JA, Cheville A, Galvão DA, Alfano CM, Patel AV, Hue T, Gerber LH, Sallis R, Gusani NJ, Stout NL, Chan L, Flowers F, Doyle C, Helmrich S, Bain W, Sokolof J, Winters-Stone KM, Campbell KL, Matthews CE (2019) Exercise is medicine in oncology: engaging clinicians to help patients move through cancer. CA Cancer J Clin. 69(6):468–484. https://doi.org/10.3322/caac.21579CrossRefPubMedPubMedCentral Schmitz KH, Campbell AM, Stuiver MM, Pinto BM, Schwartz AL, Morris GS, Ligibel JA, Cheville A, Galvão DA, Alfano CM, Patel AV, Hue T, Gerber LH, Sallis R, Gusani NJ, Stout NL, Chan L, Flowers F, Doyle C, Helmrich S, Bain W, Sokolof J, Winters-Stone KM, Campbell KL, Matthews CE (2019) Exercise is medicine in oncology: engaging clinicians to help patients move through cancer. CA Cancer J Clin. 69(6):468–484. https://​doi.​org/​10.​3322/​caac.​21579CrossRefPubMedPubMedCentral
13.
go back to reference Ormel HL, van der Schoot GGF, Sluiter WJ, Jalving M, Gietema JA, Walenkamp AME (2018) Predictors of adherence to exercise interventions during and after cancer treatment: a systematic review. Psychooncology 27:713–724CrossRefPubMedPubMedCentral Ormel HL, van der Schoot GGF, Sluiter WJ, Jalving M, Gietema JA, Walenkamp AME (2018) Predictors of adherence to exercise interventions during and after cancer treatment: a systematic review. Psychooncology 27:713–724CrossRefPubMedPubMedCentral
15.
go back to reference Park JH, Lee J, Oh M, Park H, Chae J, Kim DI, Lee MK, Yoon YJ, Lee CW, Park S, Jones LW, Kim NK, Kim SI, Jeon JY (2015) The effect of oncologists’ exercise recommendations on the level of exercise and quality of life in survivors of breast and colorectal cancer: a randomized controlled trial. Cancer. 121(16):2740–8. https://doi.org/10.1002/cncr.29400CrossRefPubMed Park JH, Lee J, Oh M, Park H, Chae J, Kim DI, Lee MK, Yoon YJ, Lee CW, Park S, Jones LW, Kim NK, Kim SI, Jeon JY (2015) The effect of oncologists’ exercise recommendations on the level of exercise and quality of life in survivors of breast and colorectal cancer: a randomized controlled trial. Cancer. 121(16):2740–8. https://​doi.​org/​10.​1002/​cncr.​29400CrossRefPubMed
18.
go back to reference Hardcastle SJ, Maxwell-Smith C, Kamarova S, Lamb S, Millar L, Cohen PA (2018) Factors influencing non-participation in an exercise program and attitudes towards physical activity amongst cancer survivors. Support Care Cancer 26:1289–1295CrossRefPubMed Hardcastle SJ, Maxwell-Smith C, Kamarova S, Lamb S, Millar L, Cohen PA (2018) Factors influencing non-participation in an exercise program and attitudes towards physical activity amongst cancer survivors. Support Care Cancer 26:1289–1295CrossRefPubMed
21.
go back to reference Mama SK, Bhuiyan N, Foo W, Segel JE, Bluethmann SM, Winkels RM, Wiskemann J, Calo JA, Lengerich EJ, Schmitz KH (2020) Rural-urban differences in meeting physical activity recommendations and health status in cancer survivors in central Pennsylvania. Support Care Cancer 28:5013–5022CrossRefPubMedPubMedCentral Mama SK, Bhuiyan N, Foo W, Segel JE, Bluethmann SM, Winkels RM, Wiskemann J, Calo JA, Lengerich EJ, Schmitz KH (2020) Rural-urban differences in meeting physical activity recommendations and health status in cancer survivors in central Pennsylvania. Support Care Cancer 28:5013–5022CrossRefPubMedPubMedCentral
22.
go back to reference Stout NL, Brown JC, Schwartz AL, Marshall TF, Campbell AM, Nekhlyudov L, Zucker DS, Basen-Engquist KM, Campbell G, Meyerhardt J, Cheville AL, Covington KR, Ligibel JA, Sokolof JM, Schmitz KH, Alfano CM (2020) An exercise oncology clinical pathway: screening and referral for personalized interventions. Cancer. 126(12):2750–2758. https://doi.org/10.1002/cncr.32860CrossRefPubMed Stout NL, Brown JC, Schwartz AL, Marshall TF, Campbell AM, Nekhlyudov L, Zucker DS, Basen-Engquist KM, Campbell G, Meyerhardt J, Cheville AL, Covington KR, Ligibel JA, Sokolof JM, Schmitz KH, Alfano CM (2020) An exercise oncology clinical pathway: screening and referral for personalized interventions. Cancer. 126(12):2750–2758. https://​doi.​org/​10.​1002/​cncr.​32860CrossRefPubMed
23.
go back to reference Jackson D (2010) How personal trainers can use self-efficacy theory to enhance exercise behavior in beginning exercisers. Strength and Conditioning Journal 32(3):67–71CrossRef Jackson D (2010) How personal trainers can use self-efficacy theory to enhance exercise behavior in beginning exercisers. Strength and Conditioning Journal 32(3):67–71CrossRef
24.
go back to reference Coletta AM, Rose NB, Johnson AF, Moxon DS, Trapp SK, Walker D, White S, Ulrich CM, Agarwal N, Oza SN, Zingg RW, Hansen PA. The impact of a hospital-based exercise oncology program on cancer treatment–related side effects among rural cancer survivors Supportive Care in Cancer https://doi.org/10.1007/s00520-021-06010-5 Coletta AM, Rose NB, Johnson AF, Moxon DS, Trapp SK, Walker D, White S, Ulrich CM, Agarwal N, Oza SN, Zingg RW, Hansen PA. The impact of a hospital-based exercise oncology program on cancer treatment–related side effects among rural cancer survivors Supportive Care in Cancer https://​doi.​org/​10.​1007/​s00520-021-06010-5
Metadata
Title
Patient Comments on a Hospital- and University-Based Exercise Oncology Program
Authors
Stephen M. LoRusso
Shaelyn L. Parry
Travis P. Yahner
Karen Y. Wonders
Publication date
19-04-2022
Publisher
Springer US
Published in
Journal of Cancer Education / Issue 2/2023
Print ISSN: 0885-8195
Electronic ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-022-02168-6

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