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

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Tytuł:: Implementing physical activity programs for patients with cancer in current practice: patients' experienced barriers and facilitators.
Autorzy:: IJsbrandy C; Radboud Institute for Health Science (RIHS), Scientific Institute for Quality of Healthcare (IQ healthcare), Radboud University Medical Centre Nijmegen, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. .; Radboud Institute for Health Science (RIHS), Department of Medical Oncology, Radboud University Medical Centre Nijmegen, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. .; Department of Radiation Oncology, Radboud University Medical Center, Nijmegen, The Netherlands. .
Hermens RPMG; Radboud Institute for Health Science (RIHS), Scientific Institute for Quality of Healthcare (IQ healthcare), Radboud University Medical Centre Nijmegen, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Boerboom LWM; Radboud Institute for Health Science (RIHS), Scientific Institute for Quality of Healthcare (IQ healthcare), Radboud University Medical Centre Nijmegen, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Gerritsen WR; Radboud Institute for Health Science (RIHS), Department of Medical Oncology, Radboud University Medical Centre Nijmegen, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
van Harten WH; Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.; Department of Health Technology and Services Research, MB-HTSR, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands.
Ottevanger PB; Radboud Institute for Health Science (RIHS), Department of Medical Oncology, Radboud University Medical Centre Nijmegen, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Źródło:: Journal of cancer survivorship : research and practice [J Cancer Surviv] 2019 Oct; Vol. 13 (5), pp. 703-712. Date of Electronic Publication: 2019 Jul 25.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: New York, N.Y. : Springer Science + Business Media, c2007-
MeSH Terms:: Communication Barriers*
Exercise*
Health Services Accessibility*/standards
Health Services Accessibility*/statistics & numerical data
Patient Acceptance of Health Care*/psychology
Patient Acceptance of Health Care*/statistics & numerical data
Exercise Therapy/*organization & administration
Neoplasms/*therapy
Adult ; Aged ; Aged, 80 and over ; Attitude of Health Personnel ; Cancer Survivors/psychology ; Cancer Survivors/statistics & numerical data ; Exercise Therapy/methods ; Exercise Therapy/standards ; Female ; Focus Groups ; Health Personnel ; Health Services Needs and Demand ; Humans ; Implementation Science ; Interviews as Topic ; Male ; Middle Aged ; Neoplasms/epidemiology ; Neoplasms/psychology ; Primary Health Care/organization & administration ; Primary Health Care/standards ; Primary Health Care/statistics & numerical data ; Quality of Life ; Social Facilitation
References:: J Altern Complement Med. 1997 Fall;3(3):215-26. (PMID: 9430325)
J Adv Nurs. 2008 Apr;62(1):107-15. (PMID: 18352969)
Cancer Pract. 2002 Jul-Aug;10(4):208-15. (PMID: 12100105)
J Clin Oncol. 2005 Jun 1;23(16):3830-42. (PMID: 15923576)
Cochrane Database Syst Rev. 2015 Apr 29;(4):CD005470. (PMID: 25923419)
Cancer. 2001 Aug 15;92(4 Suppl):1055-7. (PMID: 11519034)
Nutr Today. 2007 May;42(3):131-138. (PMID: 19081749)
Curr Oncol. 2012 Jun;19(3):e136-44. (PMID: 22670103)
Med Sci Sports Exerc. 2001 May;33(5):718-23. (PMID: 11323538)
Med Sci Sports Exerc. 2010 Jul;42(7):1409-26. (PMID: 20559064)
Health Econ Policy Law. 2011 Jan;6(1):125-34. (PMID: 21269528)
CA Cancer J Clin. 2012 Jul-Aug;62(4):243-74. (PMID: 22539238)
Health Econ Policy Law. 2011 Jan;6(1):109-23. (PMID: 21269527)
Qual Life Res. 1999 Sep;8(6):529-38. (PMID: 10548868)
Gynecol Oncol. 2017 May;145(2):334-339. (PMID: 28325583)
Health Econ Policy Law. 2016 Apr;11(2):161-78. (PMID: 26278627)
Bone Marrow Transplant. 2003 Oct;32(7):723-8. (PMID: 13130321)
Med J Aust. 2004 Mar 15;180(S6):S57-60. (PMID: 15012583)
Cochrane Database Syst Rev. 2012 Aug 15;(8):CD007566. (PMID: 22895961)
Support Care Cancer. 2012 Oct;20(10):2483-9. (PMID: 22249915)
J Clin Oncol. 2016 Feb 20;34(6):611-35. (PMID: 26644543)
Prev Med. 2016 Jun;87:155-166. (PMID: 26921655)
J Clin Oncol. 2005 Feb 1;23(4):899-909. (PMID: 15681536)
Crit Rev Oncol Hematol. 2018 Feb;122:157-163. (PMID: 29458784)
Lancet. 2012 Jul 21;380(9838):219-29. (PMID: 22818936)
CA Cancer J Clin. 2015 Nov-Dec;65(6):428-55. (PMID: 26348643)
J Clin Oncol. 2003 May 1;21(9):1660-8. (PMID: 12721239)
Health Psychol. 2013 Jun;32(6):616-26. (PMID: 23730723)
J Oncol Pract. 2015 May;11(3):e445-9. (PMID: 25829527)
J Oncol Pract. 2015 Sep;11(5):349-55. (PMID: 25758448)
J Clin Nurs. 2015 Feb;24(3-4):500-10. (PMID: 24890796)
Cochrane Database Syst Rev. 2012 Nov 14;11:CD006145. (PMID: 23152233)
Ann Behav Med. 2004 Oct;28(2):105-13. (PMID: 15454357)
J Eval Clin Pract. 2008 Oct;14(5):888-97. (PMID: 19018923)
Oncol Nurs Forum. 2015 Jan;42(1):24-32. (PMID: 25542318)
CMAJ. 1999 Aug 10;161(3):282-5. (PMID: 10463051)
Cancer. 2001 Aug 15;92(4 Suppl):1053-4. (PMID: 11519033)
J Phys Act Health. 2012 Aug;9(6):857-66. (PMID: 21953311)
Ned Tijdschr Geneeskd. 2011;155(51):A4104. (PMID: 22200149)
Cancer Pract. 2000 Jan-Feb;8(1):16-24. (PMID: 10732535)
Oncol Nurs Forum. 1991 May-Jun;18(4):751-7. (PMID: 2067964)
J Cancer Surviv. 2010 Jun;4(2):119-27. (PMID: 20180037)
Physiother Can. 2013 Winter;65(1):94-102. (PMID: 24381389)
Psychooncology. 2013 Jan;22(1):186-94. (PMID: 23296635)
BJU Int. 2017 Mar;119(3):381-389. (PMID: 27431584)
J Clin Oncol. 2001 Feb 1;19(3):657-65. (PMID: 11157015)
Recent Results Cancer Res. 2011;186:367-87. (PMID: 21113773)
Implement Sci. 2013 Mar 23;8:35. (PMID: 23522377)
Support Care Cancer. 2011 Sep;19(9):1429-39. (PMID: 20694822)
Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
J Natl Compr Canc Netw. 2003 Jul;1(3):308-31. (PMID: 19761067)
BMC Med. 2015 Oct 29;13:275. (PMID: 26515383)
Health Psychol. 2005 Mar;24(2):189-97. (PMID: 15755233)
Cancer. 2001 Sep 15;92(6 Suppl):1689-93. (PMID: 11598888)
Eur J Cancer Care (Engl). 2006 Sep;15(4):386-96. (PMID: 16968322)
BMJ. 2012 Jan 30;344:e70. (PMID: 22294757)
Med Sci Sports Exerc. 2003 Nov;35(11):1846-52. (PMID: 14600549)
Eur J Oncol Nurs. 2009 Apr;13(2):116-21. (PMID: 19230768)
J Oncol Pract. 2007 Mar;3(2):79-86. (PMID: 20859376)
Cancer. 2001 Aug 15;92(4 Suppl):988-97. (PMID: 11519025)
Disabil Rehabil. 2013;35(24):2038-45. (PMID: 23772995)
CMAJ. 2006 Jul 4;175(1):34-41. (PMID: 16818906)
Health Technol Assess. 2004 Feb;8(6):iii-iv, 1-72. (PMID: 14960256)
Cochrane Database Syst Rev. 2006 Oct 18;(4):CD005001. (PMID: 17054230)
Ann Oncol. 1997 Dec;8(12):1251-5. (PMID: 9496391)
J Clin Oncol. 2015 Jun 10;33(17):1918-27. (PMID: 25918291)
Oncol Nurs Forum. 1989 Sep-Oct;16(5):683-9. (PMID: 2780404)
Nurs Res. 2007 Jan-Feb;56(1):18-27. (PMID: 17179870)
Psychooncology. 2002 Sep-Oct;11(5):447-56. (PMID: 12228878)
Arch Phys Med Rehabil. 2016 Nov;97(11):2006-2015. (PMID: 27237580)
J Clin Oncol. 2003 May 1;21(9):1653-9. (PMID: 12721238)
Grant Information:: 2010-4854 KWF Kankerbestrijding
Contributed Indexing:: Keywords: Cancer survivors; Health plan implementation; Healthcare quality improvement; Qualitative research; Rehabilitation
Entry Date(s):: Date Created: 20190727 Date Completed: 20200605 Latest Revision: 20200605
Update Code:: 20240105
PubMed Central ID:: PMC6828940
DOI:: 10.1007/s11764-019-00789-3
PMID:: 31347009
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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.

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