Physical activity referral to cardiac rehabilitation, leisure centre or telephonedelivered consultations in post-surgical people with breast cancer: A mixed methods process evaluation

被引：9

作者：

Hubbard G. ^{[1
]}

Campbell A. ^{[2
]}

Fisher A. ^{[3
]}

Harvie M. ^{[4
]}

Maltinsky W. ^{[5
]}

Mullen R. ^{[6
]}

Banks E. ^{[7
]}

Gracey J. ^{[8
]}

Gorely T. ^{[1
]}

Munro J. ^{[1
]}

Ozakinci G. ^{[9
]}

机构：

[1] Department of Nursing, University of the Highlands and Islands, Centre for Health Sciences, Old Perth Road, Inverness

[2] School of Life Science Sport and Social Science, Edinburgh Napier University, Edinburgh

[3] Department of Behavioural Science and Health, University College London, 1-19 Torrington Place, London

[4] Prevent Breast Cancer Research Unit, Nightingale Centre, Wythenshawe Hospital, Manchester

[5] Division of Health Research, Rural Health and Wellbeing, University of the Highlands and Islands, An Lòchran, Inverness Campus, Inverness

[6] Highland Breast Centre, NHS Highland, Raigmore Hospital, Old Perth Road, Inverness

[7] National Cancer Research Institute, Clinical Studies Group, 407 St John Street, London

[8] School of Health Sciences, Ulster University, Jordanstown Campus, Shore Road 7, Newtown Abbey, County Antrim, Northern Ireland

[9] School of Medicine Medical and Biological Sciences, University of St.Andrews, North Haugh, St.Andrews

来源：

Pilot and Feasibility Studies | / 4卷 / 1期

关键词：

Breast cancer; Cancer survivorship; Complex intervention; Health behaviour; Physical activity; Rehabilitation;

D O I：

10.1186/s40814-018-0297-1

中图分类号：

学科分类号：

摘要：

Background: Physical activity (PA) programmes effective under 'research' conditions may not be effective under 'real-world' conditions. A potential solution is to refer patients to existing PA community-based PA services. Methods: A process evaluation of referral of post-surgical patients with early-stage breast cancer to cardiac rehabilitation exercise classes, leisure centre with 3-month free leisure centre membership or telephone-delivered PA consultations for 12 weeks. Quantitative data were collected about PA programme uptake and reach, patient engagement with the PA programme, delivery and fidelity and PA dose. Qualitative data were collected about patient experiences of taking part in the PA programmes. Audio-recorded qualitative interviews of participants about the programmes were analysed thematically. Quantitative data were reported descriptively using means and SD. Results: In Phase I, 30% (n = 20) of eligible patients (n = 20) consented, 85% (n = 17) chose referral to leisure centre, and 15% (n = 3) chose cardiac rehabilitation. In Phase II, 32% (n = 12) consented, 25% (n = 3) chose leisure centre and 75% (n = 9) chose telephone-delivered PA consultations. Walking at light intensity for about an hour was the most common PA. All Phase I participants received an induction by a cardiac rehabilitation physiotherapist or PA specialist from the leisure centre but only 50% of Phase II participants received an induction by a PA specialist from the leisure centre. Four themes were identified from qualitative interviews about programme choice: Concerns about physical appearance, travel distance, willingness to socialise and flexibility in relation to doing PA. Four themes were identified about facilitators and barriers for engaging in PA: Feeling better, feeling ill, weight management, family and friends. Conclusions: The current community-based PA intervention is not yet suitable for a definitive effectiveness randomised controlled trial. Further work is needed to optimise PR programme reach, PA dose and intervention fidelity. © The Author(s) 2018.

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