癌症运动项目实施中的促进因素和障碍：加拿大的经验
Enablers and barriers in delivery of a cancer exercise program: the Canadian experience.
作者信息
Santa Mina D, Petrella A, Currie K L, Bietola K, Alibhai S M H, Trachtenberg J, Ritvo P, Matthew A G
机构信息
Princess Margaret Cancer Centre, Toronto, ON; ; University of Guelph-Humber, Toronto, ON; ; University of Toronto, Toronto, ON;
Princess Margaret Cancer Centre, Toronto, ON;
出版信息
Curr Oncol. 2015 Dec;22(6):374-84. doi: 10.3747/co.22.2650.
BACKGROUND
Exercise is an important therapy to improve well-being after a cancer diagnosis. Accordingly, cancer-exercise programs have been developed to enhance clinical care; however, few programs exist in Canada. Expansion of cancer-exercise programming depends on an understanding of the process of program implementation, as well as enablers and barriers to program success. Gaining knowledge from current professionals in cancer-exercise programs could serve to facilitate the necessary understanding.
METHODS
Key personnel from Canadian cancer-exercise programs (n = 14) participated in semistructured interviews about program development and delivery.
RESULTS
Content analysis revealed 13 categories and 15 subcategories, which were grouped by three organizing domains: Program Implementation, Program Enablers, and Program Barriers. ■ Program Implementation (5 categories, 8 subcategories) included Program Initiation (clinical care extension, research project expansion, program champion), Funding, Participant Intake (avenues of awareness, health and safety assessment), Active Programming (monitoring patient exercise progress, health care practitioner involvement, program composition), and Discharge and Follow-up Plan.■ Program Enablers (4 categories, 4 subcategories) included Patient Participation (personalized care, supportive network, personal control, awareness of benefits), Partnerships, Advocacy and Support, and Program Characteristics.■ Program Barriers (4 categories, 3 subcategories) included Lack of Funding, Lack of Physician Support, Deterrents to Participation (fear and shame, program location, competing interests), and Disease Progression and Treatment.
CONCLUSIONS
Interview results provided insight into the development and delivery of cancer-exercise programs in Canada and could be used to guide future program development and expansion in Canada.
背景
运动是改善癌症诊断后健康状况的重要疗法。因此，已经制定了癌症运动计划以加强临床护理；然而，加拿大此类计划较少。癌症运动计划的扩展取决于对计划实施过程以及计划成功的促进因素和障碍的理解。从当前癌症运动计划的专业人员那里获取知识有助于促成必要的理解。
方法
来自加拿大癌症运动计划（n = 14）的关键人员参与了关于计划开发和实施的半结构化访谈。
结果
内容分析揭示了13个类别和15个子类别，它们被分为三个组织领域：计划实施、计划促进因素和计划障碍。
计划实施（5个类别，8个子类别）包括计划启动（临床护理扩展、研究项目扩展、计划倡导者）、资金、参与者接纳（认知途径、健康和安全评估）、积极计划（监测患者运动进展、医疗保健从业者参与、计划构成）以及出院和随访计划。
计划促进因素（4个类别，4个子类别）包括患者参与（个性化护理、支持网络、个人控制、对益处的认知）、伙伴关系、宣传与支持以及计划特征。
计划障碍（4个类别，3个子类别）包括资金不足、医生支持不足、参与的阻碍因素（恐惧和羞耻、计划地点、利益冲突）以及疾病进展和治疗。
结论
访谈结果为加拿大癌症运动计划的开发和实施提供了见解，可用于指导加拿大未来的计划开发和扩展。
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