Bjerre Eik Dybboe, Leth Mette, Hammer Nanna Maria, Midtgaard Julie
The University Hospitals' Centre for Health Research, Copenhagen University Hospital Rigshospitalet, Department 9701, Blegdamsvej 9, DK-2100, Copenhagen Ø, Denmark.
Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, P.O. Box 2099, DK-1014, Copenhagen K, Denmark.
Sports Med Open. 2018 Jul 13;4(1):31. doi: 10.1186/s40798-018-0147-y.
While clinical trials have demonstrated the benefits of structured exercise for prostate cancer survivors, few attempts have been made to investigate and implement sustainable community-based exercise programs supporting adoption of long-term physical activity behavior. Against this background, the aims of this study was to explore the perspectives of experts and stakeholders on the development of a training course and intervention manual used to support the delivery of community-based soccer training in men with prostate cancer (the FC Prostate Community [FCPC] trial).
A two-step qualitative design including triangulation of methods, data sources, and researchers. Step 1 comprised key informant interviews with clinical and scientific experts (n = 4). Step 2 included stakeholder focus group interviews with nurses (n = 5), non-professional soccer coaches and club representatives (n = 5), and prostate cancer survivors (n = 7).
Four themes emerged from the analysis of the key informant interviews: The Coach's Qualifications, Structure of the Training, Prevention of Injuries, and A Non-Patient Environment, which informed development of the training course and intervention manual. The stakeholders added the importance of clarifying the Responsibility of the Coach, the value of Positive Competition, and Social Inclusion of the prostate cancer survivors in the club. Based on these results, we present the final templates for the training course and intervention manual.
No general set of rules or safety measures to promote or optimize the delivery of community-based exercise in cancer survivors is recommended. However, the general principles related to the necessary clarification of the coach's responsibility in relation to the prevention and management of injuries and participant adherence through a non-patient environment may be transferable to the training and education of other groups of lay persons in charge of delivering exercise interventions to other clinical subpopulations in a non-hospital setting.
虽然临床试验已证明结构化运动对前列腺癌幸存者有益，但很少有人尝试去研究和实施可持续的基于社区的运动项目，以支持长期身体活动行为的养成。在此背景下，本研究旨在探讨专家和利益相关者对开发一门培训课程和干预手册的看法，该课程和手册用于支持为前列腺癌男性提供基于社区的足球训练（FC前列腺社区[FCPC]试验）。
采用两步定性设计，包括方法、数据源和研究人员的三角互证。第一步包括对临床和科学专家进行关键信息人访谈（n = 4）。第二步包括与护士（n = 5）、非专业足球教练和俱乐部代表（n = 5）以及前列腺癌幸存者（n = 7）进行利益相关者焦点小组访谈。
对关键信息人访谈的分析得出了四个主题：教练资质、训练结构、预防损伤以及非患者环境，这些为培训课程和干预手册的开发提供了参考。利益相关者补充了明确教练职责的重要性、积极竞争的价值以及前列腺癌幸存者在俱乐部中的社会融入。基于这些结果，我们展示了培训课程和干预手册的最终模板。
不建议制定一套通用规则或安全措施来促进或优化为癌症幸存者提供的基于社区的运动项目。然而，与通过非患者环境明确教练在预防和管理损伤以及参与者依从性方面的责任相关的一般原则，可能适用于对负责在非医院环境中为其他临床亚人群提供运动干预的其他外行人团体的培训和教育。
