Allied Health Clinical Research Office, Eastern Health, Box Hill, VIC, 3128, Australia.
School of Allied Health, La Trobe University, Bundoora, Australia.
Support Care Cancer. 2019 May;27(5):1729-1736. doi: 10.1007/s00520-018-4429-1. Epub 2018 Aug 22.
Exercise-based rehabilitation is not routinely offered to patients. We explored the experience of cancer survivors completing an exercise-based cancer rehabilitation program with and without motivational interviewing.
A qualitative study using semi-structured interviews and thematic analysis was completed with a purposive sample of 26 cancer survivors (n = 17 female, n = 18 post-treatment) participating in cancer rehabilitation at a tertiary hospital. Interviews were recorded and transcribed verbatim. Coding was completed by two reviewers independently and confirmed by a third reviewer.
The main theme that emerged was exercise-based rehabilitation facilitated a return to normality after diagnosis which included positive changes in physical activity behaviour. Sub-themes were that rehabilitation is person-centred, challenges expectations, empowering and facilitated by expert staff. Common themes emerged whether participants received additional motivational interviewing or not. However, participants who received motivational interviewing were more likely to report feeling accountable for their physical activity levels. Transition to ongoing independent physical activity remained a challenge for some people who did not feel empowered or socially supported.
Exercise-based cancer rehabilitation is important in facilitating 'return to normal' including increased participation in physical activity. To challenge expectations and to empower cancer survivors, rehabilitation programs should be person-centred and led by expert staff.
运动为基础的康复治疗通常不适用于患者。我们探讨了癌症幸存者在接受运动为基础的癌症康复治疗方案时，有无动机性访谈的体验。
采用半结构式访谈和主题分析的定性研究方法，对 26 名癌症幸存者（17 名女性，18 名治疗后）进行了研究，这些幸存者在一家三级医院参加癌症康复治疗。访谈进行了录音并逐字转录。两名评审员独立进行编码，并由第三名评审员确认。
出现的主要主题是，运动为基础的康复治疗有助于诊断后恢复正常，包括身体活动行为的积极变化。子主题是康复以人为中心，挑战预期，赋予权力，并由专业人员协助。无论参与者是否接受额外的动机性访谈，都会出现共同的主题。然而，接受动机性访谈的参与者更有可能报告对自己的身体活动水平负责。对于一些没有感到有能力或没有得到社会支持的人来说，过渡到持续的独立身体活动仍然是一个挑战。
运动为基础的癌症康复治疗对于促进“恢复正常”包括增加身体活动的参与非常重要。为了挑战预期并赋予癌症幸存者权力，康复计划应该以人为本，并由专业人员领导。
