Haberlin Ciaran, O' Donnell Dearbhaile M, Moran Jonathan, Broderick Julie
Discipline of Physiotherapy, School of Medicine, Trinity College Dublin, University of Dublin, Dublin, Ireland.
Department of Medical Oncology, St. James's Hospital, Dublin, Ireland.
JMIR Cancer. 2020 Apr 28;6(1):e16469. doi: 10.2196/16469.
Achieving adequate levels of physical activity (PA) is especially important for cancer survivors to mitigate the side effects of cancer and its treatment as well as for other health benefits. Electronic health (eHealth)-based PA interventions may offer feasible alternatives to traditionally delivered programs and optimize physical recovery after a cancer diagnosis, but perspectives of cancer survivors on this new delivery medium have not been extensively explored.
The overall aim was to explore participants' perspectives of eHealth-enabled PA interventions to inform the design of a future intervention among cancer survivors.
The study took place in a designated cancer center in Dublin, Ireland. A preceding questionnaire-based study was conducted primarily to establish interest in participating in subsequent eHealth-based studies. A follow-on focus group study was conducted to explore the concept of eHealth-based PA interventions for cancer survivors. The data were analyzed using thematic analysis.
The questionnaire-based study (N=102) indicated that participants had a high level of interest in participating in follow-on eHealth-based studies. The focus group study (n=23) indicated that, despite some trepidation, overall positivity was expressed by participants toward the concept of eHealth-based PA interventions. Four themes were generated: (1) Health impact, including PA as a barrier and as a motivating factor, (2) Education needs, which emphasized the need for integrated information about PA and to increase technical literacy, (3) Goal setting, which should be integrated within the technical specification as a motivating factor, and (4) Support needs, as well as the importance of personalized human interaction, in tandem with technology.
Qualitative research at the pretrial phase adds value to the design of a complex intervention and is especially useful in an area such as eHealth. The findings highlighted an interest in participating in eHealth-focused research as well as barriers, training needs, and key design features that can be applied to optimize the design of future eHealth-based PA interventions in cancer.
达到足够的身体活动水平对癌症幸存者减轻癌症及其治疗的副作用以及获得其他健康益处尤为重要。基于电子健康（eHealth）的身体活动干预可能为传统提供的项目提供可行的替代方案，并优化癌症诊断后的身体恢复，但癌症幸存者对这种新的交付媒介的看法尚未得到广泛探讨。
总体目标是探索参与者对基于eHealth的身体活动干预的看法，以为未来癌症幸存者干预措施的设计提供信息。
该研究在爱尔兰都柏林的一个指定癌症中心进行。之前进行了一项基于问卷的研究，主要是为了确定参与后续基于eHealth研究的兴趣。随后进行了焦点小组研究，以探讨针对癌症幸存者的基于eHealth的身体活动干预概念。使用主题分析法对数据进行分析。
基于问卷的研究（N = 102）表明，参与者对参与后续基于eHealth的研究兴趣浓厚。焦点小组研究（n = 23）表明尽管有些担忧，但参与者对基于eHealth的身体活动干预概念总体上持积极态度。产生了四个主题：（1）健康影响，包括身体活动是障碍还是激励因素；（2）教育需求，强调需要关于身体活动的综合信息并提高技术素养；（3）目标设定，应作为激励因素纳入技术规范；（4）支持需求，以及个性化人际互动与技术相结合的重要性。
审前阶段的定性研究为复杂干预措施的设计增添价值，在eHealth等领域尤其有用。研究结果突出了参与以eHealth为重点的研究的兴趣以及障碍、培训需求和关键设计特征，可应用这些来优化未来针对癌症患者的基于eHealth的身体活动干预措施的设计。
