Centre for Physical Activity Research, Rigshospitalet, Copenhagen, Denmark.
Copenhagen Centre for Cancer and Health, Municipality of Copenhagen, Copenhagen, Denmark.
J Med Internet Res. 2020 Aug 5;22(8):e15335. doi: 10.2196/15335.
Physical activity is associated with a positive prognosis in cancer survivors and may decrease the risk of adverse effects of treatment. Accordingly, physical activity programs are recommended as a part of cancer rehabilitation services. Digital technology may support cancer survivors in increasing their level of physical activity and increase the reach or efficiency of cancer rehabilitation services, yet it also comes with a range of challenges.
The aim of this qualitative study was to explore cancer survivors' receptiveness to using digital technology as a mode of support to increase their physical activity in a municipality-based cancer rehabilitation setting.
Semistructured interviews were conducted with 11 cancer survivors (3 males, 8 females, age range 32-82 years) who were referred for cancer rehabilitation and had participated in a questionnaire survey using the Readiness and Enablement Index for Health Technology (READHY) questionnaire. Data analysis was based on the content analysis method.
Two themes were identified as important for the interviewees' receptiveness to using digital technology services in connection with their physical activity during rehabilitation: their attitude toward physical activity and their attitude toward digital technology-assisted physical activity. Our results indicated that it is important to address the cancer survivors' motivation for using technology for physical activity and their individual preferences in terms of the following: (1) incidental or structured (eg, cardiovascular and strength exercises or disease-specific rehabilitative exercises) physical activity; (2) social or individual context; and (3) instruction (know-how) or information (know-why).
The identified preferences provide new insight that complements the cancer survivors' readiness level and can likely help designers, service providers, and caregivers provide solutions that increase patient receptiveness toward technology-assisted physical activity. Combining digital technology informed by cancer survivors' needs, preferences, and readiness with the capacity building of the workforce can aid in tailoring digital solutions to suit not only individuals who are receptive to using such technologies but also those reluctant to do so.
身体活动与癌症幸存者的良好预后相关，并且可能降低治疗不良反应的风险。因此，身体活动方案被推荐作为癌症康复服务的一部分。数字技术可以支持癌症幸存者提高身体活动水平，并增加癌症康复服务的覆盖范围或效率，但它也带来了一系列挑战。
本定性研究的目的是探讨癌症幸存者在基于市的癌症康复环境中接受使用数字技术作为支持来增加身体活动的程度。
对 11 名癌症幸存者（3 名男性，8 名女性；年龄 32-82 岁）进行了半结构式访谈，这些幸存者被转介到癌症康复中，并使用健康技术准备度和赋权指数（READHY）问卷进行了问卷调查。数据分析基于内容分析法。
确定了两个主题，这些主题对于参与者接受在康复期间使用数字技术服务来提高身体活动的程度很重要：他们对身体活动的态度和他们对数字技术辅助身体活动的态度。我们的研究结果表明，重要的是要解决癌症幸存者使用技术进行身体活动的动机以及他们在以下方面的个人偏好：（1）偶然的或结构化的（例如，心血管和力量练习或特定于疾病的康复练习）身体活动；（2）社会或个人背景；（3）指导（知识）或信息（原因）。
确定的偏好提供了新的见解，补充了癌症幸存者的准备水平，并且可能有助于设计师、服务提供商和护理人员提供解决方案，以提高患者对技术辅助身体活动的接受程度。将癌症幸存者的需求、偏好和准备情况与劳动力能力建设相结合的数字技术可以帮助定制数字解决方案，不仅适用于愿意使用此类技术的个人，也适用于不愿意使用此类技术的个人。
