“这是我在家做的运动”：探索肿瘤学中居家运动参与的环境影响。
"This is my home-based exercise": exploring environmental influences on home-based exercise participation in oncology.
机构信息
Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord St, Toronto, Ontario, M5S 2W6, Canada.
Department of Supportive Care, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
出版信息
Support Care Cancer. 2021 Jun;29(6):3245-3255. doi: 10.1007/s00520-020-05843-w. Epub 2020 Oct 23.
PURPOSE
Home-based exercise interventions offer many health benefits; however, the environments that constitute home-based exercise are not well-understood. The purpose of this study was to explore what constitutes the "home" for cancer survivors engaging in home-based exercise and identify factors of the environment that may impact exercise participation.
METHODS
We conducted a qualitative exploratory study of cancer survivors receiving a home-based exercise prescription to manage their cancer-related impairments. Semi-structured interviews included photo elicitation to actively involve participants in the interview process and provide opportunities to visually "observe" environments utilized for home-based exercise.
RESULTS
Sixteen participants were interviewed (n = 11 women, median age = 53.5, range = 26-74 years) and three themes emerged: (1) reasons for participating in a home-based exercise program; (2) physical environmental influences and preferences; and (3) social environmental influences and preferences. The ability to self-manage exercise and accommodate competing demands, having access to exercise facilities, feeling comfortable exercising without qualified supervision, and a desire for autonomy were reasons home-based exercise programs were preferred. Participants reported that the physical environment influenced their experience with home-based exercise and sub-themes related to a dynamic environment, indoor and outdoor characteristics, and aesthetics were identified. The social environment, with sub-themes associated with the presence of people, social climate, exercise modeling, connection, and exercise support, also related to exercise behavior.
CONCLUSION
The findings highlight the influence of the physical and social environment on exercise prescription engagement. They further indicate the need for exercise professionals to consider the environment for exercise when delivering home-based exercise interventions.
目的
家庭锻炼干预措施有许多健康益处；然而，构成家庭锻炼的环境还没有得到很好的理解。本研究的目的是探讨参与家庭锻炼的癌症幸存者的“家”是什么，并确定环境中的哪些因素可能会影响锻炼参与度。
方法
我们对接受家庭锻炼处方以管理其与癌症相关的障碍的癌症幸存者进行了一项定性探索性研究。半结构式访谈包括照片启发法，以使参与者积极参与访谈过程，并提供机会从视觉上“观察”用于家庭锻炼的环境。
结果
对 16 名参与者进行了访谈（n = 11 名女性，中位年龄为 53.5 岁，范围为 26-74 岁），出现了三个主题：（1）参与家庭锻炼计划的原因；（2）物理环境影响和偏好；（3）社会环境影响和偏好。能够自我管理锻炼并适应竞争需求、能够获得锻炼设施、在没有合格监督的情况下舒适地锻炼、以及渴望自主是选择家庭锻炼计划的原因。参与者报告说，物理环境影响了他们的家庭锻炼体验，并确定了与动态环境、室内和室外特征以及美学相关的子主题。社会环境也与人际关系、社会氛围、锻炼模式、联系和锻炼支持有关，也与锻炼行为有关。
结论
研究结果强调了物理和社会环境对锻炼处方参与度的影响。他们进一步表明，运动专业人员在提供家庭锻炼干预措施时，需要考虑锻炼环境。
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