Department of Health and Exercise Science, Colorado State University, Fort Collins, CO 80523, USA.
Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL 35205, USA.
Int J Environ Res Public Health. 2021 Dec 2;18(23):12705. doi: 10.3390/ijerph182312705.
This study examined the feasibility and acceptability of implementing research-tested physical activity (PA) behavior change counseling (BCC) sessions in an existing cancer-exercise program, and the preliminary effects on cancer survivor's self-efficacy and PA.
Participants were cancer survivors undergoing or within six-months of completing cancer treatment(s), and exercise program staff. Cancer survivors were randomized to receive the exercise program plus PABCC, or the standard exercise program. Feasibility and acceptability were assessed by recruitment, adherence, satisfaction, and a focus group with program staff. Qualitative data were analyzed using descriptive thematic analysis. Self-report questionnaires measured PA and exercise self-efficacy.
Recruitment was 33 out of 93 (36.7%), and = 13 (39%) provided post-program data. Cancer survivors enjoyed PABCC sessions, but reported face-to-face delivery was an added time burden. Program staff expressed desire to implement PABCC, but perceived staff capacity and time as barriers to sustainability. Exercise self-efficacy increased by 21.5% in the PABCC group vs. 4.2% in the control. PA increased by 81.3% in the PABCC group vs. 16.6% in the control group.
Implementing PABCC in an existing cancer-exercise program was acceptable and promising for increasing moderate to vigorous PA, but additional research is needed to enhance the feasibility and sustainability of translating efficacious behavioral interventions into existing cancer-exercise programs.
本研究旨在探讨在现有的癌症运动项目中实施经研究验证的体力活动（PA）行为改变咨询（BCC）方案的可行性和可接受性，以及其对癌症幸存者自我效能感和 PA 的初步影响。
参与者为正在接受或在完成癌症治疗后六个月内接受治疗的癌症幸存者，以及运动项目工作人员。将癌症幸存者随机分配接受运动项目加 PABCC 或标准运动项目。通过招募、依从性、满意度和与项目工作人员的焦点小组来评估可行性和可接受性。使用描述性主题分析对定性数据进行分析。自我报告问卷测量 PA 和运动自我效能感。
招募了 93 名参与者中的 33 名（36.7%），有 13 名（39%）提供了项目后数据。癌症幸存者喜欢 PABCC 课程，但报告称面对面授课是额外的时间负担。项目工作人员表示希望实施 PABCC，但认为工作人员能力和时间是可持续性的障碍。PABCC 组的运动自我效能感增加了 21.5%，而对照组仅增加了 4.2%。PABCC 组的 PA 增加了 81.3%，而对照组仅增加了 16.6%。
在现有的癌症运动项目中实施 PABCC 是可行且有前途的，可以增加中等至剧烈的 PA，但需要进一步研究来提高将有效的行为干预措施转化为现有的癌症运动项目的可行性和可持续性。
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