Author Affiliations: Centre for Crisis Psychology, University of Bergen (Dr Ahmedzai, Profs Hauken and Oldervoll), Norway; and The Healthy Life Centre, Askøy District Council (Ms Sweetmore), Norway.
Cancer Nurs. 2024;47(2):E123-E133. doi: 10.1097/NCC.0000000000001161. Epub 2022 Dec 11.
Cancer survival is often accompanied by late effects that can be mitigated by tailored rehabilitation. In Norway, this has traditionally been offered as residential programs, whereas community-based cancer rehabilitation programs are lacking.
This study aimed to assess the feasibility and acceptability of a newly developed community-based multidimensional cancer rehabilitation program in Norway.
A feasibility study with a mixed methods explanatory sequential design was implemented. The intervention was a 12-week group-based rehabilitation program comprising 5 components: goal setting, physical exercise, psychoeducation, individual follow-up consultations, and peer support. Feasibility was assessed through recruitment, retention, and intervention delivery. Acceptability was assessed through intervention adherence and participant evaluation. Qualitative data were generated from focus group interviews. Statistical analyses were descriptive, and qualitative data were transcribed and analyzed using framework analyses.
Sixty participants started, and 55 completed the 12-week rehabilitation program. The majority were female (80%), and the mean age was 56 years. The largest diagnostic group was breast cancer (42%). Retention was high (92%), as were adherence rates for all intervention components. The exercise component was rated the most beneficial, followed by individual consultations and peer support. Qualitative findings contributed to explaining the high adherence and positive evaluation.
High retention, strong adherence, and positive evaluation imply that the community-based program was feasible and acceptable to cancer survivors.
The results will aid intervention refinement and contribute to a future randomized controlled trial to examine its effectiveness. If successful, the rehabilitation program could be implemented in the Norwegian Cancer Pathway "Home."
癌症患者的存活期常伴有晚期副作用，而这些副作用可以通过定制康复来减轻。在挪威，这传统上是通过住院项目来提供的，而缺乏基于社区的癌症康复项目。
本研究旨在评估在挪威新开发的基于社区的多维癌症康复项目的可行性和可接受性。
采用混合方法解释性序贯设计实施了一项可行性研究。干预措施是一个为期 12 周的基于小组的康复计划，包括 5 个组成部分：目标设定、体育锻炼、心理教育、个人随访咨询和同伴支持。通过招募、保留和干预交付来评估可行性。通过干预依从性和参与者评估来评估可接受性。定性数据来自焦点小组访谈。统计分析是描述性的，定性数据通过框架分析进行转录和分析。
60 名参与者开始参加，55 名参与者完成了 12 周的康复计划。大多数参与者为女性（80%），平均年龄为 56 岁。最大的诊断组是乳腺癌（42%）。保留率很高（92%），所有干预组成部分的依从率也很高。运动组成部分被评为最有益的，其次是个人咨询和同伴支持。定性发现有助于解释高依从性和积极评价。
高保留率、高依从性和积极评价意味着基于社区的项目对癌症幸存者是可行和可接受的。
研究结果将有助于干预措施的改进，并为未来的随机对照试验提供参考，以检验其有效性。如果成功，康复计划可以在挪威癌症路径“居家”中实施。
