School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Support Care Cancer. 2023 Jan 26;31(2):136. doi: 10.1007/s00520-023-07601-0.
To identify physical activity (PA) barriers and facilitators among Black and African American (Black/AA) cancer survivors that should be considered in future PA intervention development for this population.
A community advisory board (CAB) of Black/AA cancer survivors and patient advocates guided in-depth qualitative interviews (n = 19) that were completed via telephone using a semi-structured interview guide. Interviews were transcribed verbatim, and data were analyzed using directed content analysis to detail a report of PA barriers and facilitators during and after cancer treatment. The CAB reviewed and interpreted these barriers and facilitators to identify the final results.
Survivors (n = 19) of nine different types of cancer completed interviews. PA barriers during cancer treatments included physical and psychological suffering. PA barriers after cancer treatments included social and environmental constraints (e.g., lack of access needed for PA, safety concerns, and competing priorities). PA facilitators both during and after cancer treatments included family support, faith, and support from other survivors. PA facilitators during treatment also included feeling better after doing PA, setting realistic and flexible goals, and gaining a sense of control of one's health by striving for PA goals.
To increase PA among Black/AA cancer survivors, PA interventions are needed that address structural barriers, include the role of faith, leverage family support, highlight the psychological benefits of PA, and use goal setting.
确定在未来针对这一人群的 PA 干预措施的发展中应考虑的黑人和非裔美国人（黑/非裔美国人）癌症幸存者的 PA 障碍和促进因素。
一个由黑/非裔美国人癌症幸存者和患者权益倡导者组成的社区咨询委员会（CAB）指导了深入的定性访谈（n=19），这些访谈通过电话使用半结构化访谈指南进行。访谈逐字转录，使用定向内容分析对数据进行分析，以详细描述癌症治疗期间和之后 PA 的障碍和促进因素。CAB 审查并解释了这些障碍和促进因素，以确定最终结果。
来自九种不同类型癌症的幸存者（n=19）完成了访谈。癌症治疗期间的 PA 障碍包括身体和心理上的痛苦。癌症治疗后的 PA 障碍包括社会和环境限制（例如，缺乏进行 PA 所需的机会、安全问题和优先事项冲突）。癌症治疗期间和之后的 PA 促进因素包括家庭支持、信仰和其他幸存者的支持。治疗期间的 PA 促进因素还包括在进行 PA 后感觉更好、设定现实和灵活的目标，以及通过努力实现 PA 目标获得对自己健康的控制感。
为了增加黑/非裔美国人癌症幸存者的 PA，需要采取干预措施来解决结构性障碍，包括信仰的作用，利用家庭支持，强调 PA 的心理益处，并使用目标设定。
