School of Rehabilitation Sciences, University of Ottawa, Ottawa, Canada.
Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.
Disabil Rehabil. 2024 Apr;46(8):1515-1526. doi: 10.1080/09638288.2023.2200037. Epub 2023 Apr 17.
Leisure-time physical activity (LTPA) can be beneficial for individuals with advanced cancer, but little is known on how to tailor rehabilitation strategies targeting LTPA in cancer care. Our objective was to explore perspectives and experiences of LTPA in people with stage 4 cancer.
Guided by interpretive-description methodology, our qualitative study consisted of individual, semi-structured interviews with 20 Canadian adults diagnosed with stage 4 cancer. Interviews were transcribed verbatim and analyzed inductively.
The participants' median age was 51.5 (range, 35-73) years. Cancer types included breast ( = 12), lung ( = 4), and other ( = 4). Participants highlighted their experiences of LTPA as diverse and complex, impacted by individual and cancer-related factors. They emphasized being intentional with LTPA through activity planning and modification. LTPA participation was linked to physical well-being, social connections, and meanings of accomplishment and loss. Many participants desired personalized support related to LTPA, that is integrated, interprofessional, and accessible in cancer care.
The experiences of LTPA for people with stage 4 cancer are personal and connected to health and psychosocial meanings. Further efforts in rehabilitation are needed to address the challenges faced by people with advanced cancer and optimize safe, meaningful participation in LTPA.IMPLICATIONS FOR REHABILITATIONExperiences of leisure-time physical activity in individuals with stage 4 cancer are personal and linked to health benefits and psychosocial meanings.Activity participation frequently involves consideration of cancer-related symptoms, management of risks, and intentional planning and modification of activities.Trained rehabilitation professionals integrated in cancer care may be well suited to support people with stage 4 cancer through personalized activity recommendations.This research can help inform future clinical, research, and educational efforts in rehabilitation aimed at targeting physical activity in individuals with advanced cancer.
休闲时间体力活动（LTPA）对晚期癌症患者可能有益，但针对癌症护理中 LTPA 的康复策略如何定制知之甚少。我们的目的是探讨晚期癌症患者 LTPA 的观点和经验。
本研究采用解释性描述方法，包括对 20 名加拿大成年晚期癌症患者的个体、半结构化访谈。访谈逐字转录，并进行归纳分析。
参与者的中位年龄为 51.5 岁（范围，35-73 岁）。癌症类型包括乳腺癌（ = 12）、肺癌（ = 4）和其他（ = 4）。参与者强调了他们的 LTPA 经验是多样化和复杂的，受到个人和癌症相关因素的影响。他们强调通过活动计划和修改来有意参与 LTPA。LTPA 参与与身体幸福感、社交联系以及成就和失落的意义有关。许多参与者希望在癌症护理中获得个性化的 LTPA 支持，这种支持是综合的、跨专业的、可及的。
晚期癌症患者的 LTPA 体验是个人化的，与健康和心理社会意义相关。需要进一步努力进行康复，以解决晚期癌症患者面临的挑战，并优化安全、有意义的 LTPA 参与。
晚期癌症患者的休闲时间体力活动体验是个人化的，与健康益处和心理社会意义相关。活动参与通常涉及考虑癌症相关症状、管理风险以及有意规划和修改活动。在癌症护理中受过培训的康复专业人员可能非常适合通过个性化的活动建议来支持晚期癌症患者。这项研究可以为未来旨在针对晚期癌症患者体力活动的康复临床、研究和教育工作提供信息。
