School of Kinesiology and Health Studies, Queen's University, 28 Division Street, Kingston, ON, Canada, K7L 3N6.
Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord Street, Toronto, ON, Canada, M5S 2W6.
Support Care Cancer. 2023 Oct 17;31(12):635. doi: 10.1007/s00520-023-08089-4.
Connecting persons with cancer to exercise resources and/or supports requires a diverse team of professionals. As such, there is merit to engaging multiple individuals or "partners" along the cancer pathway to explore the relevant features of community-based exercise program (CBEP) design. The purpose of this study was to explore multi-partner perspectives to CBEP design for persons diagnosed with breast cancer (PWBC) to inform the implementation of a CBEP in a local setting.
PWBC, health care professionals and qualified exercise professionals participated in one of four 60-min focus group discussions. Rich dialogue about preferred program environments, program delivery teams, and core program practices was encouraged using a semi-structured discussion guide. Focus groups were audio recorded, transcribed verbatim, and analyzed using inductive thematic analysis.
Five main themes were identified based on focus group discussions, each pointing to an important feature of CBEP design for PWBC. Themes included the desire for CBEPs to incorporate elements designed to improve cancer literacy, provide opportunities to participate with peers, foster self-efficacy, prioritize program accessibility, and meaningfully integrate CBEPs within a network of supportive cancer care.
The collective effect of fostering such elements in CBEPs may serve to increase the uptake and maintenance of exercise among PWBC; ultimately enhancing their overall well-being and quality of life.
将癌症患者与锻炼资源和/或支持联系起来需要一支由专业人员组成的多元化团队。因此，沿着癌症治疗路径，让多个个体或“合作伙伴”参与进来，探索社区为基础的锻炼计划（CBEP）设计的相关特征是有价值的。本研究的目的是探索多伙伴视角对乳腺癌患者（PWBC）的 CBEP 设计，为在当地环境中实施 CBEP 提供信息。
PWBC、医疗保健专业人员和合格的运动专业人员参加了四个 60 分钟焦点小组讨论之一。使用半结构化讨论指南鼓励围绕首选的计划环境、计划实施团队和核心计划实践进行深入对话。焦点小组进行了录音、逐字转录，并使用归纳主题分析进行了分析。
根据焦点小组讨论确定了五个主要主题，每个主题都指向为 PWBC 设计 CBEP 的一个重要特征。主题包括希望 CBEP 纳入旨在提高癌症知识水平的元素，提供与同龄人参与的机会，培养自我效能感，优先考虑计划的可及性，并在支持性癌症护理网络中整合 CBEP。
在 CBEP 中培养这些要素的集体效果可能有助于增加 PWBC 对锻炼的参与度和维持度；最终提高他们的整体幸福感和生活质量。
