Department of Population Health Sciences, University of Wisconsin Madison, 610 Walnut St #707, Madison, WI, 53726, USA.
Department of Kinesiology, University of Wisconsin Madison, 1300 University Ave, Madison, WI, 53706, USA.
Support Care Cancer. 2024 Mar 22;32(4):242. doi: 10.1007/s00520-024-08440-3.
To identify cognitive, behavioral, environmental, and other factors that influence physical activity in adults with advanced cancer using qualitative, semi-structured interviews.
Eighteen semi-structured interviews were conducted with adults living with stage IV breast, prostate, or colorectal cancer; or multiple myeloma recruited from the University of Wisconsin Carbone Cancer Center. We used the Social Cognitive Theory to design the interview guide and a reflexive thematic approach for analysis.
Participants were 62 years old on average and currently receiving treatment. Despite reporting numerous barriers to physical activity, most participants discussed engaging in some physical activity. Participants reported difficulties coping with changes in physical functioning especially due to fatigue, weakness, neuropathy, and pain. While cold weather was seen as a deterrent for activity, access to sidewalks was a commonly reported feature of neighborhood conduciveness for physical activity. Regardless of current activity levels, adults with advanced cancer were interested in engaging in activities to meet their goals of gaining strength and maintaining independence. Having a conversation with a provider from their cancer care team about physical activity was seen as encouraging for pursuing some activity.
Adults living with advanced cancer are interested in pursuing activity to gain strength and maintain independence despite reported barriers to physical activity. To ensure patients are encouraged to be active, accessible resources, targeted referrals, and interventions designed to address their goals are critical next steps.
Integrating conversations about physical activity into oncology care for adults living with advanced cancer is an important next step to encourage patients to remain active and help them improve strength and maintain quality of life and independence.
使用定性、半结构化访谈，确定影响晚期癌症成人身体活动的认知、行为、环境和其他因素。
从威斯康星大学卡邦癌症中心招募了 18 名患有 IV 期乳腺癌、前列腺癌或结直肠癌或多发性骨髓瘤的成年人，进行了半结构化访谈。我们使用社会认知理论来设计访谈指南，并采用反思性主题分析方法进行分析。
参与者的平均年龄为 62 岁，目前正在接受治疗。尽管报告了许多身体活动的障碍，但大多数参与者都讨论了进行一些身体活动。参与者报告说，他们很难应对身体功能的变化，尤其是由于疲劳、虚弱、周围神经病变和疼痛。虽然寒冷的天气被视为活动的障碍，但有行人道是社区促进身体活动的一个常见特征。无论目前的活动水平如何，晚期癌症患者都有兴趣参与活动，以实现增强力量和保持独立性的目标。与癌症护理团队的提供者就身体活动进行对话被认为是鼓励他们进行一些活动的一种方式。
尽管存在身体活动的障碍，但患有晚期癌症的成年人仍有兴趣通过活动来增强力量和保持独立性。为了确保鼓励患者保持活跃，需要获得可及的资源、有针对性的转介以及旨在满足他们目标的干预措施。
将身体活动的对话纳入晚期癌症成人的肿瘤学护理是鼓励患者保持活跃、帮助他们增强力量、维持生活质量和独立性的重要下一步。
