Burgess Nicola, Retica Sarah, Capron Kristen, Dionysus Atalanti, Edbrooke Lara, Berney Sue, Berlowitz David, Graco Marnie
Department of Physiotherapy, Melbourne School of Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.
Department of Physiotherapy, Austin Health, Heidelberg, Australia.
Support Care Cancer. 2025 Jan 2;33(1):66. doi: 10.1007/s00520-024-09048-3.
Exercising during cancer treatment reduces fatigue, improves quality of life, and increases survival, yet 60-70% of Australians undergoing cancer treatment do not meet current physical activity (PA) recommendations. This study aimed to explore barriers and enablers to PA amongst people undergoing cancer treatment and develop a video resource targeting these barriers.
The study was guided by the capability, opportunity, motivation, behaviour (COM-B) and behaviour change wheel (BCW) frameworks. Focus groups were conducted with people undergoing cancer treatment. Thematic analysis of qualitative data generated themes representing barriers and enablers to PA which were mapped to behaviour change techniques (BCTs) and incorporated into a video.
Four focus groups were conducted with 15 participants (mean age 57, range 21-75). Eighteen themes were generated and mapped to six domains of the COM-B. The main barriers to exercise were physical (cancer-related fatigue), psychological (fear of overexertion), and inconsistent messaging. Enabling factors included accessible information about PA and incorporating PA into the care plan. Six BCTs were identified: information about health consequences; information about emotional consequences; demonstration of the behaviour; social comparison; information about others' approval; and credible source. These were incorporated into the production of an 11-minute video.
This research facilitated development of a novel, theory-informed video aimed at improving uptake of PA amongst people undergoing cancer treatment. Evaluating the acceptability and effectiveness of the video is needed to support implementation of this intervention into standard care.
Incorporating BCTs into a video promoting PA may enhance PA uptake and health outcomes for people undergoing cancer treatment.
在癌症治疗期间进行锻炼可减轻疲劳、改善生活质量并提高生存率，然而60%至70%接受癌症治疗的澳大利亚人未达到当前的身体活动（PA）建议。本研究旨在探索癌症治疗患者进行身体活动的障碍和促进因素，并针对这些障碍开发一个视频资源。
该研究以能力、机会、动机、行为（COM-B）和行为改变轮（BCW）框架为指导。对癌症治疗患者进行了焦点小组访谈。对定性数据进行主题分析，得出代表身体活动障碍和促进因素的主题，这些主题被映射到行为改变技术（BCTs）并纳入一个视频中。
对15名参与者（平均年龄57岁，范围21至75岁）进行了四个焦点小组访谈。产生了18个主题，并映射到COM-B的六个领域。锻炼的主要障碍包括身体方面（与癌症相关的疲劳）、心理方面（害怕过度劳累）以及信息不一致。促进因素包括关于身体活动的可获取信息以及将身体活动纳入护理计划。确定了六种行为改变技术：关于健康后果的信息；关于情感后果的信息；行为示范；社会比较；关于他人认可的信息；以及可靠来源。这些被纳入了一个11分钟视频的制作中。
本研究促进了一个新颖的、基于理论的视频的开发，旨在提高癌症治疗患者对身体活动的参与度。需要评估该视频的可接受性和有效性，以支持将此干预措施纳入标准护理。
将行为改变技术纳入促进身体活动的视频中，可能会提高癌症治疗患者对身体活动的参与度和健康结果。
