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Implementing physical activity programs for patients with cancer in current practice: patients’ experienced barriers and facilitators
PURPOSE: The present study aimed to identify patients’ experienced barriers and facilitators in implementing physical activity programs for patients with cancer. METHODS: We interviewed 34 patients in focus-group-interviews from three different hospital-types. We included patients with cancer who we...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6828940/ https://www.ncbi.nlm.nih.gov/pubmed/31347009 http://dx.doi.org/10.1007/s11764-019-00789-3 |
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author | IJsbrandy, Charlotte Hermens, Rosella P. M. G. Boerboom, Laura W. M. Gerritsen, Winald R. van Harten, Wim H. Ottevanger, Petronella B. |
author_facet | IJsbrandy, Charlotte Hermens, Rosella P. M. G. Boerboom, Laura W. M. Gerritsen, Winald R. van Harten, Wim H. Ottevanger, Petronella B. |
author_sort | IJsbrandy, Charlotte |
collection | PubMed |
description | PURPOSE: The present study aimed to identify patients’ experienced barriers and facilitators in implementing physical activity programs for patients with cancer. METHODS: We interviewed 34 patients in focus-group-interviews from three different hospital-types. We included patients with cancer who were either receiving curative treatment or had recently completed it. Barriers and facilitators were explored in six domains: (1) physical activity programs, (2) patients, (3) healthcare professionals (HCPs), (4) social setting, (5) organization, and (6) law and governance. RESULTS: We found 12 barriers and 1 facilitator that affect the implementation of physical activity programs. In the domain of physical activity programs, the barrier was physical activity programs not being tailored to the patient’s needs. In the domain of patients, lacking responsibility for one’s own health was a barrier. Knowledge and skills for physical activity programs and non-commitment of HCPs impeded implementation in the domain of HCPs. Barriers in the domain of organization included inconvenient place, time of day, and point in the health treatment schedule for offering the physical activity programs, inadequate capacity, inaccessibility of contact persons, lack of information about physical activity programs, non-involvement of the general practitioner in the cancer care process, and poor communication between secondary and primary HCPs. Insufficient insurance-coverage of physical activity programs was a barrier in the domain of law and governance. In the domain of physical activity programs, contact with peers facilitated implementation. We found no barriers or facilitators at the social setting. CONCLUSIONS: Factors affecting the implementation of physical activity programs occurred in various domains. Most of the barriers occurred in the domain of organization. IMPLICATIONS FOR CANCER SURVIVORS: An implementation strategy that deals with the barriers might improve the implementation of physical activity programs and quality of life of cancer survivors. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11764-019-00789-3) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6828940 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-68289402019-11-18 Implementing physical activity programs for patients with cancer in current practice: patients’ experienced barriers and facilitators IJsbrandy, Charlotte Hermens, Rosella P. M. G. Boerboom, Laura W. M. Gerritsen, Winald R. van Harten, Wim H. Ottevanger, Petronella B. J Cancer Surviv Article PURPOSE: The present study aimed to identify patients’ experienced barriers and facilitators in implementing physical activity programs for patients with cancer. METHODS: We interviewed 34 patients in focus-group-interviews from three different hospital-types. We included patients with cancer who were either receiving curative treatment or had recently completed it. Barriers and facilitators were explored in six domains: (1) physical activity programs, (2) patients, (3) healthcare professionals (HCPs), (4) social setting, (5) organization, and (6) law and governance. RESULTS: We found 12 barriers and 1 facilitator that affect the implementation of physical activity programs. In the domain of physical activity programs, the barrier was physical activity programs not being tailored to the patient’s needs. In the domain of patients, lacking responsibility for one’s own health was a barrier. Knowledge and skills for physical activity programs and non-commitment of HCPs impeded implementation in the domain of HCPs. Barriers in the domain of organization included inconvenient place, time of day, and point in the health treatment schedule for offering the physical activity programs, inadequate capacity, inaccessibility of contact persons, lack of information about physical activity programs, non-involvement of the general practitioner in the cancer care process, and poor communication between secondary and primary HCPs. Insufficient insurance-coverage of physical activity programs was a barrier in the domain of law and governance. In the domain of physical activity programs, contact with peers facilitated implementation. We found no barriers or facilitators at the social setting. CONCLUSIONS: Factors affecting the implementation of physical activity programs occurred in various domains. Most of the barriers occurred in the domain of organization. IMPLICATIONS FOR CANCER SURVIVORS: An implementation strategy that deals with the barriers might improve the implementation of physical activity programs and quality of life of cancer survivors. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11764-019-00789-3) contains supplementary material, which is available to authorized users. Springer US 2019-07-25 2019 /pmc/articles/PMC6828940/ /pubmed/31347009 http://dx.doi.org/10.1007/s11764-019-00789-3 Text en © The Author(s) 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Article IJsbrandy, Charlotte Hermens, Rosella P. M. G. Boerboom, Laura W. M. Gerritsen, Winald R. van Harten, Wim H. Ottevanger, Petronella B. Implementing physical activity programs for patients with cancer in current practice: patients’ experienced barriers and facilitators |
title | Implementing physical activity programs for patients with cancer in current practice: patients’ experienced barriers and facilitators |
title_full | Implementing physical activity programs for patients with cancer in current practice: patients’ experienced barriers and facilitators |
title_fullStr | Implementing physical activity programs for patients with cancer in current practice: patients’ experienced barriers and facilitators |
title_full_unstemmed | Implementing physical activity programs for patients with cancer in current practice: patients’ experienced barriers and facilitators |
title_short | Implementing physical activity programs for patients with cancer in current practice: patients’ experienced barriers and facilitators |
title_sort | implementing physical activity programs for patients with cancer in current practice: patients’ experienced barriers and facilitators |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6828940/ https://www.ncbi.nlm.nih.gov/pubmed/31347009 http://dx.doi.org/10.1007/s11764-019-00789-3 |
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