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Implementation of Physical Activity Programs for Rural Cancer Survivors: Challenges and Opportunities
Physical activity after cancer diagnosis has been consistently associated with improvements in quality of life and prognosis. However, few cancer survivors meet physical activity recommendations, and adherence is even lower among those living in rural settings. The purpose of this quasi-experimental...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8702182/ https://www.ncbi.nlm.nih.gov/pubmed/34948517 http://dx.doi.org/10.3390/ijerph182412909 |
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author | Hirko, Kelly A. Dorn, Joan M. Dearing, James W. Alfano, Catherine M. Wigton, Annemarie Schmitz, Kathryn H. |
author_facet | Hirko, Kelly A. Dorn, Joan M. Dearing, James W. Alfano, Catherine M. Wigton, Annemarie Schmitz, Kathryn H. |
author_sort | Hirko, Kelly A. |
collection | PubMed |
description | Physical activity after cancer diagnosis has been consistently associated with improvements in quality of life and prognosis. However, few cancer survivors meet physical activity recommendations, and adherence is even lower among those living in rural settings. The purpose of this quasi-experimental study was to evaluate the implementation of a clinic-based physical activity program for cancer survivors at a rural community oncology setting. We also examined changes in quality-of-life measures among 24 cancer survivors participating in the physical activity program and described challenges and opportunities to optimize future implementation efforts in rural settings. Significant pre- to post-program improvements in fatigue (5.5 to 6.8; p = 0.03), constipation (7.7 to 9.0; p = 0.02), pain (6.7 to 8.0; p = 0.007), and sleep quality (p = 0.008) were observed. Participants also reported improved nausea, stamina, depression, stress, and overall physical health after participation in the physical activity program, although the differences were not statistically significant (all p-values > 0.13). However, the reach of the physical activity program was limited, with only 0.59% of cancer survivors participating. Fidelity to the physical activity program was relatively high, with 72.7% of survivors participating in at least five classes. Our findings suggest that physical activity programs in oncological settings may need tailoring to effectively reach rural cancer survivors. |
format | Online Article Text |
id | pubmed-8702182 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87021822021-12-24 Implementation of Physical Activity Programs for Rural Cancer Survivors: Challenges and Opportunities Hirko, Kelly A. Dorn, Joan M. Dearing, James W. Alfano, Catherine M. Wigton, Annemarie Schmitz, Kathryn H. Int J Environ Res Public Health Communication Physical activity after cancer diagnosis has been consistently associated with improvements in quality of life and prognosis. However, few cancer survivors meet physical activity recommendations, and adherence is even lower among those living in rural settings. The purpose of this quasi-experimental study was to evaluate the implementation of a clinic-based physical activity program for cancer survivors at a rural community oncology setting. We also examined changes in quality-of-life measures among 24 cancer survivors participating in the physical activity program and described challenges and opportunities to optimize future implementation efforts in rural settings. Significant pre- to post-program improvements in fatigue (5.5 to 6.8; p = 0.03), constipation (7.7 to 9.0; p = 0.02), pain (6.7 to 8.0; p = 0.007), and sleep quality (p = 0.008) were observed. Participants also reported improved nausea, stamina, depression, stress, and overall physical health after participation in the physical activity program, although the differences were not statistically significant (all p-values > 0.13). However, the reach of the physical activity program was limited, with only 0.59% of cancer survivors participating. Fidelity to the physical activity program was relatively high, with 72.7% of survivors participating in at least five classes. Our findings suggest that physical activity programs in oncological settings may need tailoring to effectively reach rural cancer survivors. MDPI 2021-12-07 /pmc/articles/PMC8702182/ /pubmed/34948517 http://dx.doi.org/10.3390/ijerph182412909 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Communication Hirko, Kelly A. Dorn, Joan M. Dearing, James W. Alfano, Catherine M. Wigton, Annemarie Schmitz, Kathryn H. Implementation of Physical Activity Programs for Rural Cancer Survivors: Challenges and Opportunities |
title | Implementation of Physical Activity Programs for Rural Cancer Survivors: Challenges and Opportunities |
title_full | Implementation of Physical Activity Programs for Rural Cancer Survivors: Challenges and Opportunities |
title_fullStr | Implementation of Physical Activity Programs for Rural Cancer Survivors: Challenges and Opportunities |
title_full_unstemmed | Implementation of Physical Activity Programs for Rural Cancer Survivors: Challenges and Opportunities |
title_short | Implementation of Physical Activity Programs for Rural Cancer Survivors: Challenges and Opportunities |
title_sort | implementation of physical activity programs for rural cancer survivors: challenges and opportunities |
topic | Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8702182/ https://www.ncbi.nlm.nih.gov/pubmed/34948517 http://dx.doi.org/10.3390/ijerph182412909 |
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