Factors influencing non-participation in an exercise program and attitudes towards physical activity amongst cancer survivors

Hardcastle, Sarah J.; Maxwell-Smith, Chloe; Kamarova, Sviatlana; Lamb, Stephanie; Millar, Lesley; Cohen, Paul A.

doi:10.1007/s00520-017-3952-9

Cited by 121Cancer survivorship and carePhysical Activity and HealthChildhood Cancer Survivors' Quality of Life

Factors influencing non-participation in an exercise program and attitudes towards physical activity amongst cancer survivors

Hardcastle, Sarah J., Maxwell-Smith, Chloe, Kamarova, Sviatlana, Lamb, Stephanie, Millar, Lesley, Cohen, Paul A.·2018·Supportive Care in Cancer

DOI 10.1007/s00520-017-3952-9

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Abstract

Purpose The purposes of this study are to investigate factors influencing non-participation in a structured exercise program for cancer survivors and to explore survivors' experiences and attitudes in relation to physical activity participation.Methods Face-to-face or telephone interviews were conducted with individuals who had registered for, or engaged in, the 'Life Now' exercise program run by Cancer Council Western Australia. Participants were 20 cancer survivors (mean age 63.90 years, SD 15.29) who had either cancelled their registration or withdrawn from the exercise program during the preceding 2 years. Interview transcripts were analysed using thematic analysis.Results Seven main themes emerged: availability of the program; access, time and cost; lack of motivation or confidence; unwell or fatigued; physical activity preferences; knowledge of physical activity guidelines; and lack of referral or advice. The main barriers were contextual and included availability of, and access to, the program. Participants expressed a preference for home-based physical activity.Conclusions Interventions aimed at promoting physical activity in cancer survivors should offer home-based programs and include referral and advice from oncologists.Implications for cancer survivors Increasing cancer survivors' participation in, and compliance with, exercise programs may require home-based strategies and referrals from oncologists to allied health professionals to individualise care.

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Reasons for a lack of regular exercise among people living with and beyond cancer are multifactorial, but multiple studies have documented a lack of recommendation from an oncology clinician.
“Reasons for a lack of regular exercise among people living with and beyond cancer are multifactorial, but multiple studies have documented a lack of recommendation from an oncology clinician.15-17”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [15]

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Authors: Hardcastle, S. J., Maxwell-Smith, C., Kamarova, S., Lamb, S., Millar, L., & Cohen, P. A.
Affiliations: Curtin University (AU)
Cancer Council Western Australia (AU)
St John of God Subiaco Hospital (AU)
Corresponding author: Hardcastle, Sarah J.
ORCID: Hardcastle, Sarah J.
Kamarova, Sviatlana
Cohen, Paul A.
Venue: Supportive Care in Cancer
Publisher: Springer Science and Business Media LLC
Published: 2017-10-31
Volume: 26
Issue: 4
Pages: 1289-1295
ISSN: 0941-4355 (ISSN-L)
1433-7339
DOI: 10.1007/s00520-017-3952-9
OpenAlex: W2766381104
Cited by: 121
References: 39
Citations by year: 2026: 5 · 2025: 15 · 2024: 11 · 2023: 21 · 2022: 20 · 2021: 17 · 2020: 17 · 2019: 11 · 2018: 3
FWCI: 3.76
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (unspecified)
Locations: Supportive Care in Cancer (publishedVersion)
PubMed (publishedVersion)
UWA Profiles and Research Repository (UWA) (submittedVersion)
eSpace (Curtin University) (submittedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Physiology › Physical Activity and Health
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords: cancer survivors, exercise participation, barriers to physical activity, attitudes toward physical activity, home-based exercise, exercise referral, fatigue
MeSH terms: Cancer Survivors, Adult, Aged, Aged, 80 and over, Exercise Therapy, Fatigue, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Motivation, Neoplasms, Patient Compliance, Western Australia, Exercise, Young Adult

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Factors influencing non-participation in an exercise program and attitudes towards physical activity amongst cancer survivors

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