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Cited by 30Cancer survivorship and carePhysical Activity and HealthCancer Risks and Factors

Physical activity levels and barriers to exercise referral among patients with cancer

Yang, Dorothy Daiyi, Hausien, Omar, Aqeel, Mohammed, Klonis, Alexios, Foster, Jo, Renshaw, Derek, Thomas, Robert·2017·Patient Education and Counseling
DOI 10.1016/j.pec.2017.01.019
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Abstract

Objective Physical activity after cancer is associated with a lower rate of adverse effects and better survival. The objectives of this study were to assess the exercise levels of people living with and beyond cancer attending a local oncology unit, and explore their attitudes to supervised exercise referral.Methods 134 patients attending the oncology unit over a 2 month period were approached to complete a questionnaire about their exercise levels and barriers to exercise.Results 12 of 114 (11%) patients were classed as active according to the General Practice Physical Activity Questionnaire. Despite receiving written and verbal explanations about the benefits of exercise, 44% of eligible patients declined exercise referral, with health concerns, time pressures, and the perception that they were already adequately exercising stated as the most common justifications. Overall, 82% met one or more of the current indications for the National Exercise Referral Scheme, so even in regions where the inclusion criteria have not been broadened to include cancer, this scheme is a practical option for most.Conclusion It is clear from these results that we are failing to motivate cancer patients into healthier lifestyles.Practice implications Further efforts are needed to determine and implement behavioural change strategies.

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  • Community-based programs are generally perceived to be more accessible and affordable and to reduce barriers of distance, cost, and time compared with HCP-supervised exercise programs.

    “Community-based programs are generally perceived to be more accessible and affordable and reduce the barriers of distance, cost, and time compared with participation in HCP-supervised exercise programs.74,75”

    From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [75]

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Authors
Yang, D. D., Hausien, O., Aqeel, M., Klonis, A., Foster, J., Renshaw, D., & Thomas, R.
Affiliations
  • University of Cambridge (GB)
  • Macmillan Cancer Support (GB)
  • Coventry University (GB)
  • Bedford Hospital NHS Trust (GB)
Corresponding author
  • Yang, Dorothy Daiyi
  • Thomas, Robert
ORCID
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2017-07
Volume
100
Issue
7
Pages
1402-1407
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/j.pec.2017.01.019
OpenAlex
W2585079779
Cited by
30
References
26
Citations by year
2026: 1 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 6 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 2
FWCI
1.69
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Patient Education and Counseling (publishedVersion)
  • PubMed (publishedVersion)
  • Coventry University Open Collections (Coventry university) (submittedVersion)
  • Pure (Coventry University) (submittedVersion)
  • The Open Collections (Coventry University) (submittedVersion)
Funders
Macmillan Cancer Support
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Oncology › Cancer Risks and Factors
Keywords
physical activity, exercise referral, cancer patients, barriers to exercise, supervised exercise, exercise participation, health behavior change
MeSH terms
Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Hospitals, Community, Humans, Life Style, Male, Middle Aged, Neoplasms, Patient Compliance, Referral and Consultation, Health Behavior, Exercise, Survivors, Intention

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