Perceived facilitators and barriers to physical exercise adherence in esophageal cancer patients after surgery.

94 Background: To achieve optimal effects of exercise interventions in esophageal cancer patients, high adherence is needed. Knowledge on facilitators and barriers can help improving exercise adherence. Hence, the aim of this study is to evaluate perceived facilitators and barriers to physical exercise adherence in esophageal cancer patients in the first year after surgery. Methods: Semi-structured interviews were conducted with patients (n = 16) who were randomised to the exercise group of the Physical ExeRcise Following Esophageal Cancer Treatment (PERFECT) Study. Patients participated in a 12-week supervised combined aerobic and resistance exercise program twice weekly, and were advised to be physically active at least 30 minutes each day. Physiotherapists registered attendance at the supervised sessions and compliance (i.e., performing the exercises according to protocol). Transcribed interviews were analysed using a thematic content approach. Results: Median attendance was 97.9%, interquartile range (IQR): 91.7 – 100%. Median compliance to both components of the exercise program was high: 89.6% (IQR 75.5 – 95.8%) for aerobic exercise and 88.0% (IQR 73.8 – 93.6%) for resistance exercise. The most important perceived facilitators were patients’ own attitudes towards exercise (i.e. motivation, commitment and personal goals) and supervision by a physiotherapist. There were only few perceived barriers, of which the most frequently mentioned were logistic factors (i.e. holidays, conflicting activities and weather circumstances) and impaired physical condition due to regular endoscopic esophageal dilation therapy or general physical complaints, such as fatigue. Conclusions: Esophageal cancer patients after surgery are well capable to perform physical exercise with moderate-to-high intensity. The most important perceived facilitators for the high adherence rates are patients’ own attitudes towards exercise and supervision by a physiotherapist. Completion of the exercise program was only minimally affected by perceived barriers as logistic factors and physical complaints. This information can help in designing future exercise programs for clinical practice.

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POSITIVE study: physical exercise program in non-operable lung cancer patients undergoing palliative treatment

BMC Cancer ◽

10.1186/s12885-016-2561-1 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 16

Author(s):

Joachim Wiskemann ◽

Simone Hummler ◽

Christina Diepold ◽

Melanie Keil ◽

Ulrich Abel ◽

...

Keyword(s):

Lung Cancer ◽

Physical Exercise ◽

Cancer Patients ◽

Palliative Treatment ◽

Exercise Program ◽

Lung Cancer Patients ◽

Positive Study

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Are palliative cancer patients willing and able to participate in a physical exercise program?

Palliative & Supportive Care ◽

10.1017/s1478951505050443 ◽

2005 ◽

Vol 3 (4) ◽

pp. 281-287 ◽

Cited By ~ 49

Author(s):

LINE M. OLDERVOLL ◽

JON H. LOGE ◽

HANNE PALTIEL ◽

MAY B. ASP ◽

UNNI VIDVEI ◽

...

Keyword(s):

Palliative Care ◽

Physical Exercise ◽

Training Program ◽

Cancer Patients ◽

Physical Training ◽

Exercise Program ◽

Group Exercise ◽

Medical Problems ◽

Incurable Cancer ◽

The Individual

Objective: The primary aim of the present article was to identify palliative care patient populations who are willing to participate in and able to complete a group exercise/physical training program designed specifically for the individual patient.Method: We conducted a prospective phase II intervention study examining the willingness and ability of palliative care cancer patients to participate in a group exercise physical training program. Patients who were diagnosed with incurable cancer and had a life expectancy of less than 1 year at two outpatient clinics were invited to participate in an exercise program in the hospitals. The groups met twice a week over a 6-week period.Results: One hundred one consecutive patients were asked for inclusion. Sixty-three patients agreed to participate. Sixteen (25%) of the 63 patients dropped out after consent was given, but before the program started due to medical problems, social reasons, or death. Thus, 47 patients started the exercise program. Thirteen patients withdrew during the program due to sudden death, medical problems, or social reasons. The most frequent reasons for withdrawal were increased pain or other symptoms. Thirty-four patients completed the exercise program.Significance of results: A high proportion of incurable cancer patients were willing to participate (63%) in a structured exercise program. The attrition rate was high, but despite being severely ill, 54% of the patients completed the exercise period. This shows that a physical exercise program tailored to the individual patient is feasible in this population.

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A phase II-III, multicenter, randomized, open study evaluating the feasibility and efficacy of a supervised home-based standard physical exercise program for metastatic cancer patients receiving oral targeted therapy: The UNICANCER SdS 01 QUALIOR study (ID-RCB: 2015-A01922-47).

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.15_suppl.tps10126 ◽

2017 ◽

Vol 35 (15_suppl) ◽

pp. TPS10126-TPS10126

Author(s):

Florence Joly Lobbedez ◽

Laurence Vanlemmens ◽

Jean-Marc Descotes ◽

Sophie Abadie-Lacourtoisie ◽

Claude Boiron ◽

...

Keyword(s):

Physical Activity ◽

Physical Exercise ◽

Cancer Patients ◽

Phase Ii ◽

Metastatic Cancer ◽

Exercise Program ◽

Well Being ◽

Phase Iii ◽

Ethic Committee Approval ◽

Home Based

TPS10126 Background: Fatigue is a frequent side effect with oral targeted therapies (OTT). Physical activity has been reported to improve fatigue and quality of life (QoL). However, few studies focused on metastatic cancer patients and mainly among patients treated with chemotherapy. Furthermore, recent guidelines recommend evaluation and optimization of standardized exercise programs. The aim of our study is to evaluate home-based standard physical exercise program (SPEP) for metastatic cancer patients treated with OTT. Methods: This phase II-III study will randomize (2:1) patients starting first-line OTT for metastatic cancer between an individualized SPEP supervised by a personal coach, and recommended physical exercises via a booklet. Eligible patients will have received ≤2 lines of metastatic chemotherapy, ECOG PS ≤2, controlled pain (VAS < 3/10), and life expectancy ≥3 months. The phase II part (120 patients) will evaluate the feasibility of a 3-month SPEP using the rate of patients performing ≥50% of SPEP (2-stage Fleming: one-sided α = 5%; β = 85%). An interim analysis is planned after the phase II. The phase III will compare the efficacy of an SPEP as opposed to recommendations to reduce fatigue and/or improve physical well-being (PWB) dimensions of QoL (evaluated with FACT-G and FACT-F questionnaires). To show a difference of ≥5 points in PWB and 2.5 for fatigue (α = 2.5%; β = 80%), 312 patients are required in the phase III trial. . Secondary objectives include: PFS, OS, other dimensions of QoL, tolerability and observance of OTT, change in body composition, physical benefits, and a medico-economic study. The SPEP was developed by specialized coaches involved in physical activity and cancer. The study has Ethic committee approval and accrual is planned in 18 French centers in April 2017, for 30 months. This is the first randomized trial dedicated to patients with metastatic cancer treated with OTT evaluating the feasibility and the efficacy of a well design home based SPEP on fatigue and physical well-being.

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930Development and feasibility of a mHealth supported Comprehensive Intervention Model (“CIMmH”) for esophageal cancer patients

International Journal of Epidemiology ◽

10.1093/ije/dyab168.723 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

Author(s):

He Xu ◽

He Xv ◽

Yan Guo

Keyword(s):

Quality Of Life ◽

Esophageal Cancer ◽

Depressive Symptoms ◽

Physical Exercise ◽

Physical Fitness ◽

Cancer Patients ◽

Psychosocial Support ◽

Intervention Model ◽

Comprehensive Intervention

Abstract Background Esophageal cancer patients often experience a clinically relevant deterioration of quality of life (QoL) after esophagectomy due to malnutrition, lack of physical exercise, and psychological problems. This study aims to evaluate the feasibility and efficacy of a comprehensive intervention model using the mHealth system (CIMmH) on the mobile platform that offers accessible nutritional, exercise, and psychosocial support to esophageal cancer patients after esophagectomy. Methods Twenty esophageal cancer patients were invited to join the CIMmH for 12 weeks. The CIMmH included an online component and an offline consultation component. The participants were assessed before surgery and at 1-month and 3-month intervals after esophagectomy. QoL, depressive symptoms, anxiety, stress, nutrition, and physical fitness were measured. Results Sixteen out of 20 (80%) completed the program. One month after esophagectomy, the global health scale significantly decreased while fatigue, pain, and dyspnea increased. At the 3-month follow-up, only pain, difficulty with eating, dry mouth and trouble with talking were significantly worse than the baseline. All other dimensions in the QoL returned to the preoperative level. Weight and BMI were reduced throughout the study and no significant changes were observed in physical fitness. Depressive symptoms significantly increased one month after surgery. Conclusions The CIMmH had good feasibility and demonstrated encouraging preliminary efficacy for enhancing recovery after surgery among esophageal cancer patients in China. Key messages Esophageal cancer, Quality of life, Nutrition, Physical exercise, Psychological support, Mobile Health (mHealth)

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Effectiveness of Combined Treatment Using Physical Exercise and Ultrasound-Guided Radiofrequency Ablation of Genicular Nerves in Patients with Knee Osteoarthritis

Applied Sciences ◽

10.3390/app11104338 ◽

2021 ◽

Vol 11 (10) ◽

pp. 4338

Author(s):

Alessandro de Sire ◽

Lorenzo Lippi ◽

Claudio Curci ◽

Dario Calafiore ◽

Carlo Cisari ◽

...

Keyword(s):

Physical Exercise ◽

Knee Osteoarthritis ◽

Rating Scale ◽

Combined Treatment ◽

Exercise Program ◽

Exercise Adherence ◽

Reduction Of Pain ◽

Chronic Pain Conditions ◽

Combined Intervention

Radiofrequency (RF) is a mini-invasive neuromodulation intervention that is commonly used in chronic pain conditions including general musculoskeletal pain related to several diseases, including knee osteoarthritis (KOA). However, to date, few studies investigated synergistic therapeutic approaches combining RF with rehabilitative physical exercise protocols in KOA patients. This prospective cohort study aimed at assessing the short-term effects on pain in KOA patients of a multimodal intervention consisting of ultrasound (US)-guided RF geniculate ablation and concomitant rehabilitative physical exercise. We included grade III KOA patients with knee pain (Numerical Pain Rating Scale, NPRS >4) not responsive to conventional treatments. They underwent a combined intervention including US-guided RF geniculate ablation and a 2-week physical exercise program. At the baseline (T0) and 1 month after (T1) we assessed: NPRS, Knee Injury and Osteoarthritis Outcome Scale (KOOS), quality of life, exercise adherence, and safety. All the 47 KOA patients enrolled (68.8 ± 13.7 years old) showed a reduction of pain (NPRS: 7.48 ± 1.74; 3.63 ± 1.68; p < 0.001). In addition, there was a significant improvement (p < 0.05) also in the other functioning and HRQoL outcomes. Adherence to the exercise program was over 80% in more than half (28) of the patients. No major adverse events were reported. These findings suggested that US-guided RF ablation of genicular nerves combined with rehabilitative exercise therapy might be considered a safe and effective approach in the complex management of KOA patients.

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1511CIMmH, an mHealth Comprehensive Intervention Model for esophageal cancer patients: A Multi-center RCT Protocol

International Journal of Epidemiology ◽

10.1093/ije/dyab168.724 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

Author(s):

He Xu ◽

Yan Guo ◽

Yu Zeng ◽

Yiran Li ◽

Mengting Zhu

Keyword(s):

Esophageal Cancer ◽

Physical Exercise ◽

Cancer Patients ◽

Intervention Group ◽

Psychological Support ◽

Walking Distance ◽

Control Group ◽

Intervention Model ◽

Potential Cost ◽

Comprehensive Intervention

Abstract Background Post-esophagectomy patients often experience a clinically relevant deterioration of quality of life after esophagectomy due to malnutrition, impaired exercise capacity, and psychological problems. The widespread use of mobile health (mHealth) has been increasingly promising for interdisciplinary healthcare givers to deliver efficient and potential cost-effective interventions in cancer patients. However, comprehensive interventions delivered by mHealth with a rigorous design of randomized controlled trial in post-esophagectomy patients were scarce. Methods This study developed the first comprehensive intervention model by mHealth with a parallel RCT design, providing nutrition, physical exercise, and psychological support for post-esophagectomy patients. A total of 120 patients will be randomized into the intervention group or the control group receiving treatment as usual. Participants in the intervention group will receive the 3-month intervention of the CIMmH program via the enhanced WeChat platform and by specialists (offline). The online program includes nutrition guidelines, physical exercise instructions, and psychological courses. All participants will be assessed at baseline, 1, and 3 months after esophagectomy. The primary outcomes are health-related QOL, weight, and physical fitness measured by 6-minute walking distance. Secondary outcomes include nutritional biomarkers, body composition, strength, interleukin-6, depressive symptoms, anxiety, and coping. Discussion This study is among the first efforts to innovatively develop a comprehensive intervention program to prompt rehabilitation in post-esophagectomy patients. Once proven effective, CIMmH could be integrated into the management of post-esophagectomy patients. Key messages Esophageal cancer, QOL, Nutrition, Physical exercise, Psychological support, mHealth

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Motivation Levels and Goals for the Practice of Physical Exercise in Five Different Modalities: A Correspondence Analysis

Frontiers in Psychology ◽

10.3389/fpsyg.2021.793238 ◽

2021 ◽

Vol 12 ◽

Author(s):

Juliana Correia Borges ◽

Gilson Gonçalves de Oliveira Filho ◽

Claudio Andre Barbosa de Lira ◽

Ronaldo Angelo Dias da Silva ◽

Eduardo da Silva Alves ◽

...

Keyword(s):

Physical Exercise ◽

Strength Training ◽

Correspondence Analysis ◽

Multiple Correspondence Analysis ◽

Exercise Program ◽

Exercise Adherence ◽

Fitness Program ◽

Functional Training ◽

Training Motivation ◽

Motivation Level

The identification of the practitioner’s profile regarding their motivation level for physical exercise engagement could be a behavioral strategy to increase exercise adherence. The present study investigates the associations between motivation levels, modalities practiced, and goals concerning the practice of physical exercise among physical exercise practitioners. A total of 100 physical exercise practitioners, of which 67 were women, took part in this study. The participants were engaged in extreme fitness program, strength training, fight training, Pilates, and functional training. Motivation level (BREQ-3) and expectations regarding regular physical exercise (IMPRAF-54) were assessed. A multiple correspondence analysis demonstrates preferential relationships between descriptive and non-inferential variables. Strength training and fight training practitioners seek these modalities with the goals of “Health” and “Aesthetics,” demonstrating low autonomy in relation to the behavior for the practice of physical exercise. Extreme conditioning program and functional training practitioners have as goal “Pleasure,” demonstrating medium and high levels of autonomy for such practice and Pilates practitioners have the goal of “Stress Control.” To promote and encourage the regular practice of physical exercise, this strategy could be used to take actions that increase the public’s intention to start or continue in a physical exercise program.

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