scholarly journals A qualitative study exploring the effects of participation in a community-based pre-operative exercise programme on perceived wellbeing and quality of life in people with newly diagnosed prostate cancer: A pilot study

2019 ◽  
Author(s):  
Lisa Loughney ◽  
Rachel McGowan ◽  
Kiaran O'Malley ◽  
Noel McCaffrey ◽  
Brona Furlong ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Exercise Training ◽  
Cancer Diagnosis ◽  
Training Programme ◽  
Exercise Programme ◽  
Newly Diagnosed ◽  
Community Based ◽  
Exercise Training Programme

Abstract Purpose: People with a newly diagnosed prostate cancer are often treated by surgery. The time window between cancer diagnosis and surgery causes high levels of uncertainty and stress, which negatively impact quality of life (QoL). This study explored the experience of participating in a community-based pre-operative exercise programme (in the time between cancer diagnosis and surgery) and its impact on perceived wellbeing and QoL in people with newly diagnosed prostate cancer.Methods: Eleven men diagnosed with a new prostate cancer diagnosis were recruited and undertook a prescribed community-based pre-operative exercise training programme in the time available prior to surgery. Following completion of the pre-operative exercise programme (within 1 week before surgery), participants took part in one semi-structured interview which explored four broad QoL domains: physical; psychological; social; and spiritual wellbeing. Data were analysed using thematic analysis (a bottom up/inductive analysis).Results: Data supported four main themes. Participation in the community-based pre-operative exercise training programme (over a mean (SD) of 4 (2) weeks) provided participants with: 1) a teachable moment; 2) a journey of preparation; 3) provided them with a sense of optimism; and 4) social connectedness.Conclusion: This community-based pre-operative exercise training programme enhanced wellbeing and served as an opportunity to improve perceived QoL. Further research is required to explore this in a larger sample.

A qualitative study exploring the effects of participation in a community-based pre-operative exercise programme on perceived wellbeing and quality of life in people with newly diagnosed prostate cancer: A pilot study (Preprint)

2020 ◽  
Author(s):  
Lisa Loughney ◽  
Rachel McGowan ◽  
Kiaran O'Malley ◽  
Noel McCaffrey ◽  
Brona Furlong ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Exercise Training ◽  
Cancer Diagnosis ◽  
Training Programme ◽  
Exercise Programme ◽  
Newly Diagnosed ◽  
Community Based ◽  
Exercise Training Programme

BACKGROUND People with a newly diagnosed prostate cancer are often treated by surgery. The time window between cancer diagnosis and surgery causes high levels of uncertainty and stress, which negatively impact quality of life (QoL). OBJECTIVE To explore the experience of participating in a community-based pre-operative exercise programme (in the time between cancer diagnosis and surgery) and its impact on perceived wellbeing and QoL in people with newly diagnosed prostate cancer. METHODS Eleven men diagnosed with a new prostate cancer diagnosis were recruited and undertook a prescribed community-based pre-operative exercise training programme in the time available prior to surgery. Following completion of the pre-operative exercise programme (within 1 week before surgery), participants took part in one semi-structured interview which explored four broad QoL domains: physical; psychological; social; and spiritual wellbeing. Data were analysed using thematic analysis (a bottom up/inductive analysis). RESULTS Data supported four main themes. Participation in the community-based pre-operative exercise training programme (over a mean (SD) of 4 (2) weeks) provided participants with: 1) a teachable moment; 2) a journey of preparation; 3) provided them with a sense of optimism; and 4) social connectedness. CONCLUSIONS This community-based pre-operative exercise training programme enhanced wellbeing and served as an opportunity to improve perceived QoL. Further research is required to explore this in a larger sample. CLINICALTRIAL N/A

scholarly journals Perceptions of wellbeing and quality of life following participation in a community-based pre-operative exercise programme in men with newly diagnosed prostate cancer: A qualitative pilot study

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253018
Author(s):  
Lisa Loughney ◽  
Rachel McGowan ◽  
Kiaran O’Malley ◽  
Noel McCaffrey ◽  
Bróna Furlong ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Pilot Study ◽  
Exercise Programme ◽  
Cancer Surgery ◽  
Newly Diagnosed ◽  
Community Based ◽  
Exercise Programmes ◽  
Insight Into

Background Men with a newly diagnosed prostate cancer are often treated by surgery. The time window between cancer diagnosis and surgery causes high levels of uncertainty and stress, which negatively impact quality of life (QoL). We previously reported a larger intervention pilot study which demonstrated that participation in a community-based pre-operative exercise programme significantly improved physical fitness and health-related quality of life in men with prostate cancer prior to surgery. The aim of the current pilot study was to get an insight into men’s perceptions of wellbeing and QoL following completion of the pre-operative exercise programme. Methods From November 2017 to June 2018, men scheduled for prostate cancer surgery were recruited and took part in a prescribed community-based pre-operative exercise programme in the time available between referral and surgery. Following completion of the pre-operative exercise programme (within 1 week before surgery), participants took part in one semi-structured interview which explored four broad QoL domains: physical, psychological, social, and spiritual wellbeing. Data were analysed using thematic analysis (a bottom up/inductive analysis). Results Eleven men were recruited: mean standard deviation (SD) age was 60 ± 7 years. Data supported four main themes. Participation in the community-based pre-operative exercise training programme (over a mean (SD) of 4 ± 2 weeks) provided participants with: 1) a teachable moment; 2) a journey of preparation; 3) a sense of optimism; and 4) social connectedness prior to surgery. Conclusion This study provides an insight into how the exercise programme impacted wellbeing and QoL in men preparing for prostate cancer surgery. These findings highlight the important role that exercise prehabilitation plays for men preparing for prostate cancer surgery. Such exercise programmes can be easily implemented into standard cancer pathways by establishing relationships between hospital teams and community exercise programmes.

PSYCHOLOGICAL AND QUALITY OF LIFE CHANGES IN RESPONSE TO A 12 MONTH EXERCISE TRAINING PROGRAMME IN HIGH RISK POST-INFARCTION PATIENTS

1993 ◽  
Vol 13 (5) ◽  
pp. 349
Author(s):  
L. Dorian Dugmore ◽  
Martyn H. Phillips ◽  
Russell J. Tipson ◽  
E. Jane Flint ◽  
Norman H. Stentiford ◽  
...  
Keyword(s):  
Quality Of Life ◽  
High Risk ◽  
Exercise Training ◽  
Training Programme ◽  
Life Changes ◽  
Exercise Training Programme

Exercise training increases arterial compliance in patients with congestive heart failure

2001 ◽  
Vol 102 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Melinda M. PARNELL ◽  
Diane P. HOLST ◽  
David M. KAYE
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Congestive Heart Failure ◽  
Exercise Training ◽  
Arterial Compliance ◽  
Training Programme ◽  
Left Ventricular ◽  
Control Group ◽  
Exercise Training Programme

Systemic arterial compliance (SAC) makes an important contribution to cardiac afterload, and thus is a significant determinant of left ventricular work. Previous studies have suggested that arterial compliance may be reduced in patients with congestive heart failure (CHF), and that SAC is increased after a 4-week exercise training programme in healthy, sedentary individuals. The present study aimed to investigate the effects of an 8-week exercise training programme on arterial mechanical properties, left ventricular performance and quality of life in CHF patients. A total of 21 patients with NYHA class II or III CHF (mean±S.D. age 55±13 years) were randomly allocated to either an 8-week exercise training group or a ‘usual lifestyle’ control group. SAC, as determined non-invasively using applanation tonometry and Doppler aortic velocimetry, increased from 0.57±0.11 to 0.77±0.14 arbitrary compliance units (mean±S.E.M.; P = 0.01) in the exercise group, while no change occurred in the control group. Left ventricular structure and function was assessed by echocardiography, and these parameters were unchanged over the 8-week study period. Exercise training significantly increased exercise capacity, measured by a 6-min walking test (474±27 to 547±34 m; P = 0.008). Quality of life, as assessed using the Minnesota Living with Heart Failure Evaluation, demonstrated a decrease in heart failure symptoms from 46±7 to 24±5units (P = 0.01) following the exercise training programme. These data show that exercise training improves SAC in patients with CHF. The accompanying improvement in exercise capacity may be due, in part, to an improvement in arterial function.

Home- and hospital-based exercise training programme after Fontan surgery

2018 ◽  
Vol 28 (11) ◽  
pp. 1299-1305 ◽  
Author(s):  
Nigel Sutherland ◽  
Bryn Jones ◽  
Sofia Westcamp Aguero ◽  
Tristan Melchiori ◽  
Karin du Plessis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Exercise Training ◽  
Exercise Capacity ◽  
Training Programme ◽  
Home Exercise ◽  
Quality Of Life Scale ◽  
Fontan Surgery ◽  
Training Programmes ◽  
Exercise Training Programme

AbstractBackgroundExercise training has been shown to increase exercise capacity in survivors of Fontan surgery. The geographic distribution of the Fontan population has been a barrier to hospital-based exercise training programmes. The objective of this study was to establish whether a home exercise training programme could achieve similar improvements to a hospital programme.MethodsAdolescents with a Fontan circulation aged 12–19 years were prospectively recruited in a hospital or home exercise training programme. Patients underwent cardiopulmonary exercise testing and completed the Paediatric Quality of Life Inventory at initial assessment and after completion of an 8-week programme. Both groups performed two 1-hour training sessions per week. Patients in the home training programme had their first session in the hospital, and then progressed independently with one phone consult per week and one home visit by a physiotherapist.ResultsIn total, 17 patients, with a mean age of 15±3 years, completed the training programme (six hospital). Characteristics and baseline performance of patients were similar in both groups. Oxygen consumption at anaerobic threshold increased from 19.3±3.8 to 21.6±6.0 ml/kg/minute (p=0.02) and peak oxygen pulse increased from 8.8±2.5 to 9.5±2.7 ml/beat (p=0.049). Total quality of life scale improved from 68 to 74% (p=0.01) and psychosocial health improved from 67 to 74% (p=0.02). No patient experienced training-related complications.ConclusionsExercise training is beneficial and most likely safe after Fontan, resulting in improved exercise capacity and self-reported quality of life. Home exercise training programmes are probably as effective as hospital programmes. Home exercise training programmes should be integrated in the follow-up care of patients undergoing Fontan surgery.

scholarly journals Compliance, adherence and effectiveness of a community-based pre-operative exercise programme: a pilot study

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Lisa Loughney ◽  
Ronan Cahill ◽  
Kiaran O’Malley ◽  
Noel McCaffrey ◽  
Brona Furlong
Keyword(s):  
Prostate Cancer ◽  
Exercise Training ◽  
Emotional Health ◽  
Exercise Programme ◽  
Lower Body ◽  
Community Based ◽  
Cancer Group ◽  
Body Strength ◽  
Health Related ◽  
Lower Body Strength

Abstract Background Pre-operative exercise training improves HR components of fitness and HRQoL following hospital-based programmes. Objective To assess compliance and adherence of a pragmatic community-based preoperative exercise programme and its effect on health-related (HR) components of fitness and health-related quality of life (HRQoL). Methods Thirty-two surgical oncological participants (15 prostate cancer and 17 colorectal cancer (CRC)) were recruited and assessed to measure HR components of fitness (strength and functional exercise capacity) and HRQoL. An exercise programme was prescribed in the time available prior to surgery with repeat assessments pre-operatively. Results Twenty-four participants (14 prostate cancer and 10 CRC) completed the full study (75% compliance). Exercise training was delivered over a median interquartile range (IQR) of 4 (3-4) weeks and 2 (1–3) weeks for the prostate cancer and CRC participants, with > 80% adherence. From baseline to post-exercise intervention, there were significant improvements in lower body strength in the prostate cancer group (p = 0.045), the CRC group (p = 0.001), and in both groups overall (p = .001). Additionally, there were statistically significant improvements in HRQoL: global health status for CRC group (p = 0.025) and for both groups overall (p = 0.023); emotional health subscale for the prostate cancer group (p = 0.048) and for both groups overall (p = 0.027); nausea/vomiting/pain subscale for the CRC group (p = 0.005) and for both groups overall (p = 0.030); and for health scale status for the prostate cancer group (p = 0.019) and for both groups overall (p = 0.006). Conclusion This community-based pre-operative exercise programme showed acceptable compliance and adherence rates, and significantly increased upper and lower body strength and HRQoL. Pre-operative exercise training should be considered as early as possible in the surgical-oncology pathway and respected within patient scheduling.

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