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The cancer rehabilitation journey

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The cancer rehabilitation journey : Barriers to and facilitators of exercise among patients with cancer-related fatigue. / Blaney, Janine; Lowe-Strong, Andrea; Rankin, Jane; Campbell, Anna; Allen, James; Gracey, Jackie.

In: Physical Therapy, Vol. 90, No. 8, 01.08.2010, p. 1135-1147.

Research output: Contribution to journalArticle

Harvard

Blaney, J, Lowe-Strong, A, Rankin, J, Campbell, A, Allen, J & Gracey, J 2010, 'The cancer rehabilitation journey: Barriers to and facilitators of exercise among patients with cancer-related fatigue' Physical Therapy, vol 90, no. 8, pp. 1135-1147., 10.2522/ptj.20090278

APA

Blaney, J., Lowe-Strong, A., Rankin, J., Campbell, A., Allen, J., & Gracey, J. (2010). The cancer rehabilitation journey: Barriers to and facilitators of exercise among patients with cancer-related fatigue. Physical Therapy, 90(8), 1135-1147. 10.2522/ptj.20090278

Vancouver

Blaney J, Lowe-Strong A, Rankin J, Campbell A, Allen J, Gracey J. The cancer rehabilitation journey: Barriers to and facilitators of exercise among patients with cancer-related fatigue. Physical Therapy. 2010 Aug 1;90(8):1135-1147. Available from: 10.2522/ptj.20090278

Author

Blaney, Janine; Lowe-Strong, Andrea; Rankin, Jane; Campbell, Anna; Allen, James; Gracey, Jackie / The cancer rehabilitation journey : Barriers to and facilitators of exercise among patients with cancer-related fatigue.

In: Physical Therapy, Vol. 90, No. 8, 01.08.2010, p. 1135-1147.

Research output: Contribution to journalArticle

Bibtex - Download

@article{99c9c01ed9bf4c7f91bca97f8e66338e,
title = "The cancer rehabilitation journey: Barriers to and facilitators of exercise among patients with cancer-related fatigue",
author = "Janine Blaney and Andrea Lowe-Strong and Jane Rankin and Anna Campbell and James Allen and Jackie Gracey",
year = "2010",
doi = "10.2522/ptj.20090278",
volume = "90",
number = "8",
pages = "1135--1147",
journal = "Physical Therapy",
issn = "0031-9023",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - The cancer rehabilitation journey

T2 - Barriers to and facilitators of exercise among patients with cancer-related fatigue

A1 - Blaney,Janine

A1 - Lowe-Strong,Andrea

A1 - Rankin,Jane

A1 - Campbell,Anna

A1 - Allen,James

A1 - Gracey,Jackie

AU - Blaney,Janine

AU - Lowe-Strong,Andrea

AU - Rankin,Jane

AU - Campbell,Anna

AU - Allen,James

AU - Gracey,Jackie

PY - 2010/8/1

Y1 - 2010/8/1

N2 - Background. Despite the evidence to support exercise as an effective management strategy for patients with cancer-related fatigue (CRF), many of the general cancer population are sedentary. Objective. The aim of this study was to explore the barriers to and facilitators of exercise among a mixed sample of patients with CRF. Design. An exploratory, descriptive, qualitative design was used. Methods. Purposive sampling methods were used to recruit patients with CRF who were representative of the cancer trajectory, that is, survivors of cancer and patients in palliative care who were recently diagnosed and undergoing treatment. Focus group discussions were transcribed verbatim and analyzed using a grounded theory approach. Lower-level concepts were identified and ordered into subcategories. Related subcategories then were grouped to form the main categories, which were linked to the core category. Results. Five focus groups were conducted with 26 participants. Within the core category of the cancer rehabilitation journey were 3 main categories: (1) exercise barriers, (2) exercise facilitators, and (3) motivators of exercise. Exercise barriers were mainly related to treatment side effects, particularly fatigue. Fatigue was associated with additional barriers such as physical deconditioning, social isolation, and the difficulty of making exercise a routine. Environmental factors and the timing of exercise initiation also were barriers. Exercise facilitators included an exercise program being group-based, supervised, individually tailored, and gradually progressed. Exercise motivators were related to perceived exercise benefits. Conclusions. Individuals with CRF have numerous barriers to exercise, both during and following treatment. The exercise facilitators identified in this study provide solutions to these barriers and may assist with the uptake and maintenance of exercise programs. These findings will aid physical therapists in designing appropriate exercise programs for patients with CRF. © 2010 American Physical Therapy Association.

AB - Background. Despite the evidence to support exercise as an effective management strategy for patients with cancer-related fatigue (CRF), many of the general cancer population are sedentary. Objective. The aim of this study was to explore the barriers to and facilitators of exercise among a mixed sample of patients with CRF. Design. An exploratory, descriptive, qualitative design was used. Methods. Purposive sampling methods were used to recruit patients with CRF who were representative of the cancer trajectory, that is, survivors of cancer and patients in palliative care who were recently diagnosed and undergoing treatment. Focus group discussions were transcribed verbatim and analyzed using a grounded theory approach. Lower-level concepts were identified and ordered into subcategories. Related subcategories then were grouped to form the main categories, which were linked to the core category. Results. Five focus groups were conducted with 26 participants. Within the core category of the cancer rehabilitation journey were 3 main categories: (1) exercise barriers, (2) exercise facilitators, and (3) motivators of exercise. Exercise barriers were mainly related to treatment side effects, particularly fatigue. Fatigue was associated with additional barriers such as physical deconditioning, social isolation, and the difficulty of making exercise a routine. Environmental factors and the timing of exercise initiation also were barriers. Exercise facilitators included an exercise program being group-based, supervised, individually tailored, and gradually progressed. Exercise motivators were related to perceived exercise benefits. Conclusions. Individuals with CRF have numerous barriers to exercise, both during and following treatment. The exercise facilitators identified in this study provide solutions to these barriers and may assist with the uptake and maintenance of exercise programs. These findings will aid physical therapists in designing appropriate exercise programs for patients with CRF. © 2010 American Physical Therapy Association.

UR - http://www.scopus.com/inward/record.url?scp=77955441758&partnerID=8YFLogxK

U2 - 10.2522/ptj.20090278

DO - 10.2522/ptj.20090278

M1 - Article

JO - Physical Therapy

JF - Physical Therapy

SN - 0031-9023

IS - 8

VL - 90

SP - 1135

EP - 1147

ER -

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