A turning point: Head and neck cancer patients’ exercise preferences and barriers before and after participation in an exercise intervention
C. Jackson MSc
MD Student
Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
Search for more papers by this authorA.J. Dowd PhD
Post Doctoral Fellow
Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
Search for more papers by this authorL.C. Capozzi
PhD/MD Student
Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
Search for more papers by this authorW. Bridel PhD
Assistant Professor
Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
Search for more papers by this authorH.Y. Lau MD
Senior Radiation Oncologist
Department of Oncology, Cumming School of Medicine, University of Calgary and Tom Baker Cancer Centre, Calgary, AB, Canada
Search for more papers by this authorCorresponding Author
S.N. Culos-Reed PhD
Professor
Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
Department of Oncology, Cumming School of Medicine, University of Calgary and Tom Baker Cancer Centre, Calgary, AB, Canada
Department of Psychosocial Resources, Tom Baker Cancer Center, Alberta Health Services, Calgary, AB, Canada
Correspondence
S. Nicole Culos-Reed, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.
Email: [email protected]
Search for more papers by this authorC. Jackson MSc
MD Student
Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
Search for more papers by this authorA.J. Dowd PhD
Post Doctoral Fellow
Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
Search for more papers by this authorL.C. Capozzi
PhD/MD Student
Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
Search for more papers by this authorW. Bridel PhD
Assistant Professor
Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
Search for more papers by this authorH.Y. Lau MD
Senior Radiation Oncologist
Department of Oncology, Cumming School of Medicine, University of Calgary and Tom Baker Cancer Centre, Calgary, AB, Canada
Search for more papers by this authorCorresponding Author
S.N. Culos-Reed PhD
Professor
Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
Department of Oncology, Cumming School of Medicine, University of Calgary and Tom Baker Cancer Centre, Calgary, AB, Canada
Department of Psychosocial Resources, Tom Baker Cancer Center, Alberta Health Services, Calgary, AB, Canada
Correspondence
S. Nicole Culos-Reed, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.
Email: [email protected]
Search for more papers by this authorFunding information
This work was supported by a Canadian Institute of Health Research, CGS-Master's Grant.
Abstract
This study examined the exercise barriers and preferences of head and neck cancer (HNC) survivors in relation to exercise experience. Participants (n = 22; 46.8% response rate) completed retrospective self-report questionnaires on demographic and medical information, exercise barriers and preferences. A subset of participants then completed semi-structured interviews (n = 18). Participants had previously engaged in the ENHANCE trial during, or immediately following, radiation treatment, an average of 22.1 ± 5.8 months before. Retrospective questionnaires revealed that before ENHANCE participation, lack of interest and time were the primary exercise barriers. After participation, there was a significant decrease in typical barriers including lack of interest (p = .008), exercise not a priority (p = .039) and exercise not in routine (p = .004). Number of barriers experienced after ENHANCE participation was negatively correlated with age, quality of life and minutes of resistance exercise training per week. After ENHANCE participation, significant increases were found in preference for exercising at a cancer centre (p = .031) and with other cancer survivors (p = .016). Four higher order themes emerged inductively from interview data analysis pertaining to preferences (i.e., class format) and three higher order themes regarding barriers (physical, psychological and external). By investigating participants’ perspectives after ENHANCE participation, key factors for effective HNC exercise programme design were identified.
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