Patient attitudes and experiences towards exercise during oncological treatment. A qualitative systematic review

Finch, Alice; Benham, Alex

Abstract

Purpose
Exercise and physical activity (PA) during oncological treatment have many benefits. However, PA levels and adherence are often low. This systematic review of qualitative literature aims to explore the experience and the perceived barriers and facilitators to exercise and physical activity during treatment.

Methods
A systematic search of the published literature was carried out in the Embase and Medline databases; full details for the protocol can be found in the Prospero database (CRD42022371206). Studies eligible for inclusion were qualitative and included participants that were either currently undergoing oncological treatment or had finished treatment within the last 6 months. The findings from each study were tabulated and synthesised into analytical themes.

Results
Eighteen full texts from 309 studies met inclusion criteria with a total of 420 participants including both curative and palliative treatment intents. Four overarching themes were generated: (1) Facilitators; (2) Barriers; (3) Experience of PA/exercise and (4) Transforming attitudes. Sub-themes that showed perceptions of PA or exercise during treatment were positive, and seeing personal positive change was highly motivating, especially in a group class setting. Barriers included lack of support or guidance from healthcare professionals (HCPs), environmental challenges and disease burden/fear or worsening symptoms.

Conclusions
Despite having positive perceptions of exercise and PA during oncological treatment, there are significant barriers impacting participation. Lack of support from HCPs and fear of worsening symptoms were significant barriers. Future research should focus on impacting these barriers to ultimately improve PA and exercise levels in those undergoing oncological treatment.

Citation

Finch, A., & Benham, A. (2024). Patient attitudes and experiences towards exercise during oncological treatment. A qualitative systematic review. Supportive Care in Cancer, 32(8), Article 509. https://doi.org/10.1007/s00520-024-08649-2

• Journal Article Type: Review
• Acceptance Date: Jun 10, 2024
• Online Publication Date: Jul 12, 2024
• Publication Date: Aug 1, 2024
• Deposit Date: Jul 15, 2024
• Publicly Available Date: Jul 15, 2024
• Journal: Supportive Care in Cancer
• Print ISSN: 0941-4355
• Electronic ISSN: 1433-7339
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 32
• Issue: 8
• Article Number: 509
• DOI: https://doi.org/10.1007/s00520-024-08649-2
• Keywords: Physical activity, Qualitative review, Experiences, Cancer treatment
• Public URL: https://keele-repository.worktribe.com/output/875277