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Title: | Home-based rehabilitation in inoperable non-small cell lung cancer-the patient experience. | Austin Authors: | Edbrooke, Lara;Denehy, Linda;Granger, Catherine L ;Kapp, Suzanne;Aranda, Sanchia | Affiliation: | Institute for Breathing and Sleep.. Allied Health Service, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.. Melbourne School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.. Department of Nursing, The University of Melbourne, Melbourne, Victoria, Australia.. Department of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia.. Department of Physiotherapy, the Royal Melbourne Hospital, Melbourne, Victoria, Australia.. Cancer Council Australia, Sydney, New South Wales, Australia.. |
Issue Date: | Jan-2020 | Date: | 2019-03-13 | Publication information: | Supportive care in cancer 2020; 28(1): 99-112 | Abstract: | Exercise is important in lung cancer, yet most people do not meet the physical activity guidelines. The aim of this study was to characterise the views and experiences of participants with inoperable lung cancer who completed a home-based rehabilitation program. Ninety-two participants were recruited (45 intervention group [IG], 47 usual care). Individual semi-structured interviews were conducted with participants randomised to the IG of a trial of home-based exercise, behaviour change and symptom management. Data were independently coded by two researchers, cross-checked and analysed using content analysis with a summary of arising themes. Of the IG (25/45), 55% were interviewed: mean (SD) age 67 (13) years; male 52%; disease stage n (%) III = 9 (36), IV = 11 (44); radical treatment intent n (%) 13 (52). The majority of participants reported program benefits, both in the physical domain (reduced sedentary time and improved strength, fitness and function) and the mental domain (motivation to keep healthy, preventing boredom). Support to self-manage symptoms was well received and many participants reported increased confidence in managing their symptoms. Exercise enablers included having expert health professional support; motivation to be stronger and better prepared for future challenges; and having an achievable and familiar program that was monitored. Treatment side-effects, pain from comorbidities and the weather were exercise barriers. For the majority of participants the use of a Fitbit™ activity tracker, text message exercise reminders and an exercise diary helped to promote adherence. This home-based rehabilitation program was acceptable to most participants with multiple benefits reported including improved fitness, motivation and ability to manage symptoms. | URI: | https://ahro.austin.org.au/austinjspui/handle/1/28128 | DOI: | 10.1007/s00520-019-04783-4 | ORCID: | 0000-0002-4149-5578 0000-0001-6169-370X 0000-0002-2926-8436 |
Journal: | Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer | PubMed URL: | 30982092 | PubMed URL: | https://pubmed.ncbi.nlm.nih.gov/30982092/ | Type: | Journal Article | Subjects: | Exercise Lung cancer Physical activity Symptoms |
Appears in Collections: | Journal articles |
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