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Adherence to and satisfaction with low-intensity physical activity and supervised moderate-high intensity exercise during chemotherapy for breast cancer.
Supportive Care in Cancer ( IF 2.8 ) Pub Date : 2019-08-08 , DOI: 10.1007/s00520-019-05019-1
Hanna van Waart 1 , Laurien M Buffart 2, 3 , Martijn M Stuiver 4, 5 , Wim H van Harten 1, 6 , Gabe S Sonke 7 , Neil K Aaronson 1
Affiliation  

PURPOSE In this study, we investigated factors associated with program adherence and patient satisfaction with a home-based physical activity program (Onco-Move, N = 77) and a supervised exercise program with a home-based component (OnTrack, N = 76). METHODS We assessed adherence via self-report (home-based program) and attendance records (supervised program). We used logistic regression analysis to identify sociodemographic, clinical and behavioural variables associated with program adherence. Patient satisfaction was assessed with self-report and is reported descriptively. RESULTS Fifty-one percent of Onco-Move and 62% of OnTrack participants were adherent to the home-based program, while 59% of OnTrack participants were adherent to the supervised sessions. Higher baseline physical fitness was associated with higher adherence to home-based components. Higher disease stage and having a partner were associated with adherence to OnTrack supervised sessions. Overall satisfaction with the exercise programs was high, but ratings of coaching provided by professionals for the home-based components were low. Patients offered suggestions for improving delivery of the programs. CONCLUSIONS These findings point to factors relevant to program adherence and suggest ways in which such programs can be improved. Providing additional time and training for health care professionals could improve the quality and hopefully the effectiveness of the interventions. The use of online diaries and smartphone apps may provide additional encouragement to participants. Finally, allowing greater flexibility in the planning and availability of supervised exercise training in order to accommodate the variability in cancer treatment schedules and the (acute) side effects of the treatments could also enhance program adherence. TRIAL REGISTRATION Netherlands Trial Register, NTR2159. http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2159.

中文翻译:

坚持和满足低强度的体育锻炼以及在乳腺癌化疗期间接受监督的中高强度运动。

目的在这项研究中,我们调查了一项基于家庭的体育锻炼计划(Onco-Move,N = 77)和一项基于家庭的有监督锻炼计划(OnTrack,N = 76)与项目依从性和患者满意度相关的因素。 。方法我们通过自我报告(家庭计划)和出勤记录(监督计划)评估了遵守情况。我们使用逻辑回归分析来确定与计划依从性相关的社会人口统计学,临床和行为变量。通过自我报告评估患者满意度,并通过描述性报告。结果Onco-Move的51%和OnTrack参与者的62%遵守了家庭计划,而OnTrack参与者的59%遵守了受监督的课程。较高的基线身体健康状况与对家庭组件的更高依从性相关。疾病较高的阶段和有伴侣可以参加OnTrack监督的课程。对锻炼计划的总体满意度很高,但是专业人员为家庭组成部分提供的教练评分较低。患者提出了改善程序交付的建议。结论这些发现指出了与计划依从性相关的因素,并提出了改善此类计划的方法。为医疗保健专业人员提供更多时间和培训可以提高干预措施的质量,并希望能提高干预效果。使用在线日记和智能手机应用程序可能会给参与者带来更多鼓励。最后,为了适应癌症治疗方案的变化,允许在有计划的锻炼训练的计划和可用性方面提供更大的灵活性,并且治疗的(急性)副作用也可以增强计划的依从性。试用注册荷兰试用注册,NTR2159。http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2159。
更新日期:2020-04-22
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