Abstract

Purpose

Examine feasibility and acceptability of a group-mediated cognitive-behavioral (GMCB) intervention targeting planned, self-managed physical activity (PA).

Design

Sequential mixed methods, single arm pre-/post-test design with a 4-week follow-up.

Participants

Post-treatment gynecologic cancer survivors.

Methods

Participants attended 8 weekly facilitator-led group sessions and completed assessments at baseline, post-intervention and follow-up. Feasibility was assessed by recruitment rate, retention rate, capture of outcomes, intervention usability and intervention fidelity. Acceptability was examined via qualitative interviews. Preliminary estimates of intervention effectiveness (PA, PA social cognitions and sleep) were collected.

Findings

355 participants were approached and 38 consented. Twenty took part in the study and 17 (85%) completed the intervention. Thematic content analysis revealed positive group experiences. Cognitive-behavioral strategies were beneficial. Goal-setting and shared cancer recovery experience facilitated connection among group members.

Implications

Program acceptability was high among a diverse sample of gynecologic cancer survivors and delivery of the program is feasible to this group of gynecologic cancer survivors. Recruitment challenges were present but study retention was high.

中文翻译：

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对妇科癌症幸存者进行群体介导的运动干预的可行性和可接受性

摘要

目的

检查以计划的、自我管理的身体活动 (PA) 为目标的群体介导的认知行为 (GMCB) 干预的可行性和可接受性。

设计

顺序混合方法，单臂测试前/测试后设计，随访 4 周。

参加者

治疗后妇科癌症幸存者。

方法

参与者参加了每周 8 次由主持人主导的小组会议，并完成了基线、干预后和后续的评估。可行性通过招募率、保留率、结果捕获、干预可用性和干预保真度进行评估。通过定性访谈检查可接受性。收集了干预效果（PA、PA 社会认知和睡眠）的初步估计。

发现

接触了 355 名参与者，38 人同意了。20 人参加了研究，17 人 (85%) 完成了干预。主题内容分析揭示了积极的群体经验。认知行为策略是有益的。目标设定和共享癌症康复经验促进了小组成员之间的联系。

启示

在不同的妇科癌症幸存者样本中，该计划的可接受性很高，并且该计划的实施对于这组妇科癌症幸存者是可行的。存在招募挑战，但研究保留率很高。