PURPOSE Physical activity (PA) can help reduce side effects related to cancer whilst promoting quality of life. This qualitative study explored cancer survivors' experiences in an 8-week group-based walking program with behavioural support that was delivered within the community to highlight factors central to successful adoption and sustainability of such programs. METHODS Eleven cancer survivors who took part in the program before (n = 7) or during (n = 4) the COVID-19 pandemic were interviewed and asked to discuss their PA behaviour, motivation to join and complete the program, and experienced benefits and barriers, as well as offer feedback that could be incorporated into future programs. Interview transcripts were thematically analysed using a hybrid deductive-inductive approach. RESULTS Participants' experiences were summarised into six themes: (1) PA behaviour and motivation were enhanced, (2) seeking accountability to take steps for better health, (3) mutual support encourages in-group bonding, (4) placing value on building PA confidence, (5) the impact of the COVID-19 pandemic and (6) recommendations for future programs. By receiving social and behavioural support, and thus experiencing increased PA confidence, participants felt the program supported their PA behaviour. However, key differences were evident for participants attending the program during the pandemic. CONCLUSIONS Exploring strategies that foster a communal focus amongst participants within community-based walking programs may be beneficial. Moreover, findings underscore the value of offering PA programming (walking or otherwise) with behavioural support during a pandemic with appropriate safety measures, though social relationships may not be fully fostered.

中文翻译：

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在 COVID-19 大流行之前和期间探索癌症幸存者在基于团体的步行计划中的经历：一项定性研究。

目的 体育活动 (PA) 可以帮助减少与癌症相关的副作用，同时提高生活质量。这项定性研究探讨了癌症幸存者在为期 8 周的团体步行计划中的经历，该计划在社区内提供行为支持，以突出这些计划的成功采用和可持续性的核心因素。方法 采访了在 COVID-19 大流行之前（n = 7）或期间（n = 4）参加该计划的 11 名癌症幸存者，并要求他们讨论他们的 PA 行为、加入和完成该计划的动机，以及经历的好处和障碍，并提供可以纳入未来计划的反馈。使用混合演绎-归纳方法对采访记录进行主题分析。结果 参与者 经验总结为六个主题：（1）增强了 PA 的行为和动机，（2）寻求问责制以采取措施改善健康，（3）相互支持鼓励内部联系，（4）重视建立 PA 信心， (5) COVID-19 大流行的影响和 (6) 对未来计划的建议。通过获得社会和行为支持，从而增强了 PA 的信心，参与者认为该计划支持了他们的 PA 行为。但是，对于在大流行期间参加该计划的参与者来说，关键差异是显而易见的。结论 在以社区为基础的步行项目中探索促进参与者共同关注的策略可能是有益的。而且，