Physical activity referral to cardiac rehabilitation, leisure centre or telephone-delivered consultations in post-surgical people with breast cancer: A mixed methods process evaluation
ISPAH ePoster Library. Hubbard G. Oct 15, 2018; 225147; 394
Gill Hubbard
Gill Hubbard
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Abstract Background:<\b>
Physical activity (PA) programmes effective under ‘research’ conditions may not be effective under ‘real-world’ conditions. A potential solution is to refer patients to existing community-based PA services. Methods:<\b>
A process evaluation of referral of post-surgical patients with early stage breast cancer to cardiac rehabilitation exercise classes, leisure centre with 3-month free membership or telephone-delivered PA consultations for 12 weeks. Results:<\b>
In Phase I, 30% (n=20) of eligible patients (n=20) consented, 85% (n=17) chose referral to leisure centre, 15% (n=3) cardiac rehabilitation. In Phase II, 32% (n=12) consented, 25% (n=3) chose leisure centre, 75% (n=9) telephone-delivered PA consultations. Walking at light intensity for about an hour was the most common PA. All Phase I participants received an induction by a cardiac rehabilitation physiotherapist or PA specialist from the leisure centre but only 50% of Phase II participants received an induction by a PA specialist from the leisure centre. There were observed improvements in self-efficacy for PA, quality of life, fatigue and fear of recurrence in Phase I but not Phase II. Four themes were identified from qualitative interviews about programme choice: concerns about physical appearance, travel distance, willingness to socialise, and flexibility in relation to doing PA. travel distance, socialising, relevance, and flexibility. Four themes were identified about facilitators and barriers for engaging in PA: feeling better, feeling ill, weight management, family and friends. Conclusion:<\b>
Further work to improve intervention fidelity and participant engagement in higher exercise intensities to maximise health benefits. External funding details Breast Cancer Now and Chief Scientist Office
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