Smyth, E; Brennan, L; Enright, R; Sekhon, M; Dickson, J; Hussey, J; Guinan, E
(2024)
The acceptability of exercise prehabilitation before cancer surgery among patients, family members and health professionals: a mixed methods evaluation.
Support Care Cancer, 32 (6).
p. 399.
ISSN 1433-7339
https://doi.org/10.1007/s00520-024-08574-4
SGUL Authors: Sekhon, Mandeep
Abstract
PURPOSE: Exercise prehabilitation aims to increase preoperative fitness, reduce post-operative complications, and improve health-related quality of life. For prehabilitation to work, access to an effective programme which is acceptable to stakeholders is vital. The aim was to explore acceptability of exercise prehabilitation before cancer surgery among key stakeholders specifically patients, family members and healthcare providers. METHODS: A mixed-methods approach (questionnaire and semi-structured interview) underpinned by the Theoretical Framework of Acceptability was utilised. Composite acceptability score, (summation of acceptability constructs and a single-item overall acceptability construct), and median of each construct was calculated. Correlation analysis between the single-item overall acceptability and each construct was completed. Qualitative data was analysed using deductive and inductive thematic analysis. RESULTS: 244 participants completed the questionnaire and n=31 completed interviews. Composite acceptability was comparable between groups (p=0.466). Four constructs positively correlated with overall acceptability: affective attitude (r=0.453), self-efficacy (r=0.399), ethicality (r=0.298) and intervention coherence (r=0.281). Qualitative data confirmed positive feelings, citing psychological benefits including a sense of control. Participants felt flexible prehabilitation program would be suitable for everyone, identifying barriers and facilitators to reduce burden. CONCLUSION: Exercise prehabilitation is highly acceptable to key stakeholders. Despite some burden, it is a worthwhile and effective intervention. Stakeholders understand its purpose, are confident in patients' ability to participate, and regard it is an important intervention contributing to patients' psychological and physical wellbeing. IMPLICATIONS: •Introduction should be comprehensively designed and clearly presented, providing appropriate information and opportunity for questions. •Programmes should be patient-centred, designed to overcome barriers and address patients' specific needs and goals. •Service must be appropriately resourced with a clear referral-pathway.
Item Type: |
Article
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Additional Information: |
© The Author(s) 2024
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
Keywords: |
Acceptability, Exercise oncology, Exercise prehabilitation, Preoperative exercise, Humans, Male, Female, Middle Aged, Preoperative Exercise, Neoplasms, Adult, Aged, Surveys and Questionnaires, Family, Health Personnel, Quality of Life, Patient Acceptance of Health Care, Exercise Therapy, Self Efficacy, Qualitative Research, Humans, Neoplasms, Exercise Therapy, Self Efficacy, Family, Qualitative Research, Quality of Life, Adult, Aged, Middle Aged, Health Personnel, Patient Acceptance of Health Care, Female, Male, Surveys and Questionnaires, Preoperative Exercise, Acceptability, Exercise prehabilitation, Preoperative exercise, Exercise oncology, 11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences, Oncology & Carcinogenesis |
SGUL Research Institute / Research Centre: |
Academic Structure > Population Health Research Institute (INPH) |
Journal or Publication Title: |
Support Care Cancer |
ISSN: |
1433-7339 |
Language: |
eng |
Dates: |
Date | Event |
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31 May 2024 | Published | 13 May 2024 | Accepted |
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Publisher License: |
Creative Commons: Attribution 4.0 |
Projects: |
Project ID | Funder | Funder ID |
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UNSPECIFIED | Irish Cancer Society/Health Research Board MRCG Joint Funding Scheme 2018 | UNSPECIFIED |
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PubMed ID: |
38819477 |
Web of Science ID: |
WOS:001236579500002 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/116682 |
Publisher's version: |
https://doi.org/10.1007/s00520-024-08574-4 |
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