Impact of a prehabilitation and recovery programme on emotional well-being in individuals undergoing cancer surgery: a multi-perspective qualitative study
Abstract Background Prehabilitation and recovery programmes aim to optimise patients’ physical fitness and mental well-being before, during and after cancer treatment. This paper aimed to understand the impact of such a programme on emotional well-being in individuals undergoing cancer surgery. The...
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Format: | Article |
Language: | English |
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BMC
2023-12-01
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Series: | BMC Cancer |
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Online Access: | https://doi.org/10.1186/s12885-023-11717-1 |
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author | Rachael Powell Amy Davies Kirsty Rowlinson-Groves David P. French John Moore Zoe Merchant |
author_facet | Rachael Powell Amy Davies Kirsty Rowlinson-Groves David P. French John Moore Zoe Merchant |
author_sort | Rachael Powell |
collection | DOAJ |
description | Abstract Background Prehabilitation and recovery programmes aim to optimise patients’ physical fitness and mental well-being before, during and after cancer treatment. This paper aimed to understand the impact of such a programme on emotional well-being in individuals undergoing cancer surgery. The programme was multi-modal, containing physical activity, well-being and nutritional support. Methods Qualitative interviews were conducted with 16 individuals who participated in a prehabilitation and recovery programme. Twenty-four health care staff involved in referral completed an online survey. An inductive, thematic analysis was conducted, integrating perspectives of patients and staff, structured with the Framework approach. Results Patients seemed to experience emotional benefits from the programme, appearing less anxious and more confident in their ability to cope with treatment. They seemed to value having something positive to focus on and control over an aspect of treatment. Ongoing, implicit psychological support provided by Exercise Specialists, who were perceived as expert, available and caring, seemed valued. Some patients appeared to appreciate opportunities to talk about cancer with peers and professionals. Discomfort with talking about cancer with other people, outside of the programme, was expressed. Conclusions Participation in a prehabilitation and recovery programme appeared to yield valuable emotional well-being benefits, even without referral to specialist psychological support. Study registration The study protocol was uploaded onto the Open Science Framework 24 September 2020 ( https://osf.io/347qj/ ). |
first_indexed | 2024-03-08T22:38:03Z |
format | Article |
id | doaj.art-1e40f9bdfd77454b8cbb27bf7488379f |
institution | Directory Open Access Journal |
issn | 1471-2407 |
language | English |
last_indexed | 2024-03-08T22:38:03Z |
publishDate | 2023-12-01 |
publisher | BMC |
record_format | Article |
series | BMC Cancer |
spelling | doaj.art-1e40f9bdfd77454b8cbb27bf7488379f2023-12-17T12:20:26ZengBMCBMC Cancer1471-24072023-12-0123111010.1186/s12885-023-11717-1Impact of a prehabilitation and recovery programme on emotional well-being in individuals undergoing cancer surgery: a multi-perspective qualitative studyRachael Powell0Amy Davies1Kirsty Rowlinson-Groves2David P. French3John Moore4Zoe Merchant5Manchester Centre for Health Psychology, Division of Psychology and Mental Health, School of Health Sciences, University of ManchesterManchester Centre for Health Psychology, Division of Psychology and Mental Health, School of Health Sciences, University of ManchesterGM Active, Salford Community LeisureManchester Centre for Health Psychology, Division of Psychology and Mental Health, School of Health Sciences, University of ManchesterDepartment of Anaesthesia, Manchester Royal Infirmary, Manchester University NHS Foundation TrustGreater Manchester Cancer Alliance, The Christie NHS Foundation TrustAbstract Background Prehabilitation and recovery programmes aim to optimise patients’ physical fitness and mental well-being before, during and after cancer treatment. This paper aimed to understand the impact of such a programme on emotional well-being in individuals undergoing cancer surgery. The programme was multi-modal, containing physical activity, well-being and nutritional support. Methods Qualitative interviews were conducted with 16 individuals who participated in a prehabilitation and recovery programme. Twenty-four health care staff involved in referral completed an online survey. An inductive, thematic analysis was conducted, integrating perspectives of patients and staff, structured with the Framework approach. Results Patients seemed to experience emotional benefits from the programme, appearing less anxious and more confident in their ability to cope with treatment. They seemed to value having something positive to focus on and control over an aspect of treatment. Ongoing, implicit psychological support provided by Exercise Specialists, who were perceived as expert, available and caring, seemed valued. Some patients appeared to appreciate opportunities to talk about cancer with peers and professionals. Discomfort with talking about cancer with other people, outside of the programme, was expressed. Conclusions Participation in a prehabilitation and recovery programme appeared to yield valuable emotional well-being benefits, even without referral to specialist psychological support. Study registration The study protocol was uploaded onto the Open Science Framework 24 September 2020 ( https://osf.io/347qj/ ).https://doi.org/10.1186/s12885-023-11717-1CancerPrehabilitationRehabilitationAnxietySelf-efficacySurgery |
spellingShingle | Rachael Powell Amy Davies Kirsty Rowlinson-Groves David P. French John Moore Zoe Merchant Impact of a prehabilitation and recovery programme on emotional well-being in individuals undergoing cancer surgery: a multi-perspective qualitative study BMC Cancer Cancer Prehabilitation Rehabilitation Anxiety Self-efficacy Surgery |
title | Impact of a prehabilitation and recovery programme on emotional well-being in individuals undergoing cancer surgery: a multi-perspective qualitative study |
title_full | Impact of a prehabilitation and recovery programme on emotional well-being in individuals undergoing cancer surgery: a multi-perspective qualitative study |
title_fullStr | Impact of a prehabilitation and recovery programme on emotional well-being in individuals undergoing cancer surgery: a multi-perspective qualitative study |
title_full_unstemmed | Impact of a prehabilitation and recovery programme on emotional well-being in individuals undergoing cancer surgery: a multi-perspective qualitative study |
title_short | Impact of a prehabilitation and recovery programme on emotional well-being in individuals undergoing cancer surgery: a multi-perspective qualitative study |
title_sort | impact of a prehabilitation and recovery programme on emotional well being in individuals undergoing cancer surgery a multi perspective qualitative study |
topic | Cancer Prehabilitation Rehabilitation Anxiety Self-efficacy Surgery |
url | https://doi.org/10.1186/s12885-023-11717-1 |
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