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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Main Authors: Rachael Powell, Amy Davies, Kirsty Rowlinson-Groves, David P. French, John Moore, Zoe Merchant
Format: Article
Language:English
Published: BMC 2023-12-01
Series:BMC Cancer
Subjects:
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/ ).
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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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