Perceptions of a comprehensive physical activity behavior intervention among endometrial cancer survivors with obesity. A qualitative study

Purpose: Evaluate perceptions of a 12-week in-person physical activity intervention for endometrial cancer survivors with obesity. Methods: Sixteen endometrial cancer survivors (Age: 64 ± 8 yrs) with obesity (BMI: 34 ± 8 kg·m−2) who completed a 12-week comprehensive physical activity program complet...

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Main Authors: Amerigo Rossi, Mónica Ortiz Rossi, Rosa Torres-Panchame, Nina Brojan Heyman, Carol E. Garber, Nicole Nevadunsky
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Gynecologic Oncology Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352578923003302
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author Amerigo Rossi
Mónica Ortiz Rossi
Rosa Torres-Panchame
Nina Brojan Heyman
Carol E. Garber
Nicole Nevadunsky
author_facet Amerigo Rossi
Mónica Ortiz Rossi
Rosa Torres-Panchame
Nina Brojan Heyman
Carol E. Garber
Nicole Nevadunsky
author_sort Amerigo Rossi
collection DOAJ
description Purpose: Evaluate perceptions of a 12-week in-person physical activity intervention for endometrial cancer survivors with obesity. Methods: Sixteen endometrial cancer survivors (Age: 64 ± 8 yrs) with obesity (BMI: 34 ± 8 kg·m−2) who completed a 12-week comprehensive physical activity program completed semi-structured interviews regarding perceptions of physical activity participation. Transcripts were analyzed using thematic analysis and were confirmed by multiple authors. Results: Emergent themes (and subthemes) were: 1) Routine physical activity (Walking, Chores), 2) Motivations for physical activity (Social, Independence, Health, Family, Weight), 3) Barriers to physical activity (Weather, Pain, Fatigue, Family Stress), 4) Motivation to 12-week program adherence (Social, Fun, Caring, Structure, Shared Experiences), 5) Perceived benefits of the program (Social, Self-efficacy, Activities of Daily Living, Body Composition, Well-being, Health), and 6) Feedback about the 12-week program (Timing, Setting, Exercise Modes, Incentives, Instructor, Learning). Conclusions: Socioculturally diverse cancer survivors with obesity who were able to complete a 12-week physical activity program emphasized the importance of maintaining independence, and being part of a fun, caring, and social environment for their ability to overcome fatigue, pain, and family stresses to adhere to the program. Participants discussed myriad health and wellness benefits, and wished the program were more robust. Implications for Cancer Survivors: Low-burden exercise programs can confer meaningful health and wellness benefits for cancer survivors. To maintain adherence, programs should emphasize social cohesion and exercises to help maintain independence. Instructors should express caring support while also making classes fun, while emphasizing body composition instead of weight loss.
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spelling doaj.art-3ce0ad33588d43e6941e8167a06104a92023-12-15T07:24:52ZengElsevierGynecologic Oncology Reports2352-57892023-12-0150101313Perceptions of a comprehensive physical activity behavior intervention among endometrial cancer survivors with obesity. A qualitative studyAmerigo Rossi0Mónica Ortiz Rossi1Rosa Torres-Panchame2Nina Brojan Heyman3Carol E. Garber4Nicole Nevadunsky5New York Institute of Technology, Northern Blvd, Old Westbury, NY 11568, USA; Corresponding author at: New York Institute of Technology, Interdisciplinary Health Sciences, Northern Blvd, Old Westbury, NY 11568, USA.CUNY School of Public Health, 55 W 125th St., New York, NY 10027, USAHofstra University, 1000 Hempstead Tpke, Hempstead, NY 11549, USATeachers College, Columbia University, 525 W 120th St., New York, NY 10027, USATeachers College, Columbia University, 525 W 120th St., New York, NY 10027, USAMontefiore Medical Center, 111 E 210th St., Bronx, NY 10467, USAPurpose: Evaluate perceptions of a 12-week in-person physical activity intervention for endometrial cancer survivors with obesity. Methods: Sixteen endometrial cancer survivors (Age: 64 ± 8 yrs) with obesity (BMI: 34 ± 8 kg·m−2) who completed a 12-week comprehensive physical activity program completed semi-structured interviews regarding perceptions of physical activity participation. Transcripts were analyzed using thematic analysis and were confirmed by multiple authors. Results: Emergent themes (and subthemes) were: 1) Routine physical activity (Walking, Chores), 2) Motivations for physical activity (Social, Independence, Health, Family, Weight), 3) Barriers to physical activity (Weather, Pain, Fatigue, Family Stress), 4) Motivation to 12-week program adherence (Social, Fun, Caring, Structure, Shared Experiences), 5) Perceived benefits of the program (Social, Self-efficacy, Activities of Daily Living, Body Composition, Well-being, Health), and 6) Feedback about the 12-week program (Timing, Setting, Exercise Modes, Incentives, Instructor, Learning). Conclusions: Socioculturally diverse cancer survivors with obesity who were able to complete a 12-week physical activity program emphasized the importance of maintaining independence, and being part of a fun, caring, and social environment for their ability to overcome fatigue, pain, and family stresses to adhere to the program. Participants discussed myriad health and wellness benefits, and wished the program were more robust. Implications for Cancer Survivors: Low-burden exercise programs can confer meaningful health and wellness benefits for cancer survivors. To maintain adherence, programs should emphasize social cohesion and exercises to help maintain independence. Instructors should express caring support while also making classes fun, while emphasizing body composition instead of weight loss.http://www.sciencedirect.com/science/article/pii/S2352578923003302Behavior changeExerciseMotivationObesityPhysical ActivitySurvivorship
spellingShingle Amerigo Rossi
Mónica Ortiz Rossi
Rosa Torres-Panchame
Nina Brojan Heyman
Carol E. Garber
Nicole Nevadunsky
Perceptions of a comprehensive physical activity behavior intervention among endometrial cancer survivors with obesity. A qualitative study
Gynecologic Oncology Reports
Behavior change
Exercise
Motivation
Obesity
Physical Activity
Survivorship
title Perceptions of a comprehensive physical activity behavior intervention among endometrial cancer survivors with obesity. A qualitative study
title_full Perceptions of a comprehensive physical activity behavior intervention among endometrial cancer survivors with obesity. A qualitative study
title_fullStr Perceptions of a comprehensive physical activity behavior intervention among endometrial cancer survivors with obesity. A qualitative study
title_full_unstemmed Perceptions of a comprehensive physical activity behavior intervention among endometrial cancer survivors with obesity. A qualitative study
title_short Perceptions of a comprehensive physical activity behavior intervention among endometrial cancer survivors with obesity. A qualitative study
title_sort perceptions of a comprehensive physical activity behavior intervention among endometrial cancer survivors with obesity a qualitative study
topic Behavior change
Exercise
Motivation
Obesity
Physical Activity
Survivorship
url http://www.sciencedirect.com/science/article/pii/S2352578923003302
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