Improving the delivery of physical activity services in lung cancer: A qualitative representation of the patient's perspective

Eur J Cancer Care (Engl). 2019 Jan;28(1):e12946. doi: 10.1111/ecc.12946. Epub 2018 Oct 4.

Abstract

Objective: To explore patient experiences of, and preferences for, physical activity after a lung cancer diagnosis.

Methods: This was a qualitative study involving seven patients who had been treated for lung cancer within the previous 2 years. Participants attended a focus group interview. Conventional content analysis methodology was used to analyse the text by two independent researchers.

Results: Eight major themes emerged from the data. These were as follows: the influence of past lifestyle and chronic disease; the perceived benefits of physical activity; using physical activity to facilitate return to activities of daily living; the impact of symptoms, capacity and motivation; family and peer support; access to services; health professionals; and enjoyment of different types of physical activity. Patients suggested several factors that could improve their healthcare experience. These include access to exercise professionals particularly after cancer treatment; access to information about physical activity in different formats; supervision from health professionals and peer support; and use of behaviour change strategies to achieve sustainable increases in physical activity.

Conclusion: Our results should be considered in the improvement of lung cancer care pathways as we strive to implement physical activity services into routine clinical care.

Keywords: exercise; implementation; lung cancer; patient perspective; physical activity.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Delivery of Health Care*
  • Exercise*
  • Female
  • Focus Groups
  • Humans
  • Lung Neoplasms / rehabilitation*
  • Male
  • Middle Aged
  • Qualitative Research