Feasibility and acceptability of a group-mediated exercise intervention for gynecological cancer survivors

J Psychosoc Oncol. 2022;40(6):770-789. doi: 10.1080/07347332.2021.1939474. Epub 2021 Jun 29.

Abstract

Purpose: Examine feasibility and acceptability of a group-mediated cognitive-behavioral (GMCB) intervention targeting planned, self-managed physical activity (PA).

Design: Sequential mixed methods, single arm pre-/post-test design with a 4-week follow-up.

Participants: Post-treatment gynecologic cancer survivors.

Methods: Participants attended 8 weekly facilitator-led group sessions and completed assessments at baseline, post-intervention and follow-up. Feasibility was assessed by recruitment rate, retention rate, capture of outcomes, intervention usability and intervention fidelity. Acceptability was examined via qualitative interviews. Preliminary estimates of intervention effectiveness (PA, PA social cognitions and sleep) were collected.

Findings: 355 participants were approached and 38 consented. Twenty took part in the study and 17 (85%) completed the intervention. Thematic content analysis revealed positive group experiences. Cognitive-behavioral strategies were beneficial. Goal-setting and shared cancer recovery experience facilitated connection among group members.

Implications: Program acceptability was high among a diverse sample of gynecologic cancer survivors and delivery of the program is feasible to this group of gynecologic cancer survivors. Recruitment challenges were present but study retention was high.

Keywords: Adherence; cancer; group dynamics; physical activity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cancer Survivors*
  • Exercise
  • Exercise Therapy
  • Feasibility Studies
  • Female
  • Humans
  • Neoplasms*
  • Survivors