"Finding my own motivation" - A Mixed Methods Study of Exercise and Behaviour Change Support During Oncological Treatment.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read Online Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 9421097 Publication Model: Print Cited Medium: Internet ISSN: 1532-7558 (Electronic) Linking ISSN: 10705503 NLM ISO Abbreviation: Int J Behav Med Subsets: MEDLINE
    • Publication Information:
      Publication: London : Informa Healthcare
      Original Publication: Hillsdale, NJ : Lawrence Erlbaum Associates, c1994-
    • Subject Terms:
      Motivation*; Behavior Therapy/*methods ; Exercise/*psychology ; Neoplasms/*therapy; Aged ; Female ; Humans ; Male ; Middle Aged ; Social Support ; Surveys and Questionnaires
    • Abstract:
      Background: Exercising during oncological treatment is beneficial but challenging for persons with cancer and may require strategies to increase motivation. Behaviour change support, including specific behaviour change techniques (BCTs), have been used to facilitate exercise in persons undergoing oncological treatment, but more detailed knowledge from an individual perspective is needed to inform clinical practice. The aims were to explore the motivational experiences of exercise combined with behaviour change support, and to describe how specific BCTs were valued among persons exercising during oncological treatment.
      Methods: A mixed-methods study was conducted using semi-structured interviews (n = 18) and a questionnaire (n = 229). Participants with breast, colorectal or prostate cancer who completed or dropped out of a six-month exercise programme during oncological treatment were included. The interviews were analysed with thematic analysis and the questionnaire with descriptive statistics (median and interquartile range).
      Results: The participants underwent a motivational process through the exercise programme. By experiencing 'Health gains and mastery', 'Learning', 'Affinity', 'Commitment', and 'Managing challenges', they found incentives that fostered feelings of autonomy, competence and relatedness, leading to an increased motivation to exercise. Social support from coaches, structuring the physical environment with scheduled sessions, self-monitoring with resistance training log, and feedback based on heart rate monitor and fitness tests were the most valued BCTs.
      Conclusions: The results indicate the importance of finding incentives and creating an environment that fosters autonomy, competence and relatedness to motivate persons to exercise during oncological treatment. Some BCTs appear particularly useful and may be used by health professionals to increase patients' motivation to exercise.
    • References:
      Med Sci Sports Exerc. 2010 Jul;42(7):1409-26. (PMID: 20559064)
      J Health Psychol. 2020 Jan;25(1):105-122. (PMID: 29446325)
      Eur J Cancer. 2012 Feb;48(3):297-304. (PMID: 21920730)
      Acta Oncol. 2015 May;54(5):609-17. (PMID: 25751760)
      Clin Rheumatol. 2015 Mar;34(3):429-39. (PMID: 24941928)
      Ann Behav Med. 2013 Aug;46(1):81-95. (PMID: 23512568)
      Cancer Nurs. 2019 Jul/Aug;42(4):271-285. (PMID: 29601358)
      Psychooncology. 2013 Jan;22(1):186-94. (PMID: 23296635)
      Support Care Cancer. 2008 Jan;16(1):9-17. (PMID: 17569994)
      BMC Cancer. 2017 Mar 27;17(1):218. (PMID: 28347291)
      Int J Nurs Stud. 2010 Nov;47(11):1451-8. (PMID: 20598692)
      J Clin Nurs. 2001 Jul;10(4):528-37. (PMID: 11822501)
      J Cancer Surviv. 2010 Jun;4(2):87-100. (PMID: 20052559)
      Biomed Res Int. 2015;2015:328636. (PMID: 26167483)
      Ann Oncol. 2014 Jul;25(7):1293-1311. (PMID: 24644304)
      Br J Sports Med. 2016 Jul;50(13):796-803. (PMID: 26719503)
      J Clin Epidemiol. 2004 Jun;57(6):571-9. (PMID: 15246125)
      Cochrane Database Syst Rev. 2018 Sep 19;9:CD010192. (PMID: 30229557)
      Epidemiol Rev. 2017 Jan 1;39(1):71-92. (PMID: 28453622)
      Ann Behav Med. 2008 Oct;36(2):158-66. (PMID: 18795388)
      Support Care Cancer. 2014 Aug;22(8):2057-65. (PMID: 24633590)
      Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
      Br J Sports Med. 2009 Jan;43(1):32-8. (PMID: 18948351)
      Cochrane Database Syst Rev. 2013 Sep 24;(9):CD010192. (PMID: 24065550)
      Am Psychol. 2000 Jan;55(1):68-78. (PMID: 11392867)
      J Sport Exerc Psychol. 2008 Feb;30(1):23-38. (PMID: 18369241)
      Health Educ Res. 2007 Dec;22(6):827-38. (PMID: 17272293)
      Support Care Cancer. 2012 Oct;20(10):2511-21. (PMID: 22252545)
      Phys Ther. 2012 Apr;92(4):525-36. (PMID: 22156026)
      Psychooncology. 2006 Jul;15(7):567-78. (PMID: 16304621)
      J Immigr Minor Health. 2012 Dec;14(6):1082-9. (PMID: 22610693)
      Breast Cancer Res Treat. 2012 Jan;131(2):679-90. (PMID: 21953007)
      Med Oncol. 2011 Sep;28(3):753-65. (PMID: 20411366)
      Integr Cancer Ther. 2018 Mar;17(1):16-30. (PMID: 28008778)
    • Grant Information:
      15 0841 Cancerfonden; 521-2013-2734 Vetenskapsrådet
    • Contributed Indexing:
      Keywords: Behaviour change techniques; Cancer; Incentives; Physical activity; Qualitative research; Self-determination theory
    • Publication Date:
      Date Created: 20190824 Date Completed: 20191223 Latest Revision: 20201001
    • Publication Date:
      20240105
    • Accession Number:
      PMC6785591
    • Accession Number:
      10.1007/s12529-019-09809-z
    • Accession Number:
      31441015