Key result
Physical activity referral programs for post-surgical breast cancer patients achieved a consent rate of 30-32%, with most patients preferring leisure centre or telephone consultations over cardiac rehabilitation.
Community-based physical activity interventions for post-surgical breast cancer patients require further optimization in reach, dose, and fidelity before proceeding to a definitive effectiveness trial.
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Supports piloting varied PA referral options post-breast cancer surgery; extends RCT evidence on engagement factors for larger trials.
BACKGROUND: Physical activity (PA) programmes effective under 'research' conditions may not be effective under 'real-world' conditions. A potential solution is to refer patients to existing PA community-based PA services. METHODS: A process evaluation of referral of post-surgical patients with early-stage breast cancer to cardiac rehabilitation exercise classes, leisure centre with 3-month free leisure centre membership or telephone-delivered PA consultations for 12 weeks. Quantitative data were collected about PA programme uptake and reach, patient engagement with the PA programme, delivery and fidelity and PA dose. Qualitative data were collected about patient experiences of taking part in the PA programmes. Audio-recorded qualitative interviews of participants about the programmes were analysed thematically. Quantitative data were reported descriptively using means and SD. RESULTS: = 9) chose telephone-delivered PA consultations. Walking at light intensity for about an hour was the most common PA. All Phase I participants received an induction by a cardiac rehabilitation physiotherapist or PA specialist from the leisure centre but only 50% of Phase II participants received an induction by a PA specialist from the leisure centre. Four themes were identified from qualitative interviews about programme choice: concerns about physical appearance, travel distance, willingness to socialise and flexibility in relation to doing PA. Four themes were identified about facilitators and barriers for engaging in PA: feeling better, feeling ill, weight management, family and friends. CONCLUSIONS: The current community-based PA intervention is not yet suitable for a definitive effectiveness randomised controlled trial. Further work is needed to optimise PR programme reach, PA dose and intervention fidelity. TRIAL REGISTRATION: ISRCTN11183372.
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Hubbard et al. (2018) studied Early-stage breast cancer or ductal carcinoma in situ (DCIS) (n=32). Physical activity referral (cardiac rehabilitation, leisure centre, or telephone-delivered consultations) was evaluated on Consent rate (uptake). Physical activity referral programs for post-surgical breast cancer patients achieved a consent rate of 30-32%, with most patients preferring leisure centre or telephone consultations over cardiac rehabilitation.
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