A focus group study exploring gynecological cancer survivors' experiences and perceptions of participitating in a RCT testing the efficacy of a home based physical activity intervention

Caroline Donnelly, Andrea Lowe-Strong, Jane Rankin, Janine Blaney, Jackie Gracey

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Purpose This study aims to explore gynecological cancersurvivors' perceptions and experiences following participationin a randomised controlled trial (RCT) testing the efficacy of ahome-based physical activity behavioral change intervention(Donnelly et al., Gynecol Oncol 122:618–624, 2011).Methods All participants completing a two-armed parallelRCT were invited to participate in the study (31/33)(Donnelly et al., Gynecol Oncol 122:618–624, 2011).Sixteen participants took part (16/31; physical activity (PA)group n=9, contact control (CC) group n=7). Four qualitativegroup interviews were conducted (focus group size 3–5). Astructured interview guide was followed by an independentmoderator. Groups were audio recorded, transcribed verbatim,and analyzed using the framework approach (Ritchie andSpencer 2001), a five-stage qualitative method of analysis.Results One of the most unanimously perceived benefits oftaking part in the programme regarded participants' psychologicalwell-being. Additional benefits included improved physicalfitness and functioning. Important programme features includedthe weekly telephone calls from a physiotherapist, the patient–professional relationship, and goal setting. Participants' ownmotivation and programme timing were also identified as importantfactors. Suggestions for improvements include: opportunitiesfor social interaction with other gynecological cancersurvivors and greater exercise choice.Conclusion Findings suggest that women diagnosed with gynecologicalcancer perceive participation in physical activity asimportant and participation provides benefits in terms of psychologicalwell-being and improved physical functioning.Support for continuation of many of the current features ofthe home-based programme was provided. Findings provideinsight and rationale for the selection of components for futurehome-based physical activity interventions. Findings also supportfurther research into the development of multidimensionalinterventions for the gynecological cancer population.Keywords Physical activity . Cancer . Fatigue .Gynecological cancer
LanguageEnglish
JournalSupportive Care in Cancer
VolumeONLINE
DOIs
Publication statusPublished - 16 Jan 2013

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Focus Groups
Survivors
Randomized Controlled Trials
Exercise
Neoplasms
Professional-Patient Relations
Interviews
Physical Therapists
Interpersonal Relations
Telephone
Fatigue
Control Groups
Research
Population

Keywords

  • Physical Activity Cancer Fatigue Gyneocological cancer

Cite this

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title = "A focus group study exploring gynecological cancer survivors' experiences and perceptions of participitating in a RCT testing the efficacy of a home based physical activity intervention",
abstract = "Purpose This study aims to explore gynecological cancersurvivors' perceptions and experiences following participationin a randomised controlled trial (RCT) testing the efficacy of ahome-based physical activity behavioral change intervention(Donnelly et al., Gynecol Oncol 122:618–624, 2011).Methods All participants completing a two-armed parallelRCT were invited to participate in the study (31/33)(Donnelly et al., Gynecol Oncol 122:618–624, 2011).Sixteen participants took part (16/31; physical activity (PA)group n=9, contact control (CC) group n=7). Four qualitativegroup interviews were conducted (focus group size 3–5). Astructured interview guide was followed by an independentmoderator. Groups were audio recorded, transcribed verbatim,and analyzed using the framework approach (Ritchie andSpencer 2001), a five-stage qualitative method of analysis.Results One of the most unanimously perceived benefits oftaking part in the programme regarded participants' psychologicalwell-being. Additional benefits included improved physicalfitness and functioning. Important programme features includedthe weekly telephone calls from a physiotherapist, the patient–professional relationship, and goal setting. Participants' ownmotivation and programme timing were also identified as importantfactors. Suggestions for improvements include: opportunitiesfor social interaction with other gynecological cancersurvivors and greater exercise choice.Conclusion Findings suggest that women diagnosed with gynecologicalcancer perceive participation in physical activity asimportant and participation provides benefits in terms of psychologicalwell-being and improved physical functioning.Support for continuation of many of the current features ofthe home-based programme was provided. Findings provideinsight and rationale for the selection of components for futurehome-based physical activity interventions. Findings also supportfurther research into the development of multidimensionalinterventions for the gynecological cancer population.Keywords Physical activity . Cancer . Fatigue .Gynecological cancer",
keywords = "Physical Activity Cancer Fatigue Gyneocological cancer",
author = "Caroline Donnelly and Andrea Lowe-Strong and Jane Rankin and Janine Blaney and Jackie Gracey",
note = "Reference text: Speck RM, Courneya KS, Masse LC, Duval S, Schmitz KH (2010) An update of controlled physical activity trials: a systematic review and meta-analysis. J Cancer Surv 4(2):87–100 2. Ivanoff D (2002) Focus group discussions as a tool for developing a health education programme for elderly persons with visual impairment. Scand J Occup Ther 9:3–9 3. Midtgaard J, Rorth OM, Stelter OR, Adamsen NL (2006) The group matters: an explorative study of group cohesion and quality of life in cancer patients participating in physical exercise intervention during treatment. Eur J Cancer Care 15:25–33 4. Korstjen I, Mesters I, Gijsen B, Van Den Borne B (2008) Cancer patients' views on rehabilitation and quality of life: a programme audit. Eur J Cancer Care 17:290–297 5. Emslie C, Whyte F, Campbell A,Mutrie N, Lee L, Ritchie D, Kearney N (2007) ‘I wouldn't have been interested in just sitting round a table talking about cancer'; exploring the experiences of women with breast cancer in a group exercise trial. Health Educ Res 22:827–838 6. Karvinen KH, Courneya KS, Campbell KL, Pearcey RG, Dundas G, Capstick V, Tonkin KS (2006) Exercise preferences of endometrial cancer survivors: a population-based study. Cancer Nurs 29:259–265 7. Stevinson C, Capstick V, Schepansk A, Tonkin K, Vallance JK, Ladha AB, Steed H, Faught W, Courneya KS (2009) Physical activity preferences of ovarian cancer survivors. Psycho-Oncol 18:422–428 8. Donnelly CM, Blaney JM, Lowe-Strong A, Rankin JP, Campbell A, McCrum-Gardner E, Gracey JH (2011) A randomised controlled trial testing the feasibility and efficacy of a physical activity behavioural change intervention in managing fatigue with gynaecological cancer survivors. Gynecol Oncol 122:618–624 9. Mock V, Pickett M, Ropka ME, Lin ME, Stewart KJ, Rhodes VA, Mc Daniel R, Grimm PM, Krumm S, Mc Corkle R (2001) Fatigue and quality of life outcomes of exercise during cancer treatment. Can Prac 9:119–127 10. Mock V, Frangakis C, Davidson NE, Ropka ME, Pickett M, Poniatowski B, Stewart KJ, Cameron L, Zawacki K, Podewils LJ, Cohen G, Mc Corkle R (2005) Exercise manages fatigue during breast cancer treatment: a randomised controlled trial. Psycho-Onco 14:464–477 11. Proschaska JO, Diclemente CC (1982) Transtheoretical therapy: towards a more integrative model of change. Psychother-Theor Res 19:276–288 12. Loughlan C, Mutrie N (1995) Conducting an exercise programme: guidelines for health professionals. J Inst Health Educ 33:78–82 13. De Haes JCJM, Olschewski M, Fayers P, Visser MRM, Cull A, Hopwood P, Sanderman R (1996) Measuring the quality of life of cancer patients with the Rotterdam Symptom Check List (RSCL): A manual. Northern Centre for Healthcare Research, University of Groningen, Groningen 14. Sim J, Snell J (1996) Focus groups in physiotherapy evaluation and research. Physiotherapy 82:189–198 15. Krueger RA (1998) Developing questions for focus groups, 1st edn. Sage, Newbury Park, p 21 16. Morrison R, Peoples L (1998) Using focus group methodology in nursing. The J Cont Educ Nurs 20:62–65 17. Ritchie J, Spencer L (2001) Qualitative data analysis for applied policy research. In: Bryman A, Burgess RG (eds) Analysing qualitative data. Routledge, London, pp 173–194 18. Hennessy EM, Stevinson C, Fox KR (2005) Preliminary study of the lived experience of exercise for cancer survivors. Eur J Oncol Nurs 9:155–166 19. Brown MA, Shirley JL (2005) Enhancing women's mood and energy. Holist Nurs Pract 19:278–284 20. Lombard DN, Lombard TN, Winnett RA (1995) Walking to meet health guidelines. The effect of prompting frequency and prompt structure. Health Psychol 14:164–170 21. Whiteley JA, Lewis B, NapolitanMA and Marcus BH (2006) Health counselling skills In: ACSM's resource manual for guidelines for exercise testing and prescription 5th Edn Lippincott Williams & Wilkins, New York Support Care Cancer 22. Rollnick S, Mason P, Butler C (1999) Health behaviour change: A guide for practitioners. Churchill Livingstone, New York 23. Rogers LQ, Hopkins-Price P, Vicari S, Pamenter R, Courneya KS, Markwell S, Verhulst S, Hoelzer K, Naritoku C, Jones L, Dunnington G, Lanzotti V, Wynstra J, Shah L, Edson B, Graff A, Lowy M (2009) A randomized trial to increase physical activity in breast cancer survivors. Med Sci Sports Exerc 41:935–946 24. Steginga SK, Lynch BM, Hawkes A, Dunn AL, Aitken JF (2009) Antecedents of domain specific quality of life after colorectal cancer. Psycho-Oncol 18(2):216–220 25. Beesley VL, Eakin EG, Monika J, Battistutta D (2008) Gynaecological cancer survivors' health behaviours and their associations with quality of life. Cancer Cause Control 19:775–782 26. Beesley EE, Steginga S, Aitken J, Dunn J, Battistutta D (2008) Unmet needs of gynaecological cancer survivors: implications for developing community support services. Psycho-Oncol 17:392–400 27. Hawkes AL, Gollschewski S, Lynch BM, Chambers S (2009) A telephone-delivered lifestyle intervention for colorectal cancer survivors",
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day = "16",
doi = "10.1007/s00520-012-1716-0",
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A focus group study exploring gynecological cancer survivors' experiences and perceptions of participitating in a RCT testing the efficacy of a home based physical activity intervention. / Donnelly, Caroline; Lowe-Strong, Andrea; Rankin, Jane; Blaney, Janine; Gracey, Jackie.

Vol. ONLINE, 16.01.2013.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A focus group study exploring gynecological cancer survivors' experiences and perceptions of participitating in a RCT testing the efficacy of a home based physical activity intervention

AU - Donnelly, Caroline

AU - Lowe-Strong, Andrea

AU - Rankin, Jane

AU - Blaney, Janine

AU - Gracey, Jackie

N1 - Reference text: Speck RM, Courneya KS, Masse LC, Duval S, Schmitz KH (2010) An update of controlled physical activity trials: a systematic review and meta-analysis. J Cancer Surv 4(2):87–100 2. Ivanoff D (2002) Focus group discussions as a tool for developing a health education programme for elderly persons with visual impairment. Scand J Occup Ther 9:3–9 3. Midtgaard J, Rorth OM, Stelter OR, Adamsen NL (2006) The group matters: an explorative study of group cohesion and quality of life in cancer patients participating in physical exercise intervention during treatment. Eur J Cancer Care 15:25–33 4. Korstjen I, Mesters I, Gijsen B, Van Den Borne B (2008) Cancer patients' views on rehabilitation and quality of life: a programme audit. Eur J Cancer Care 17:290–297 5. Emslie C, Whyte F, Campbell A,Mutrie N, Lee L, Ritchie D, Kearney N (2007) ‘I wouldn't have been interested in just sitting round a table talking about cancer'; exploring the experiences of women with breast cancer in a group exercise trial. Health Educ Res 22:827–838 6. Karvinen KH, Courneya KS, Campbell KL, Pearcey RG, Dundas G, Capstick V, Tonkin KS (2006) Exercise preferences of endometrial cancer survivors: a population-based study. Cancer Nurs 29:259–265 7. Stevinson C, Capstick V, Schepansk A, Tonkin K, Vallance JK, Ladha AB, Steed H, Faught W, Courneya KS (2009) Physical activity preferences of ovarian cancer survivors. Psycho-Oncol 18:422–428 8. Donnelly CM, Blaney JM, Lowe-Strong A, Rankin JP, Campbell A, McCrum-Gardner E, Gracey JH (2011) A randomised controlled trial testing the feasibility and efficacy of a physical activity behavioural change intervention in managing fatigue with gynaecological cancer survivors. Gynecol Oncol 122:618–624 9. Mock V, Pickett M, Ropka ME, Lin ME, Stewart KJ, Rhodes VA, Mc Daniel R, Grimm PM, Krumm S, Mc Corkle R (2001) Fatigue and quality of life outcomes of exercise during cancer treatment. Can Prac 9:119–127 10. Mock V, Frangakis C, Davidson NE, Ropka ME, Pickett M, Poniatowski B, Stewart KJ, Cameron L, Zawacki K, Podewils LJ, Cohen G, Mc Corkle R (2005) Exercise manages fatigue during breast cancer treatment: a randomised controlled trial. Psycho-Onco 14:464–477 11. Proschaska JO, Diclemente CC (1982) Transtheoretical therapy: towards a more integrative model of change. Psychother-Theor Res 19:276–288 12. Loughlan C, Mutrie N (1995) Conducting an exercise programme: guidelines for health professionals. J Inst Health Educ 33:78–82 13. De Haes JCJM, Olschewski M, Fayers P, Visser MRM, Cull A, Hopwood P, Sanderman R (1996) Measuring the quality of life of cancer patients with the Rotterdam Symptom Check List (RSCL): A manual. Northern Centre for Healthcare Research, University of Groningen, Groningen 14. Sim J, Snell J (1996) Focus groups in physiotherapy evaluation and research. Physiotherapy 82:189–198 15. Krueger RA (1998) Developing questions for focus groups, 1st edn. Sage, Newbury Park, p 21 16. Morrison R, Peoples L (1998) Using focus group methodology in nursing. The J Cont Educ Nurs 20:62–65 17. Ritchie J, Spencer L (2001) Qualitative data analysis for applied policy research. In: Bryman A, Burgess RG (eds) Analysing qualitative data. Routledge, London, pp 173–194 18. Hennessy EM, Stevinson C, Fox KR (2005) Preliminary study of the lived experience of exercise for cancer survivors. Eur J Oncol Nurs 9:155–166 19. Brown MA, Shirley JL (2005) Enhancing women's mood and energy. Holist Nurs Pract 19:278–284 20. Lombard DN, Lombard TN, Winnett RA (1995) Walking to meet health guidelines. The effect of prompting frequency and prompt structure. Health Psychol 14:164–170 21. Whiteley JA, Lewis B, NapolitanMA and Marcus BH (2006) Health counselling skills In: ACSM's resource manual for guidelines for exercise testing and prescription 5th Edn Lippincott Williams & Wilkins, New York Support Care Cancer 22. Rollnick S, Mason P, Butler C (1999) Health behaviour change: A guide for practitioners. Churchill Livingstone, New York 23. Rogers LQ, Hopkins-Price P, Vicari S, Pamenter R, Courneya KS, Markwell S, Verhulst S, Hoelzer K, Naritoku C, Jones L, Dunnington G, Lanzotti V, Wynstra J, Shah L, Edson B, Graff A, Lowy M (2009) A randomized trial to increase physical activity in breast cancer survivors. Med Sci Sports Exerc 41:935–946 24. Steginga SK, Lynch BM, Hawkes A, Dunn AL, Aitken JF (2009) Antecedents of domain specific quality of life after colorectal cancer. Psycho-Oncol 18(2):216–220 25. Beesley VL, Eakin EG, Monika J, Battistutta D (2008) Gynaecological cancer survivors' health behaviours and their associations with quality of life. Cancer Cause Control 19:775–782 26. Beesley EE, Steginga S, Aitken J, Dunn J, Battistutta D (2008) Unmet needs of gynaecological cancer survivors: implications for developing community support services. Psycho-Oncol 17:392–400 27. Hawkes AL, Gollschewski S, Lynch BM, Chambers S (2009) A telephone-delivered lifestyle intervention for colorectal cancer survivors

PY - 2013/1/16

Y1 - 2013/1/16

N2 - Purpose This study aims to explore gynecological cancersurvivors' perceptions and experiences following participationin a randomised controlled trial (RCT) testing the efficacy of ahome-based physical activity behavioral change intervention(Donnelly et al., Gynecol Oncol 122:618–624, 2011).Methods All participants completing a two-armed parallelRCT were invited to participate in the study (31/33)(Donnelly et al., Gynecol Oncol 122:618–624, 2011).Sixteen participants took part (16/31; physical activity (PA)group n=9, contact control (CC) group n=7). Four qualitativegroup interviews were conducted (focus group size 3–5). Astructured interview guide was followed by an independentmoderator. Groups were audio recorded, transcribed verbatim,and analyzed using the framework approach (Ritchie andSpencer 2001), a five-stage qualitative method of analysis.Results One of the most unanimously perceived benefits oftaking part in the programme regarded participants' psychologicalwell-being. Additional benefits included improved physicalfitness and functioning. Important programme features includedthe weekly telephone calls from a physiotherapist, the patient–professional relationship, and goal setting. Participants' ownmotivation and programme timing were also identified as importantfactors. Suggestions for improvements include: opportunitiesfor social interaction with other gynecological cancersurvivors and greater exercise choice.Conclusion Findings suggest that women diagnosed with gynecologicalcancer perceive participation in physical activity asimportant and participation provides benefits in terms of psychologicalwell-being and improved physical functioning.Support for continuation of many of the current features ofthe home-based programme was provided. Findings provideinsight and rationale for the selection of components for futurehome-based physical activity interventions. Findings also supportfurther research into the development of multidimensionalinterventions for the gynecological cancer population.Keywords Physical activity . Cancer . Fatigue .Gynecological cancer

AB - Purpose This study aims to explore gynecological cancersurvivors' perceptions and experiences following participationin a randomised controlled trial (RCT) testing the efficacy of ahome-based physical activity behavioral change intervention(Donnelly et al., Gynecol Oncol 122:618–624, 2011).Methods All participants completing a two-armed parallelRCT were invited to participate in the study (31/33)(Donnelly et al., Gynecol Oncol 122:618–624, 2011).Sixteen participants took part (16/31; physical activity (PA)group n=9, contact control (CC) group n=7). Four qualitativegroup interviews were conducted (focus group size 3–5). Astructured interview guide was followed by an independentmoderator. Groups were audio recorded, transcribed verbatim,and analyzed using the framework approach (Ritchie andSpencer 2001), a five-stage qualitative method of analysis.Results One of the most unanimously perceived benefits oftaking part in the programme regarded participants' psychologicalwell-being. Additional benefits included improved physicalfitness and functioning. Important programme features includedthe weekly telephone calls from a physiotherapist, the patient–professional relationship, and goal setting. Participants' ownmotivation and programme timing were also identified as importantfactors. Suggestions for improvements include: opportunitiesfor social interaction with other gynecological cancersurvivors and greater exercise choice.Conclusion Findings suggest that women diagnosed with gynecologicalcancer perceive participation in physical activity asimportant and participation provides benefits in terms of psychologicalwell-being and improved physical functioning.Support for continuation of many of the current features ofthe home-based programme was provided. Findings provideinsight and rationale for the selection of components for futurehome-based physical activity interventions. Findings also supportfurther research into the development of multidimensionalinterventions for the gynecological cancer population.Keywords Physical activity . Cancer . Fatigue .Gynecological cancer

KW - Physical Activity Cancer Fatigue Gyneocological cancer

U2 - 10.1007/s00520-012-1716-0

DO - 10.1007/s00520-012-1716-0

M3 - Article

VL - ONLINE

ER -