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Motivation and preferences of exercise programmes in patients with inoperable metastatic lung cancer: a need assessment. | LitMetric

AI Article Synopsis

  • The study investigates patients with inoperable metastatic lung cancer regarding their motivations, abilities, preferences, and perceived barriers to engaging in exercise programs.
  • Conducted through surveys at the Odette Cancer Centre, results showed that 63% of patients felt motivated to exercise, with significant influences from their attitudes, support from family and healthcare professionals, and personal health factors.
  • Despite their motivation, many patients preferred low-intensity exercises like walking and had limited awareness about the benefits of exercise, highlighting the need for healthcare professionals to provide more guidance on exercise for better patient care.

Article Abstract

Objectives: The aim of this study is to investigate the motivation, ability, preferences, and perceived potential facilitating factors/barriers of patients with inoperable metastatic lung cancer towards exercise programmes.

Methods: This is a cross-sectional study using survey adopting the Theory of Planned Behaviour (TPB) to obtain patients' experience recruited through Odette Cancer Centre, Sunnybrook Health Sciences Complex. Results were expressed in percentages, P value, and Spearman's rho.

Results: Sixty patients were recruited from January 2014 to April 2014. Patients generally had a high level across TPB measures, with 63% of them indicating that they have the motivation to exercise. Significant association in relation to motivation was established on attitudes (importance, P = 0.005, rho = 0.326; helpfulness, P = 0.015, rho = 0.348; and easiness, P = 0.001, rho = 0.375) and subjective norm of close members (P = 0.0069, rho = 0.348) and healthcare professionals (P = 0.012, rho = 0.328). Being a non-smoker (P = 0.042, rho = 0.311), having a past exercise history prior to diagnosis (P = 0.000, rho = 0.563), and absence of COPD (P = 0.016, rho = -0.312) were also shown to have a significant association with motivation to exercise.

Discussions And Conclusions: Patients were motivated to participate in an exercise programme despite contrary belief; however, they might have limited ability and preferred light intensity type of exercise such as walking. Their motivation to exercise was driven by different factors when compared to other cancer patient populations. Thus, it is important for healthcare professionals to understand the factors influencing their motivation and increase their awareness (only 26% of patients indicated receiving advice regarding exercise) to better the care towards patients with metastatic lung cancer.

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Source
http://dx.doi.org/10.1007/s00520-015-2767-9DOI Listing

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