Effect of a brief physical activity-based presentation by a former patient for men treated with radical prostatectomy for prostate cancer: a mixed methods pilot study
Open Access
- 1 January 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Supportive Care in Cancer
- Vol. 29 (1), 145-154
- https://doi.org/10.1007/s00520-020-05455-4
Abstract
Purpose Existing research indicates that physical activity (PA) is beneficial to men with prostate cancer (PCa). We examined the potential of a single-contact peer-support-based behavioural intervention to promote PA engagement in men treated for PCa. Methods A mixed methods design was employed, comprising a two-arm pragmatic trial and semi-structured interviews. The intervention was a 10-min PA-based presentation by a former patient, delivered in group seminars that are provided for patients as standard care. Seminars were alternately allocated to (a) cancer exercise specialist talk + patient speaker talk or (b) cancer exercise specialist talk only. Self-reported PA, exercise motivation, quality of life, fatigue and clinical and demographic characteristics were obtained from n = 148 (intervention: n = 69; control: n = 79) patients immediately prior to the seminar, and at follow-up approximate to 100 days later. Data were analysed using ANCOVA models and chi(2) tests. Fourteen semi-structured interviews with intervention participants, which explored how the intervention was experienced, were analysed using a grounded theory-style approach. Results The intervention had no significant effect on quantitatively self-reported PA (p = 0.4). However, the intervention was statistically and clinically beneficial for fatigue (p = 0.04) and quality of life (p = 0.01). Qualitative analysis showed that the intervention was beneficial to psychological wellbeing and some participants had increased intention to engage in PA as a result of the intervention. Conclusions A brief one-off PA-based presentation for men with PCa, delivered by a former patient alongside cancer exercise specialist advice, may result in clinically significant benefits to quality of life and may influence PA intention in certain individuals.Funding Information
- The Exercise Clinic, Ltd. (n/a)
This publication has 29 references indexed in Scilit:
- How big is the physical activity intention–behaviour gap? A meta‐analysis using the action control frameworkBritish Journal of Health Psychology, 2013
- A qualitative study evaluating experiences of a lifestyle intervention in men with prostate cancer undergoing androgen suppression therapyTrials, 2012
- Physical Activity after Diagnosis and Risk of Prostate Cancer Progression: Data from the Cancer of the Prostate Strategic Urologic Research EndeavorCancer Research, 2011
- Physical Activity and Survival After Prostate Cancer Diagnosis in the Health Professionals Follow-Up StudyJournal of Clinical Oncology, 2011
- A systematic review of physical activity in prostate cancer survivors: outcomes, prevalence, and determinantsSupportive Care in Cancer, 2008
- A typology of mixed methods research designsQuality & Quantity, 2007
- Validity and Qualitative Research: An Oxymoron?Quality & Quantity, 2006
- Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activityJournal of Clinical Epidemiology, 2003
- EQ-SD: a measure of health status from the EuroQol GroupAnnals of Medicine, 2001
- The Hospital Anxiety and Depression ScaleActa Psychiatrica Scandinavica, 1983