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Research Articles

Perspectives and experiences of leisure-time physical activity in adults with stage 4 cancer: a qualitative interpretive-description study

ORCID Icon, , ORCID Icon, & ORCID Icon
Pages 1515-1526 | Received 06 Jun 2022, Accepted 03 Apr 2023, Published online: 17 Apr 2023

References

  • National Cancer Institute. Advanced cancer. NCI Dictionary of Cancer Terms 2017.
  • Nipp RD, El-Jawahri A, Moran SM, et al. The relationship between physical and psychological symptoms and health care utilization in hospitalized patients with advanced cancer. Cancer. 2017;123(23):4720–4727.
  • Park S-A, Chung SH, Lee Y. Factors influencing the quality of life of patients with advanced cancer. Appl Nurs Res. 2017;33:108–112.
  • Dong ST, Costa DSJ, Butow PN, et al. Symptom clusters in advanced cancer patients: an empirical comparison of statistical methods and the impact on quality of life. J Pain Symptom Manage. 2016;51(1):88–98.
  • Fettes L, Neo J, Ashford S, et al. Trajectories of disability in activities of daily living in advanced cancer or respiratory disease: a systematic review. Disabil Rehabil. 2022;44(10):1790–1801.
  • Shallwani SM, Simmonds MJ, Kasymjanova G, et al. Quality of life, symptom status and physical performance in patients with advanced non-small cell lung cancer undergoing chemotherapy: an exploratory analysis of secondary data. Lung Cancer. 2016;99:69–75.
  • Lustberg MB, Carlson M, Nekhlyudov L. Introduction to special section: living with incurable cancer: addressing gaps in cancer survivorship. J Cancer Surviv. 2021;15(3):367–369.
  • Shallwani SM, King J, Thomas R, et al. Methodological quality of clinical practice guidelines with physical activity recommendations for people diagnosed with cancer: a systematic critical appraisal using the AGREE II tool. PLoS One. 2019;14(4):e0214846.
  • Campbell KL, Winters-Stone KM, Wiskemann J, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375–2390.
  • De Lazzari N, Niels T, Tewes M, et al. A systematic review of the safety, feasibility and benefits of exercise for patients with advanced cancer. Cancers. 2021;13(17):4478.
  • Heywood R, McCarthy AL, Skinner TL. Safety and feasibility of exercise interventions in patients with advanced cancer: a systematic review. Support Care Cancer. 2017;25(10):3031–3050.
  • Shallwani SM, Ranger M-C, Thomas R, et al. A scoping review of studies exploring leisure-time physical activity in adults diagnosed with advanced cancer. Palliat Support Care. 2021;19(5):615–630.
  • Chen Y-J, Li X-X, Ma H-K, et al. Exercise training for improving patient-reported outcomes in patients with advanced-stage cancer: a systematic review and meta-analysis. J Pain Symptom Manage. 2020;59(3):734–749.e10.
  • Heywood R, McCarthy AL, Skinner TL. Efficacy of exercise interventions in patients with advanced cancer: a systematic review. Arch Phys Med Rehabil. 2018;99(12):2595–2620.
  • Nadler MB, Desnoyers A, Langelier DM, et al. The effect of exercise on quality of life, fatigue, physical function, and safety in advanced solid tumor cancers: a meta-analysis of randomized control trials. J Pain Symptom Manage. 2019;58(5):899–908.e7.
  • Frikkel J, Götte M, Beckmann M, et al. Fatigue, barriers to physical activity and predictors for motivation to exercise in advanced cancer patients. BMC Palliat Care. 2020;19(1):43.
  • Burke S, Utley A, Belchamber C, et al. Physical activity in hospice care: a social ecological perspective to inform policy and practice. Res Q Exerc Sport. 2020;91(3):500–513.
  • Sheill G, Guinan E, Neill LO, et al. The views of patients with metastatic prostate cancer towards physical activity: a qualitative exploration. Support Care Cancer. 2018;26(6):1747–1754.
  • Cheville AL, Dose AM, Basford JR, et al. Insights into the reluctance of patients with late-stage cancer to adopt exercise as a means to reduce their symptoms and improve their function. J Pain Symptom Manage. 2012;44(1):84–94.
  • Cheville AL, Troxel AB, Basford JR, et al. Prevalence and treatment patterns of physical impairments in patients with metastatic breast cancer. J Clin Oncol. 2008;26(16):2621–2629.
  • Moghaddam N, Coxon H, Nabarro S, et al. Unmet care needs in people living with advanced cancer: a systematic review. Support Care Cancer. 2016;24(8):3609–3622.
  • Petrillo LA, Traeger LN, Sommer RK, et al. Experience and supportive care needs of metastatic lung cancer survivors living with uncertainty: a brief qualitative report. J Cancer Surviv. 2021;15(3):386–391.
  • Bradt J, Shim M, Goodill S. Dance/movement therapy for improving psychological and physical outcomes in cancer patients. Cochrane Database Syst Rev. 2015;1(1):CD007103.
  • Buffart LM, van Uffelen JGZ, Riphagen II, et al. Physical and psychosocial benefits of yoga in cancer patients and survivors, a systematic review and meta-analysis of randomized controlled trials. BMC Cancer. 2012;12(1):559.
  • Yang L, Winters-Stone K, Rana B, et al. Tai chi for cancer survivors: a systematic review toward consensus-based guidelines. Cancer Med. 2021;10(21):7447–7456.
  • Wayne PM, Lee MS, Novakowski J, et al. Tai chi and qigong for cancer-related symptoms and quality of life: a systematic review and meta-analysis. J Cancer Surviv. 2018;12(2):256–267.
  • Adamsen L, Stage M, Laursen J, et al. Exercise and relaxation intervention for patients with advanced lung cancer: a qualitative feasibility study. Scand J Med Sci Sports. 2012;22(6):804–815.
  • Belchamber C. Participants’ perceptions of groupwork in the management of cancer symptoms in older people. Groupwork. 2009;19(2):79–100.
  • Gulde I, Oldervoll LM, Martin C. Palliative cancer patients’ experience of physical activity. J Palliat Care. 2011;27(4):296–302.
  • Masel EK, Trinczek H, Adamidis F, et al. Vitamin “G”arden: a qualitative study exploring perception/s of horticultural therapy on a palliative care ward. Support Care Cancer. 2018;26(6):1799–1805.
  • Mikkelsen MK, Nielsen DL, Vinther A, et al. Attitudes towards physical activity and exercise in older patients with advanced cancer during oncological treatment – a qualitative interview study. Eur J Oncol Nurs. 2019;41:16–23.
  • Paltiel H, Solvoll E, Loge JH, et al. “The healthy me appears”: palliative cancer patients’ experiences of participation in a physical group exercise program. Palliat Support Care. 2009;7(4):459–467.
  • Payne C, McIlfatrick S, Larkin P, et al. A qualitative exploration of patient and healthcare professionals’ views and experiences of palliative rehabilitation during advanced lung cancer treatment. Palliat Med. 2018;32(10):1624–1632.
  • Barnes CA, Stout NL, Varghese TKJ, et al. Clinically integrated physical therapist practice in cancer care: a new comprehensive approach. Phys Ther. 2020;100(3):543–553.
  • Campbell KL, Cormie P, Weller S, et al. Exercise recommendation for people with bone metastases: expert consensus for health care providers and exercise professionals. J Clin Oncol Oncol Pract. 2022;18(5):e697–709–e709.
  • Sheill G, Guinan E, O Neill L, et al. Physical activity and advanced cancer: the views of chartered physiotherapists in Ireland. Physiother Theory Pract. 2018;34(7):534–541.
  • Pettee Gabriel KK, Morrow JRJ, Woolsey A-LT. Framework for physical activity as a complex and multidimensional behavior. J Phys Act Health. 2012;9(Suppl 1): s11–18.
  • Howley E. Type of activity: resistance, aerobic and leisure versus occupational physical activity. Med Sci Sports Exerc. 2001;33(6 Suppl):S364–S9.
  • Thorne S. Interpretive description. 2nd ed. New York: Taylor & Francis; 2016.
  • VanderKaay S, Moll SE, Gewurtz RE, et al. Qualitative research in rehabilitation science: opportunities, challenges, and future directions. Disabil Rehabil. 2018;40(6):705–713.
  • Thorne S, Kirkham SR, O’Flynn-Magee K. The analytic challenge in interpretive description. Inter J Qual Methods. 2004;3(1):1–11.
  • Rathanaswami K, Bengoechea EG, Bush PL. Physical activity in first generation South asian women living in Canada: barriers and facilitators to participation. Wom Sport Physical Activity J. 2016;24(2):110–119.
  • Smith C, Hale L, Olson K, et al. How does exercise influence fatigue in people with multiple sclerosis? Disabil Rehabil. 2009;31(9):685–692.
  • Weisenbach BB, McDonough MH. Breast cancer survivors’ decisions to join a dragon boating team. J Sport Exerc Psychol. 2014;36(6):564–573.
  • Avery J, Mosher PJ, Kassam A, et al. Young adult experience in an outpatient interdisciplinary palliative care cancer clinic. J Clin Oncol Oncol Pract. 2020;16(12):e1451–61–e1461.
  • Handberg C, Lomborg K, Nielsen CV, et al. Understanding male cancer patients’ barriers to participating in cancer rehabilitation. Eur J Cancer Care. 2015;24(6):801–811.
  • Sallis JF, Cervero RB, Ascher W, et al. An ecological approach to creating active living communities. Annu Rev Public Health. 2006;27:297–322.
  • Sallis JF, Owen N. Ecological models of health behavior. Health behavior: theory, research, and practice. 5th ed. San Francisco (CA): John Wiley & Sons, Inc.; 2015.
  • Deggs DM, Hernandez F. Enhancing the value of qualitative field notes through purposeful reflection. Qual Rep. 2018;23:2552–2560.
  • Orange A. Encouraging reflexive practices in doctoral students through research journals. Qual Rep. 2016;21:2176–2190.
  • Ortlipp M. Keeping and using reflective journals in the qualitative research process. Qual Rep. 2008;13:695–705.
  • Creswell JW, Poth CN. Chapter 3: designing a qualitative study. In: Qualitative inquiry & research design. 4th ed. Thousand Oaks (CA): SAGE Publications, Inc.; 2018. https://www.google.ca/books/edition/Qualitative_Inquiry_and_Research_Design/DLbBDQAAQBAJ?hl=en&gbpv=0
  • Solano JP, Gomes B, Higginson IJ. A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease. J Pain Symptom Manage. 2006;31(1):58–69.
  • Henson LA, Maddocks M, Evans C, et al. Palliative care and the management of common distressing symptoms in advanced cancer: pain, breathlessness, nausea and vomiting, and fatigue. J Clin Oncol. 2020;38(9):905–914.
  • Kimura T. Multidisciplinary approach for bone metastasis: a review. Cancers. 2018;10(6):156.
  • von Moos R, Body J-J, Egerdie B, et al. Pain and analgesic use associated with skeletal-related events in patients with advanced cancer and bone metastases. Support Care Cancer. 2016;24(3):1327–1337.
  • Dunlop RJ, Campbell CW. Cytokines and advanced cancer. J Pain Symptom Manage. 2000;20(3):214–232.
  • Dodson S, Baracos VE, Jatoi A, et al. Muscle wasting in cancer cachexia: clinical implications, diagnosis, and emerging treatment strategies. Annu Rev Med. 2011;62:265–279.
  • Di Lascio S, Pagani O. Is it time to address survivorship in advanced breast cancer? A review article. Breast. 2017;31:167–172.
  • Cardoso F, Harbeck N, Mertz S, et al. Evolving psychosocial, emotional, functional, and support needs of women with advanced breast cancer: results from the count Us, know Us, join Us and here & now surveys. Breast. 2016;28:5–12.
  • Berger AM, Mooney K, Alvarez-Perez A, et al. Cancer-related fatigue, version 2.2015. J Natl Compr Canc Netw. 2015;13(8):1012–1039.
  • Turner K, Tookman A, Bristowe K, et al. “I am actually doing something to keep well. That feels really good”: experiences of exercise within hospice care. Prog Palliat Care. 2016;24(4):204–212.
  • Solheim TS, Laird BJA, Balstad TR, et al. A randomized phase II feasibility trial of a multimodal intervention for the management of cachexia in lung and pancreatic cancer. J Cachexia Sarcopenia Muscle. 2017;8(5):778–788.
  • Takemura N, Chan SL, Smith R, et al. The effects of physical activity on overall survival among advanced cancer patients: a systematic review and meta-analysis. BMC Cancer. 2021;21(1):242.
  • Hojman P, Gehl J, Christensen JF, et al. Molecular mechanisms linking exercise to cancer prevention and treatment. Cell Metab. 2018;27(1):10–21.
  • Carr T, Quinlan E, Robertson S, et al. Yoga as palliation in women with advanced cancer: a pilot study. Int J Palliat Nurs. 2016;22(3):111–117.
  • Applebaum AJ, Stein EM, Lord-Bessen J, et al. Optimism, social support, and mental health outcomes in patients with advanced cancer. Psychooncology. 2014;23(3):299–306.
  • Zabalegui A, Cabrera E, Navarro M, et al. Perceived social support and coping strategies in advanced cancer patients. J Res Nurs. 2013;18(5):409–420.
  • Rutkowski NA, Lebel S, Richardson K, et al. A little help from my friends: social support in palliative rehabilitation. Curr Oncol. 2018;25(6):358–365.
  • Alderman G, Semple S, Cesnik R, et al. Health care professionals’ knowledge and attitudes toward physical activity in cancer patients: a systematic review. Semin Oncol Nurs. 2020;36(5):151070.
  • Schmitz KH, Campbell AM, Stuiver MM, et al. Exercise is medicine in oncology: engaging clinicians to help patients move through cancer. CA Cancer J Clin. 2019;69(6):468–484.
  • Wilson CM, Stromberg JS, Wiechec Seidell J. Integrating prehabilitation, rehabilitation, and prospective surveillance into cancer interdisciplinary teams. Oncology Issues. 2021;36(4):46–55.
  • Maltser S, Cristian A, Silver JK, et al. A focused review of safety considerations in cancer rehabilitation. Pm R. 2017;9(9S2):S415–S428.
  • Shallwani SM, Thomas R, Poitras S, et al. Canadian oncology physiotherapists’ perspectives of physical activity in people with advanced cancer: a mixed-methods study. Physiother Theory Prac. 2022. DOI:10.1080/09593985.2022.2138663
  • Bernabeu-Wittel M, Moreno-Gaviño L, Nieto-Martín D, et al. Benefits of a physiotherapy program in functional status and symptoms burden of patients with advanced chronic diseases and cancer. J Palliat Med. 2021;24(2):172–173.
  • Pyszora A, Budzyński J, Wójcik A, et al. Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial. Support Care Cancer. 2017;25(9):2899–2908.
  • Rao RM, Vadiraja HS, Nagaratna R, et al. Effect of yoga on sleep quality and neuroendocrine immune response in metastatic breast cancer patients. Indian J Palliat Care. 2017;23(3):253–260.
  • Porter LS, Carson JW, Olsen M, et al. Feasibility of a mindful yoga program for women with metastatic breast cancer: results of a randomized pilot study. Support Care Cancer. 2019;27(11):4307–4316.
  • Dennett AM, Peiris CL, Shields N, et al. Exercise therapy in oncology rehabilitation in Australia: a mixed-methods study. Asia Pac J Clin Oncol. 2017;13(5):e515–27–e527.
  • Schmitz KH, Stout NL, Maitin-Shepard M, et al. Moving through cancer: Setting the agenda to make exercise standard in oncology practice. Cancer. 2021;127(3):476–484.
  • Dunphy C, McNeely ML. Growing the workforce in oncology physical therapy: from entry level to specialist care. Rehabil Oncol. 2022;40(1):5–6.
  • Smith SR, Zheng JY, Silver J, et al. Cancer rehabilitation as an essential component of quality care and survivorship from an international perspective. Disabil Rehabil. 2020;42(1):8–13.
  • Dennett AM, Rowe A, Mortimer J, et al. Perceptions and work-readiness of Australian physiotherapists in cancer care: a national evaluation. Physiotherapy. 2021;113:1–7.
  • Dennett AM, Tang CY, Chiu A, et al. A cancer exercise toolkit developed using co-design: mixed methods study. JMIR Cancer. 2022;8(2):e34903.
  • O’Donoghue G, Kennedy A, Puggina A, et al. Socio-economic determinants of physical activity across the life course: a “DEterminants of DIet and physical ACtivity” (DEDIPAC) umbrella literature review. PLoS ONE. 2018;13(1):e0190737.
  • Surbone A, Halpern MT. Unequal cancer survivorship care: addressing cultural and sociodemographic disparities in the clinic. Support Care Cancer. 2016;24(12):4831–4833.
  • la Cour K, Nordell K, Josephsson S. Everyday lives of people with advanced cancer: activity, time, location, and experience. OTJR. 2009;29(4):154–162.
  • la Cour K, Johannessen H, Josephsson S. Activity and meaning making in the everyday lives of people with advanced cancer. Palliat Support Care. 2009;7(4):469–479.

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