Adherence to and satisfaction with low-intensity physical activity and supervised moderate-high intensity exercise during chemotherapy for breast cancer

Hanna van Waart, Laurien M. Buffart, Martijn M. Stuiver, Wim H. van Harten, Gabe S. Sonke, Neil K. Aaronson

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose: In this study, we investigated factors associated with program adherence and patient satisfaction with a home-based physical activity program (Onco-Move, N = 77) and a supervised exercise program with a home-based component (OnTrack, N = 76). Methods: We assessed adherence via self-report (home-based program) and attendance records (supervised program). We used logistic regression analysis to identify sociodemographic, clinical and behavioural variables associated with program adherence. Patient satisfaction was assessed with self-report and is reported descriptively. Results: Fifty-one percent of Onco-Move and 62% of OnTrack participants were adherent to the home-based program, while 59% of OnTrack participants were adherent to the supervised sessions. Higher baseline physical fitness was associated with higher adherence to home-based components. Higher disease stage and having a partner were associated with adherence to OnTrack supervised sessions. Overall satisfaction with the exercise programs was high, but ratings of coaching provided by professionals for the home-based components were low. Patients offered suggestions for improving delivery of the programs. Conclusions: These findings point to factors relevant to program adherence and suggest ways in which such programs can be improved. Providing additional time and training for health care professionals could improve the quality and hopefully the effectiveness of the interventions. The use of online diaries and smartphone apps may provide additional encouragement to participants. Finally, allowing greater flexibility in the planning and availability of supervised exercise training in order to accommodate the variability in cancer treatment schedules and the (acute) side effects of the treatments could also enhance program adherence. Trial registration: Netherlands Trial Register, NTR2159. http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2159.

Original languageEnglish
JournalSupportive care in cancer
DOIs
Publication statusE-pub ahead of print/First online - 8 Aug 2019

Fingerprint

Exercise
Breast Neoplasms
Drug Therapy
Patient Satisfaction
Self Report
Physical Fitness
Viperidae
Netherlands
Appointments and Schedules
Logistic Models
Regression Analysis
Delivery of Health Care
Therapeutics
Neoplasms
Smartphone
Mentoring

Keywords

  • UT-Hybrid-D
  • Breast cancer
  • Chemotherapy
  • Exercise
  • Patient satisfaction
  • Physical activity
  • Adherence

Cite this

@article{bd8e1ae4dda84457844b7233d98b4fbc,
title = "Adherence to and satisfaction with low-intensity physical activity and supervised moderate-high intensity exercise during chemotherapy for breast cancer",
abstract = "Purpose: In this study, we investigated factors associated with program adherence and patient satisfaction with a home-based physical activity program (Onco-Move, N = 77) and a supervised exercise program with a home-based component (OnTrack, N = 76). Methods: We assessed adherence via self-report (home-based program) and attendance records (supervised program). We used logistic regression analysis to identify sociodemographic, clinical and behavioural variables associated with program adherence. Patient satisfaction was assessed with self-report and is reported descriptively. Results: Fifty-one percent of Onco-Move and 62{\%} of OnTrack participants were adherent to the home-based program, while 59{\%} of OnTrack participants were adherent to the supervised sessions. Higher baseline physical fitness was associated with higher adherence to home-based components. Higher disease stage and having a partner were associated with adherence to OnTrack supervised sessions. Overall satisfaction with the exercise programs was high, but ratings of coaching provided by professionals for the home-based components were low. Patients offered suggestions for improving delivery of the programs. Conclusions: These findings point to factors relevant to program adherence and suggest ways in which such programs can be improved. Providing additional time and training for health care professionals could improve the quality and hopefully the effectiveness of the interventions. The use of online diaries and smartphone apps may provide additional encouragement to participants. Finally, allowing greater flexibility in the planning and availability of supervised exercise training in order to accommodate the variability in cancer treatment schedules and the (acute) side effects of the treatments could also enhance program adherence. Trial registration: Netherlands Trial Register, NTR2159. http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2159.",
keywords = "UT-Hybrid-D, Breast cancer, Chemotherapy, Exercise, Patient satisfaction, Physical activity, Adherence",
author = "{van Waart}, Hanna and Buffart, {Laurien M.} and Stuiver, {Martijn M.} and {van Harten}, {Wim H.} and Sonke, {Gabe S.} and Aaronson, {Neil K.}",
note = "Springer deal",
year = "2019",
month = "8",
day = "8",
doi = "10.1007/s00520-019-05019-1",
language = "English",
journal = "Supportive care in cancer",
issn = "0941-4355",
publisher = "Springer",

}

Adherence to and satisfaction with low-intensity physical activity and supervised moderate-high intensity exercise during chemotherapy for breast cancer. / van Waart, Hanna; Buffart, Laurien M.; Stuiver, Martijn M.; van Harten, Wim H.; Sonke, Gabe S.; Aaronson, Neil K.

In: Supportive care in cancer, 08.08.2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Adherence to and satisfaction with low-intensity physical activity and supervised moderate-high intensity exercise during chemotherapy for breast cancer

AU - van Waart, Hanna

AU - Buffart, Laurien M.

AU - Stuiver, Martijn M.

AU - van Harten, Wim H.

AU - Sonke, Gabe S.

AU - Aaronson, Neil K.

N1 - Springer deal

PY - 2019/8/8

Y1 - 2019/8/8

N2 - Purpose: In this study, we investigated factors associated with program adherence and patient satisfaction with a home-based physical activity program (Onco-Move, N = 77) and a supervised exercise program with a home-based component (OnTrack, N = 76). Methods: We assessed adherence via self-report (home-based program) and attendance records (supervised program). We used logistic regression analysis to identify sociodemographic, clinical and behavioural variables associated with program adherence. Patient satisfaction was assessed with self-report and is reported descriptively. Results: Fifty-one percent of Onco-Move and 62% of OnTrack participants were adherent to the home-based program, while 59% of OnTrack participants were adherent to the supervised sessions. Higher baseline physical fitness was associated with higher adherence to home-based components. Higher disease stage and having a partner were associated with adherence to OnTrack supervised sessions. Overall satisfaction with the exercise programs was high, but ratings of coaching provided by professionals for the home-based components were low. Patients offered suggestions for improving delivery of the programs. Conclusions: These findings point to factors relevant to program adherence and suggest ways in which such programs can be improved. Providing additional time and training for health care professionals could improve the quality and hopefully the effectiveness of the interventions. The use of online diaries and smartphone apps may provide additional encouragement to participants. Finally, allowing greater flexibility in the planning and availability of supervised exercise training in order to accommodate the variability in cancer treatment schedules and the (acute) side effects of the treatments could also enhance program adherence. Trial registration: Netherlands Trial Register, NTR2159. http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2159.

AB - Purpose: In this study, we investigated factors associated with program adherence and patient satisfaction with a home-based physical activity program (Onco-Move, N = 77) and a supervised exercise program with a home-based component (OnTrack, N = 76). Methods: We assessed adherence via self-report (home-based program) and attendance records (supervised program). We used logistic regression analysis to identify sociodemographic, clinical and behavioural variables associated with program adherence. Patient satisfaction was assessed with self-report and is reported descriptively. Results: Fifty-one percent of Onco-Move and 62% of OnTrack participants were adherent to the home-based program, while 59% of OnTrack participants were adherent to the supervised sessions. Higher baseline physical fitness was associated with higher adherence to home-based components. Higher disease stage and having a partner were associated with adherence to OnTrack supervised sessions. Overall satisfaction with the exercise programs was high, but ratings of coaching provided by professionals for the home-based components were low. Patients offered suggestions for improving delivery of the programs. Conclusions: These findings point to factors relevant to program adherence and suggest ways in which such programs can be improved. Providing additional time and training for health care professionals could improve the quality and hopefully the effectiveness of the interventions. The use of online diaries and smartphone apps may provide additional encouragement to participants. Finally, allowing greater flexibility in the planning and availability of supervised exercise training in order to accommodate the variability in cancer treatment schedules and the (acute) side effects of the treatments could also enhance program adherence. Trial registration: Netherlands Trial Register, NTR2159. http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2159.

KW - UT-Hybrid-D

KW - Breast cancer

KW - Chemotherapy

KW - Exercise

KW - Patient satisfaction

KW - Physical activity

KW - Adherence

UR - http://www.scopus.com/inward/record.url?scp=85070269317&partnerID=8YFLogxK

U2 - 10.1007/s00520-019-05019-1

DO - 10.1007/s00520-019-05019-1

M3 - Article

JO - Supportive care in cancer

JF - Supportive care in cancer

SN - 0941-4355

ER -