Promoting physical activity among cancer survivors through general practice: a realist review.

IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Matthew Patrio Sugiarto, Victoria Jabbour, Kerry Uebel, Maria Agaliotis, Briana Clifford, Melvin Chin, Mark Harris, Cristina M Caperchione, Kylie Vuong
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引用次数: 0

Abstract

Background: Multiple studies have shown that physical activity improves cancer survivorship, by decreasing risk of second primary cancers and chronic conditions. However, cancer survivor physical activity levels remain low. General practice presents more opportunities for lifestyle interventions, such as increasing physical activity. We conducted a realist review of physical activity interventions relevant to general practice.

Methods: A total of 9728 studies were obtained from a systematic search of the CINAHL, Embase, PsycINFO, PubMed, and SPORTDiscus databases from the inception of the electronic database to 21 June 2024. We focussed on intervention studies that improved physical activity among cancer survivors and were relevant to general practice. Data extraction focussed on: what makes physical activity interventions effective for cancer survivors (what works) and what factors promote physical activity for cancer survivors (for whom it works).

Results: Thirty-seven studies were used to generate themes on the components of physical activity interventions that are likely to work and for whom; these studies facilitated goal setting, action planning, self-monitoring, social support, and shaping of knowledge; through delivering tailored motivational support, evoking a teachable moment, and promoting the use of self-monitoring tools. Interventions that were cost-effective and easily implementable improved sustainability, deployability, and uptake by cancer survivors. Cancer survivor psychological and physical factors, such as baseline motivational levels and post-treatment symptoms, influenced the uptake of physical activity interventions.

Conclusion: Our realist review has highlighted opportunities for general practices to promote physical activity among cancer survivors through collaborative goal setting, action planning, self-monitoring, social support, and shaping of knowledge.

通过全科医生促进癌症幸存者的体育锻炼:现实主义评论。
背景:多项研究表明,体育锻炼可以降低罹患第二原发性癌症和慢性疾病的风险,从而改善癌症幸存者的生活质量。然而,癌症幸存者的体育锻炼水平仍然很低。全科医生有更多机会进行生活方式干预,如增加体育锻炼。我们对与全科实践相关的体育锻炼干预措施进行了现实主义回顾:方法:我们对 CINAHL、Embase、PsycINFO、PubMed 和 SPORTDiscus 数据库进行了系统检索,共获得 9728 项研究,检索时间从电子数据库建立之初至 2024 年 6 月 21 日。我们将重点放在改善癌症幸存者体育锻炼且与全科实践相关的干预研究上。数据提取的重点是:是什么使体育锻炼干预措施对癌症幸存者有效(什么有效),是什么因素促进了癌症幸存者的体育锻炼(对谁有效):结果:通过 37 项研究,得出了体育锻炼干预措施中可能有效的组成部分以及对哪些人有效的主题;这些研究通过提供量身定制的激励支持、唤起教学时机以及推广使用自我监测工具,促进了目标设定、行动规划、自我监测、社会支持和知识塑造。具有成本效益且易于实施的干预措施提高了可持续性、可部署性以及癌症幸存者的接受程度。癌症幸存者的心理和生理因素,如基线动机水平和治疗后症状,影响了对体育锻炼干预措施的接受程度:我们的现实主义评论强调了一般实践通过合作性目标设定、行动规划、自我监控、社会支持和知识塑造来促进癌症幸存者体育锻炼的机会。
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来源期刊
Family practice
Family practice 医学-医学:内科
CiteScore
4.30
自引率
9.10%
发文量
144
审稿时长
4-8 weeks
期刊介绍: Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries. Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration. The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.
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