Predictors of maintaining motivation to exercise in women with breast cancer - preliminary results of a qualitative study.

Abstract

Background: Given the importance of physical activity (PA) for treatment success, survival and quality of life in cancer patients, this study aimed to identify predictors that influence patients' ability to maintain PA during and after treatment and to explore factors that help overcome barriers to PA engagement.

Patient population and methods: Mixed research design combining the results of longitudinal follow-up of selected psychophysiological correlates in breast cancer patients who participated in a movement program as part of their treatment with a retrospective qualitative investigation conducted through a focus group.

Results: In the group of respondents (N = 6, median of age 50.2 years) with the longest time since the end of the PA program (24 months), effective strategies to help patients maintain participation in the PA program and exercise activity after its completion were identified, including: individually tailored exercise plan, psychosocial support from medical staff and relatives, monitoring progress and providing feedback. Group exercise, support from loved ones and medical staff played an important role in increasing motivation to maintain participation in PA. Predictors of retention in physical activity included previous exercise routine, with psychological factors (motivation, self-regulation, self-confidence and perception of own physical fitness) also playing a key role. A combination of tailoring the exercise programme to individual needs, complemented by the provision of comprehensive support, appears to be highly effective. This approach helps patients overcome barriers to their engagement in regular PA and maximize its benefits.

Conclusion: The results of this study present a specific picture of the key psychological and health benefits of physical activity in breast cancer patients enrolled in a PA program, and also present a picture of predictors of retention in this activity, which is particularly relevant in the context of developing effective intervention programs in this area. Understanding these factors can lead to the development of targeted individualized strategies suitable for integration into existing treatment and care systems for cancer patients and survivors.