María Romero-Elías , David González-Cutre , Ana Ruiz-Casado , Roberto Ferriz , Natalia Navarro-Espejo , Vicente J. Beltrán-Carrillo
{"title":"探索大肠癌患者在化疗期间对运动激励计划（FIT-CANCER）益处的感知：从自我决定理论出发的定性研究","authors":"María Romero-Elías , David González-Cutre , Ana Ruiz-Casado , Roberto Ferriz , Natalia Navarro-Espejo , Vicente J. Beltrán-Carrillo","doi":"10.1016/j.eujim.2023.102328","DOIUrl":null,"url":null,"abstract":"<div><p>Introduction: Physical activity (PA) is considered an important factor to enhance the survival rate and overall quality of life in colorectal cancer (CRC) patients. However, a small percentage of patients comply with PA recommendations and most of them decrease their PA levels during chemotherapy. Theoretical frameworks could be useful for guiding exercise programs focused on the promotion of patients’ adherence to PA. Nevertheless, few studies have applied self-determination theory (SDT), one of the most prominent motivational theories, to understand exercise motivation in interventions with CRC patients. The aim of this study was to explore the benefits of an SDT-based 6-month exercise program (FIT-CANCER) regarding satisfaction of basic psychological needs and different psychological and behavioural consequences in CRC patients (stage II-III) during adjuvant chemotherapy. Methods<em>:</em> Qualitative data from 16 patients (nine men and seven women; <em>M</em><sub>age</sub> = 64.00, <em>SD</em> = 11.58), six relatives (<em>M</em><sub>age</sub> = 55.00, <em>SD</em> = 15.09) and five healthcare professionals (<em>M</em><sub>age</sub> = 40.40, <em>SD</em> = 9.66) were obtained through semi-structured interviews and field notes (<em>N</em> = 27). Results: Participants perceived that the motivational exercise program satisfied CRC patients’ needs for autonomy, competence, relatedness and novelty, giving rise to positive psychological consequences during chemotherapy treatment, such as enjoyment of exercise, optimism, vitality, sociability and keeping some good memories. The program allowed patients to feel that they were actively doing something important to overcome their cancer, an aspect that could foster their psychological well-being. Participants perceived that patients increased their exercise participation during chemotherapy treatment, even during the COVID-19 pandemic, with an online adaptation of the exercise program, and integrated exercise into their lifestyle. Participants also highlighted the importance of patients belonging to a group undergoing a similar situation and the instructor's knowledge, specialization and empathy. <em>Conclusion:</em> Motivational exercise programs could help improve CRC patients’ psychosocial and behavioural outcomes during chemotherapy treatment.</p></div>","PeriodicalId":11932,"journal":{"name":"European Journal of Integrative Medicine","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187638202300104X/pdfft?md5=8338a4e8f1a8f2b84b57f5cf6e632159&pid=1-s2.0-S187638202300104X-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Exploring the perceived benefits of a motivational exercise program (FIT-CANCER) in colorectal cancer patients during chemotherapy treatment: A qualitative study from self-determination theory\",\"authors\":\"María Romero-Elías , David González-Cutre , Ana Ruiz-Casado , Roberto Ferriz , Natalia Navarro-Espejo , Vicente J. Beltrán-Carrillo\",\"doi\":\"10.1016/j.eujim.2023.102328\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Introduction: Physical activity (PA) is considered an important factor to enhance the survival rate and overall quality of life in colorectal cancer (CRC) patients. However, a small percentage of patients comply with PA recommendations and most of them decrease their PA levels during chemotherapy. Theoretical frameworks could be useful for guiding exercise programs focused on the promotion of patients’ adherence to PA. Nevertheless, few studies have applied self-determination theory (SDT), one of the most prominent motivational theories, to understand exercise motivation in interventions with CRC patients. The aim of this study was to explore the benefits of an SDT-based 6-month exercise program (FIT-CANCER) regarding satisfaction of basic psychological needs and different psychological and behavioural consequences in CRC patients (stage II-III) during adjuvant chemotherapy. Methods<em>:</em> Qualitative data from 16 patients (nine men and seven women; <em>M</em><sub>age</sub> = 64.00, <em>SD</em> = 11.58), six relatives (<em>M</em><sub>age</sub> = 55.00, <em>SD</em> = 15.09) and five healthcare professionals (<em>M</em><sub>age</sub> = 40.40, <em>SD</em> = 9.66) were obtained through semi-structured interviews and field notes (<em>N</em> = 27). Results: Participants perceived that the motivational exercise program satisfied CRC patients’ needs for autonomy, competence, relatedness and novelty, giving rise to positive psychological consequences during chemotherapy treatment, such as enjoyment of exercise, optimism, vitality, sociability and keeping some good memories. The program allowed patients to feel that they were actively doing something important to overcome their cancer, an aspect that could foster their psychological well-being. Participants perceived that patients increased their exercise participation during chemotherapy treatment, even during the COVID-19 pandemic, with an online adaptation of the exercise program, and integrated exercise into their lifestyle. Participants also highlighted the importance of patients belonging to a group undergoing a similar situation and the instructor's knowledge, specialization and empathy. <em>Conclusion:</em> Motivational exercise programs could help improve CRC patients’ psychosocial and behavioural outcomes during chemotherapy treatment.</p></div>\",\"PeriodicalId\":11932,\"journal\":{\"name\":\"European Journal of Integrative Medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S187638202300104X/pdfft?md5=8338a4e8f1a8f2b84b57f5cf6e632159&pid=1-s2.0-S187638202300104X-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Integrative Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S187638202300104X\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Integrative Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S187638202300104X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
Exploring the perceived benefits of a motivational exercise program (FIT-CANCER) in colorectal cancer patients during chemotherapy treatment: A qualitative study from self-determination theory
Introduction: Physical activity (PA) is considered an important factor to enhance the survival rate and overall quality of life in colorectal cancer (CRC) patients. However, a small percentage of patients comply with PA recommendations and most of them decrease their PA levels during chemotherapy. Theoretical frameworks could be useful for guiding exercise programs focused on the promotion of patients’ adherence to PA. Nevertheless, few studies have applied self-determination theory (SDT), one of the most prominent motivational theories, to understand exercise motivation in interventions with CRC patients. The aim of this study was to explore the benefits of an SDT-based 6-month exercise program (FIT-CANCER) regarding satisfaction of basic psychological needs and different psychological and behavioural consequences in CRC patients (stage II-III) during adjuvant chemotherapy. Methods: Qualitative data from 16 patients (nine men and seven women; Mage = 64.00, SD = 11.58), six relatives (Mage = 55.00, SD = 15.09) and five healthcare professionals (Mage = 40.40, SD = 9.66) were obtained through semi-structured interviews and field notes (N = 27). Results: Participants perceived that the motivational exercise program satisfied CRC patients’ needs for autonomy, competence, relatedness and novelty, giving rise to positive psychological consequences during chemotherapy treatment, such as enjoyment of exercise, optimism, vitality, sociability and keeping some good memories. The program allowed patients to feel that they were actively doing something important to overcome their cancer, an aspect that could foster their psychological well-being. Participants perceived that patients increased their exercise participation during chemotherapy treatment, even during the COVID-19 pandemic, with an online adaptation of the exercise program, and integrated exercise into their lifestyle. Participants also highlighted the importance of patients belonging to a group undergoing a similar situation and the instructor's knowledge, specialization and empathy. Conclusion: Motivational exercise programs could help improve CRC patients’ psychosocial and behavioural outcomes during chemotherapy treatment.
期刊介绍：
The European Journal of Integrative Medicine (EuJIM) considers manuscripts from a wide range of complementary and integrative health care disciplines, with a particular focus on whole systems approaches, public health, self management and traditional medical systems. The journal strives to connect conventional medicine and evidence based complementary medicine. We encourage submissions reporting research with relevance for integrative clinical practice and interprofessional education.
EuJIM aims to be of interest to both conventional and integrative audiences, including healthcare practitioners, researchers, health care organisations, educationalists, and all those who seek objective and critical information on integrative medicine. To achieve this aim EuJIM provides an innovative international and interdisciplinary platform linking researchers and clinicians.
The journal focuses primarily on original research articles including systematic reviews, randomized controlled trials, other clinical studies, qualitative, observational and epidemiological studies. In addition we welcome short reviews, opinion articles and contributions relating to health services and policy, health economics and psychology.
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