TY - JOUR

T1 - "Doing What Only I Can Do"

T2 - Experiences from Participating in a Multimodal Exercise-Based Intervention in Older Patients with Advanced Cancer - A Qualitative Explorative Study

AU - Mikkelsen, Marta Kramer

AU - Michelsen, Hanne

AU - Nielsen, Dorte Lisbet

AU - Vinther, Anders

AU - Lund, Cecilia Margareta

AU - Jarden, Mary

N1 - Publisher Copyright: © Wolters Kluwer Health, Inc. All rights reserved.

PY - 2022

Y1 - 2022

N2 - Background Sparse evidence exists regarding the feasibility and patients' experiences of exercise programs among older cancer populations. Objective The aim of this study was to explore the experiences of older patients with advanced cancer who participated in a 12-week supervised and multimodal exercise program in a hospital setting. Methods Individual interviews were conducted with 18 participants (≥65 years) with advanced cancer who completed the intervention program regardless of compliance rate. In addition, written evaluation questionnaires were collected. Data were analyzed using thematic analysis. Results Three main themes were identified: (1) Motivated to strengthen body and mind, with the subthemes "Doing what only I can do"and "Reaching goals with support from healthcare professionals and peers"; (2) Exercise as an integrated part of the treatment course; and (3) Overcoming undeniable physical limitations. Conclusions The participants experienced several benefits from participation, including physical improvements, increased energy, reduction of symptoms, and improved social engagement. Goal setting, being positively pushed and cheered on, and integration of fun games increased motivation. In contrast, being pushed beyond physical limitations and experiencing severe symptoms were experienced as barriers toward exercising. Adherence to the exercise program was facilitated by coordinating a tailored program with medical appointments and receiving comprehensive support and guidance. Implications for Practice Multimodal exercise programs seem to be beneficial for older patients with advanced cancer and should be coordinated with oncological treatment in combination with targeted support and advice on symptom management.

AB - Background Sparse evidence exists regarding the feasibility and patients' experiences of exercise programs among older cancer populations. Objective The aim of this study was to explore the experiences of older patients with advanced cancer who participated in a 12-week supervised and multimodal exercise program in a hospital setting. Methods Individual interviews were conducted with 18 participants (≥65 years) with advanced cancer who completed the intervention program regardless of compliance rate. In addition, written evaluation questionnaires were collected. Data were analyzed using thematic analysis. Results Three main themes were identified: (1) Motivated to strengthen body and mind, with the subthemes "Doing what only I can do"and "Reaching goals with support from healthcare professionals and peers"; (2) Exercise as an integrated part of the treatment course; and (3) Overcoming undeniable physical limitations. Conclusions The participants experienced several benefits from participation, including physical improvements, increased energy, reduction of symptoms, and improved social engagement. Goal setting, being positively pushed and cheered on, and integration of fun games increased motivation. In contrast, being pushed beyond physical limitations and experiencing severe symptoms were experienced as barriers toward exercising. Adherence to the exercise program was facilitated by coordinating a tailored program with medical appointments and receiving comprehensive support and guidance. Implications for Practice Multimodal exercise programs seem to be beneficial for older patients with advanced cancer and should be coordinated with oncological treatment in combination with targeted support and advice on symptom management.

KW - Advanced cancer

KW - Barriers

KW - Exercise

KW - Experiences

KW - Facilitators

KW - Interviews

KW - Motivation

KW - Older

KW - Qualitative study

U2 - 10.1097/NCC.0000000000000987

DO - 10.1097/NCC.0000000000000987

M3 - Journal article

C2 - 34294645

AN - SCOPUS:85124796397

VL - 45

SP - E514-E523

JO - Cancer Nursing

JF - Cancer Nursing

SN - 0162-220X

IS - 2

ER -