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dc.contributor.authorHubbard, Gill
dc.contributor.authorCampbell, Anna
dc.contributor.authorFisher, Abi
dc.contributor.authorHarvie, Michelle
dc.contributor.authorMaltinsky, Wendy
dc.contributor.authorMullen, Russell
dc.contributor.authorBanks, Elspeth
dc.contributor.authorGracey, Jackie
dc.contributor.authorGorely, Trish
dc.contributor.authorMunro, Julia
dc.contributor.authorOzakinci, Gozde
dc.identifier.citationHubbard , G , Campbell , A , Fisher , A , Harvie , M , Maltinsky , W , Mullen , R , Banks , E , Gracey , J , Gorely , T , Munro , J & Ozakinci , G 2018 , ' Physical activity referral to cardiac rehabilitation, leisure centre or telephone-delivered consultations in post-surgical people with breast cancer : a mixed methods process evaluation ' , Pilot and Feasibility Studies , vol. 4 , 108 .
dc.identifier.otherORCID: /0000-0001-5869-3274/work/45557822
dc.descriptionFunding: Breast Cancer Now (Pilot Study 2014NovSP422) and Scotland Chief Scientist Office (CGA/16/14).en
dc.description.abstractBackground Physical activity (PA) programmes effective under ‘research’ conditions may not be effective under ‘real-world’ conditions. A potential solution is to refer patients to existing PA community-based PA services. Methods A process evaluation of referral of post-surgical patients with early-stage breast cancer to cardiac rehabilitation exercise classes, leisure centre with 3-month free leisure centre membership or telephone-delivered PA consultations for 12 weeks. Quantitative data were collected about PA programme uptake and reach, patient engagement with the PA programme, delivery and fidelity and PA dose. Qualitative data were collected about patient experiences of taking part in the PA programmes. Audio-recorded qualitative interviews of participants about the programmes were analysed thematically. Quantitative data were reported descriptively using means and SD. Results In Phase I, 30% (n = 20) of eligible patients (n = 20) consented, 85% (n = 17) chose referral to leisure centre, and 15% (n = 3) chose cardiac rehabilitation. In Phase II, 32% (n = 12) consented, 25% (n = 3) chose leisure centre and 75% (n = 9) chose telephone-delivered PA consultations. Walking at light intensity for about an hour was the most common PA. All Phase I participants received an induction by a cardiac rehabilitation physiotherapist or PA specialist from the leisure centre but only 50% of Phase II participants received an induction by a PA specialist from the leisure centre. Four themes were identified from qualitative interviews about programme choice: concerns about physical appearance, travel distance, willingness to socialise and flexibility in relation to doing PA. Four themes were identified about facilitators and barriers for engaging in PA: feeling better, feeling ill, weight management, family and friends. Conclusions The current community-based PA intervention is not yet suitable for a definitive effectiveness randomised controlled trial. Further work is needed to optimise PR programme reach, PA dose and intervention fidelity.
dc.relation.ispartofPilot and Feasibility Studiesen
dc.subjectBreast canceren
dc.subjectHealth Behaviouren
dc.subjectComplex interventionen
dc.subjectPhysical activityen
dc.subjectCancer survivorshipen
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectRD Surgeryen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.titlePhysical activity referral to cardiac rehabilitation, leisure centre or telephone-delivered consultations in post-surgical people with breast cancer : a mixed methods process evaluationen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.contributor.institutionUniversity of St Andrews. St Andrews Sustainability Instituteen
dc.description.statusPeer revieweden

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