Activity and advanced cancer: A grounded theory

Area of Science:

• Oncology
• Palliative Care
• Behavioral Science

Background:

• Cancer-related fatigue and loss of physical functioning significantly impair quality of life in advanced cancer patients.
• While physical activity benefits early-stage cancer patients, participation remains a challenge for those with advanced disease.

Purpose of the Study:

• To explore the lived experience of physical activity and its relationship with quality of life in individuals with advanced cancer.
• To understand the factors influencing activity engagement in this population using a qualitative approach.

Main Methods:

• A classic grounded theory approach was employed.
• A two-phase, cross-sectional qualitative study involved 15 advanced cancer patients.
• Data collection included 7-day activity monitoring (activPAL™), daily record sheets, and semi-structured interviews.

Main Results:

• Maintaining responsibilities, regardless of scale, was the primary motivator for participants' behavior.
• The concept of 'minimum level of responsibility' was dynamic and unique to each individual.
• Activity management was influenced by a complex interplay of perceived benefits, prevailing conditions, and personal mechanisms.

Conclusions:

• Activity serves as a crucial mechanism for managing responsibilities in advanced cancer patients.
• Findings provide insights into the lived experience of activity and quality of life.
• This understanding can inform the development of tailored behavioral interventions to enhance participation in physical activity for this population.