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Published on: March 7, 2019
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Conditions for adherence to videoconference-based programs promoting adapted physical activity in cancer patients: a
Olivier Aromatario1, Linda Cambon2, François Alla2
1INSERM, Population Health Research Center (BPH), U1219, Mérisp/PHARES, Team Labelled Ligue Contre le Cancer, CIC1401, University of Bordeaux, F-33000, Bordeaux, France. olivier.aromatario@u-bordeaux.fr.
Implementation Science : IS
|January 29, 2024
Summary
Video-conference-based physical activity (PA) programs can help cancer patients adhere to exercise. Key factors include accessibility, social connection, confidence, motivation, and progress tracking for sustained engagement.
Area of Science:
- Oncology
- Digital Health
- Behavioral Science
Background:
- Moderate physical activity (PA) improves cancer treatment outcomes, but barriers persist.
- Digital technology offers potential solutions for access and motivation challenges in cancer care.
- The VISIO-AJUST study investigated adherence factors for video-conference PA in cancer patients.
Purpose of the Study:
- To explore factors influencing adherence to video-conference-based PA programs for cancer patients.
- To understand the conditions under which these programs are effective.
- To identify facilitators and barriers to sustained PA during cancer treatment.
Main Methods:
- Qualitative successive case approach using realist evaluation principles.
- Applied to two French adapted physical activity (PA) programs.
- Utilized Context-Mechanism-Outcome (CMO) configurations to analyze adherence.
Main Results:
- Five CMO configurations identified key adherence factors.
- These include accessibility, supportive environments, social connection, confidence, and security.
- Motivational levers, session regularity, progressive effort, and progress evaluation were crucial.
Conclusions:
- Videoconferencing shows promise for enhancing PA in cancer patients.
- Further long-term research is needed to understand sustainable behavior change.
- Optimizing PA delivery via digital platforms can improve cancer care quality of life.
