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Factors influencing exercise rehabilitation behavior in older patients with esophageal cancer: A qualitative study
Rui-Chen Ma1, Ying-Ying Wang1, Qing Yuan1
1Department of Thoracic Surgery, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, Henan Province, PR China.
Abstract:
Exercise rehabilitation programs have been proven to beneficially affect several health-related outcomes for cancer patients. However, adherence is important to achieve optimal effects. This study aimed to investigate the influencing factors of exercise rehabilitation behavior in older esophageal cancer patients participating in pre- and postoperative exercise rehabilitation programs in a hospital setting. A qualitative study with semistructured interviews was conducted based on the capability, opportunity, and motivation as determinants of behavior (COM-B) theoretical framework. Purposeful sampling was used (n = 16), and the interview data were analyzed following thematic analysis. The results revealed ten key themes: capability factors (physical discomfort, limited knowledge, and psychological burden), opportunity factors (grassroots medical and health services support, family support, peer support, and healthcare professionals support), and motivation factors (high exercise self-efficacy, awareness of benefits, and desire for normal life). Understanding these factors can help design more effective exercise rehabilitation programs in clinical practice.
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