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Patient outcomes from a physical activity programme for cancer survivors in general practice: an intervention
Famke Huizinga1, Nico-Derk L Westerink1, Annemiek Me Walenkamp2
1Department of Primary and Long-term Care, University Medical Center Groningen, University of Groningen, Groningen.
This study shows that a physical activity (PA) program in Dutch general practices improved health outcomes for cancer survivors, particularly increasing their PA levels and physical function. The program successfully reached survivors with poorer health status.
Area of Science:
- Oncology
- Public Health
- General Practice
Background:
- Physical activity (PA) is crucial for cancer survivors' well-being.
- Currently, no PA programs are integrated into Dutch general practice settings.
- This study addresses the gap in primary care support for cancer survivors' health.
Purpose of the Study:
- To evaluate the health outcomes of cancer survivors participating in a PA program implemented in general practice.
- To assess the reach, effectiveness, and implementation of the PA intervention using the RE-AIM framework.
Main Methods:
- A 9-month, single-arm intervention study involving 15 Dutch general practices.
- Participants received counseling from primary care practitioners (PCPs) to increase daily PA.
- Outcomes including fatigue, depression, anxiety, step count, and physical function were measured over time.
Main Results:
- 149 cancer survivors participated, representing 26% of those invited, with participants having poorer baseline health.
- Significant improvements were observed in primary outcomes (fatigue, depression, anxiety) and secondary outcomes, notably step count and physical function.
- High adherence to counseling sessions (98%) and PA goal achievement (73%) were reported, with a dropout rate of 11% before and 26% during the program.
Conclusions:
- The PA program effectively reached long-term cancer survivors with poorer health status.
- Positive health changes, especially in PA and physical function, were demonstrated.
- Integrating such PA programs into primary care could benefit the growing population of cancer survivors.
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