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Factors associated with programme completion and physical activity adherence in a community-based cancer exercise

Isaac Oppong1, Roozbeh Naemi2, Chris Gidlow3,4

  • 1Health, Education, Policing and Sciences, University of Staffordshire, Stoke On Trent, ST4 2DE, UK. Isaac.oppong@research.staffs.ac.uk.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
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Ethnicity impacts completion of community cancer exercise programs, while factors like homeownership and education influence sustained physical activity. Addressing social and environmental determinants can improve long-term health outcomes for cancer survivors.

Keywords:
CancerCommunity healthPhysical activityRehabilitation

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Area of Science:

  • Oncology
  • Exercise Science
  • Public Health

Background:

  • Physical activity enhances cancer patient quality of life, but adherence to guidelines is low.
  • Community-based exercise programs offer scalable solutions for cancer survivors.
  • Determinants of program completion and sustained engagement are not well understood.

Purpose of the Study:

  • To evaluate factors associated with completing a 12-session community-based cancer exercise program.
  • To examine factors related to achieving ≥150 minutes of weekly physical activity post-program completion.
  • To consider sociodemographic characteristics, cancer type, prior exercise history, and referral pathway.

Main Methods:

  • Analysis of data from 918 cancer patients in a community exercise program.
  • Examination of associations between sociodemographic factors, referral pathway, and program completion using chi-squared tests and logistic regression.
  • Assessment of factors influencing post-program physical activity levels (≥150 min/week).

Main Results:

  • Ethnicity was significantly associated with program completion; multiple ethnic backgrounds showed higher odds compared to White participants.
  • Asian participants had lower odds of meeting physical activity guidelines (≥150 min/week).
  • Higher education, homeownership, self-referral, specific referral locations, female gender, and older age (≥72 years) were positively associated with meeting physical activity guidelines. Non-homeownership was the strongest negative factor.

Conclusions:

  • Ethnicity emerged as the sole significant factor for program completion.
  • Sustained physical activity post-program was influenced by multiple factors, notably non-homeownership.
  • Social and environmental factors are crucial for engagement and sustained physical activity in community cancer exercise programs, suggesting targeted interventions are needed.