Understanding factors influencing physical activity and exercise in lung cancer: a systematic review

Catherine L. Granger, Bronwen Connolly, Linda Denehy, Nicholas Hart, Phillip Antippa, Kuan-Yin Lin, Selina M. Parry

研究成果: Review article

19 引文 (Scopus)

摘要

Purpose: Despite evidence and clinical practice guidelines supporting physical activity (PA) for people with lung cancer, this evidence has not translated into clinical practice. This review aims to identify, evaluate and synthesise studies examining the barriers and enablers for patients with lung cancer to participate in PA from the perspective of patients, carers and health care providers (HCPs). Methods: Systematic review of articles using electronic databases: MEDLINE (1950–2016), CINAHL (1982–2016), EMBASE (1980–2016), Scopus (2004–2016) and Cochrane (2016). Quantitative and qualitative studies, published in English in a peer-reviewed journal, which assessed the barriers or enablers to PA for patients with lung cancer were included. Registered-PROSPERO (CRD4201603341). Results: Twenty-six studies (n = 9 cross-sectional, n = 4 case series, n = 11 qualitative) including 1074 patients, 23 carers and 169 HCPs were included. Barriers and enablers to PA were identified (6 major themes, 18 sub-themes): Barriers included patient-level factors (physical capability, symptoms, comorbidities, previous sedentary lifestyle, psychological influences, perceived relevance), HCP factors (time/knowledge to deliver information) and environmental factors (access to services, resources, timing relative to treatment). Enablers included anticipated benefits, opportunity for behaviour change and influences from HCPs and carers. Conclusion: This systematic review has identified the volume of literature demonstrating that barriers and enablers to PA in lung cancer are multidimensional and span diverse factors. These include patient-level factors, such as symptoms, comorbidities, sedentary lifestyle, mood and fear, and environmental factors. These factors should be considered to identify and develop suitable interventions and clinical services in attempt to increase PA in patients with lung cancer.

原文English
頁(從 - 到)983-999
頁數17
期刊Supportive Care in Cancer
25
發行號3
DOIs
出版狀態Published - 2017 三月 1

指紋

Lung Neoplasms
Exercise
Health Personnel
Caregivers
Sedentary Lifestyle
Comorbidity
Practice Guidelines
MEDLINE
Fear
Patient Care
Databases
Psychology
Therapeutics

All Science Journal Classification (ASJC) codes

  • Oncology

引用此文

Granger, Catherine L. ; Connolly, Bronwen ; Denehy, Linda ; Hart, Nicholas ; Antippa, Phillip ; Lin, Kuan-Yin ; Parry, Selina M. / Understanding factors influencing physical activity and exercise in lung cancer : a systematic review. 於: Supportive Care in Cancer. 2017 ; 卷 25, 編號 3. 頁 983-999.
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abstract = "Purpose: Despite evidence and clinical practice guidelines supporting physical activity (PA) for people with lung cancer, this evidence has not translated into clinical practice. This review aims to identify, evaluate and synthesise studies examining the barriers and enablers for patients with lung cancer to participate in PA from the perspective of patients, carers and health care providers (HCPs). Methods: Systematic review of articles using electronic databases: MEDLINE (1950–2016), CINAHL (1982–2016), EMBASE (1980–2016), Scopus (2004–2016) and Cochrane (2016). Quantitative and qualitative studies, published in English in a peer-reviewed journal, which assessed the barriers or enablers to PA for patients with lung cancer were included. Registered-PROSPERO (CRD4201603341). Results: Twenty-six studies (n = 9 cross-sectional, n = 4 case series, n = 11 qualitative) including 1074 patients, 23 carers and 169 HCPs were included. Barriers and enablers to PA were identified (6 major themes, 18 sub-themes): Barriers included patient-level factors (physical capability, symptoms, comorbidities, previous sedentary lifestyle, psychological influences, perceived relevance), HCP factors (time/knowledge to deliver information) and environmental factors (access to services, resources, timing relative to treatment). Enablers included anticipated benefits, opportunity for behaviour change and influences from HCPs and carers. Conclusion: This systematic review has identified the volume of literature demonstrating that barriers and enablers to PA in lung cancer are multidimensional and span diverse factors. These include patient-level factors, such as symptoms, comorbidities, sedentary lifestyle, mood and fear, and environmental factors. These factors should be considered to identify and develop suitable interventions and clinical services in attempt to increase PA in patients with lung cancer.",
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Understanding factors influencing physical activity and exercise in lung cancer : a systematic review. / Granger, Catherine L.; Connolly, Bronwen; Denehy, Linda; Hart, Nicholas; Antippa, Phillip; Lin, Kuan-Yin; Parry, Selina M.

於: Supportive Care in Cancer, 卷 25, 編號 3, 01.03.2017, p. 983-999.

研究成果: Review article

TY - JOUR

T1 - Understanding factors influencing physical activity and exercise in lung cancer

T2 - a systematic review

AU - Granger, Catherine L.

AU - Connolly, Bronwen

AU - Denehy, Linda

AU - Hart, Nicholas

AU - Antippa, Phillip

AU - Lin, Kuan-Yin

AU - Parry, Selina M.

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Purpose: Despite evidence and clinical practice guidelines supporting physical activity (PA) for people with lung cancer, this evidence has not translated into clinical practice. This review aims to identify, evaluate and synthesise studies examining the barriers and enablers for patients with lung cancer to participate in PA from the perspective of patients, carers and health care providers (HCPs). Methods: Systematic review of articles using electronic databases: MEDLINE (1950–2016), CINAHL (1982–2016), EMBASE (1980–2016), Scopus (2004–2016) and Cochrane (2016). Quantitative and qualitative studies, published in English in a peer-reviewed journal, which assessed the barriers or enablers to PA for patients with lung cancer were included. Registered-PROSPERO (CRD4201603341). Results: Twenty-six studies (n = 9 cross-sectional, n = 4 case series, n = 11 qualitative) including 1074 patients, 23 carers and 169 HCPs were included. Barriers and enablers to PA were identified (6 major themes, 18 sub-themes): Barriers included patient-level factors (physical capability, symptoms, comorbidities, previous sedentary lifestyle, psychological influences, perceived relevance), HCP factors (time/knowledge to deliver information) and environmental factors (access to services, resources, timing relative to treatment). Enablers included anticipated benefits, opportunity for behaviour change and influences from HCPs and carers. Conclusion: This systematic review has identified the volume of literature demonstrating that barriers and enablers to PA in lung cancer are multidimensional and span diverse factors. These include patient-level factors, such as symptoms, comorbidities, sedentary lifestyle, mood and fear, and environmental factors. These factors should be considered to identify and develop suitable interventions and clinical services in attempt to increase PA in patients with lung cancer.

AB - Purpose: Despite evidence and clinical practice guidelines supporting physical activity (PA) for people with lung cancer, this evidence has not translated into clinical practice. This review aims to identify, evaluate and synthesise studies examining the barriers and enablers for patients with lung cancer to participate in PA from the perspective of patients, carers and health care providers (HCPs). Methods: Systematic review of articles using electronic databases: MEDLINE (1950–2016), CINAHL (1982–2016), EMBASE (1980–2016), Scopus (2004–2016) and Cochrane (2016). Quantitative and qualitative studies, published in English in a peer-reviewed journal, which assessed the barriers or enablers to PA for patients with lung cancer were included. Registered-PROSPERO (CRD4201603341). Results: Twenty-six studies (n = 9 cross-sectional, n = 4 case series, n = 11 qualitative) including 1074 patients, 23 carers and 169 HCPs were included. Barriers and enablers to PA were identified (6 major themes, 18 sub-themes): Barriers included patient-level factors (physical capability, symptoms, comorbidities, previous sedentary lifestyle, psychological influences, perceived relevance), HCP factors (time/knowledge to deliver information) and environmental factors (access to services, resources, timing relative to treatment). Enablers included anticipated benefits, opportunity for behaviour change and influences from HCPs and carers. Conclusion: This systematic review has identified the volume of literature demonstrating that barriers and enablers to PA in lung cancer are multidimensional and span diverse factors. These include patient-level factors, such as symptoms, comorbidities, sedentary lifestyle, mood and fear, and environmental factors. These factors should be considered to identify and develop suitable interventions and clinical services in attempt to increase PA in patients with lung cancer.

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