Maintaining or increasing physical activity (PA) may prevent loss of muscle mass and strength after completion of head and neck cancer (HNC) treatment. However, the exercise level of HNC patients may not meet PA guidelines. We aimed to explore HNC survivors' views on PA, their report of PA, and to compare these with objectively measured PA. Combined qualitative and quantitative data of HNC survivors were explored post-treatment. Data from semi-structured interviews, questionnaires, and objective measurements of PA were collected, analyzed, and integrated. This resulted in the identification of five themes related to prioritizing, day-to-day life, intention, positive feelings, and social support, respectively, in nine HNC survivors (male: n = 5; age: 52-67 years). Objectively measured PA levels were sedentary to low. The lack of intention to increase PA may be related to HNC survivors' perception that their current activity level is sufficient, despite low levels of measured PA. While some participants feel they need no help with PA, others are insecure about possible harms. Healthcare professionals may be able to help improve PA in HNC survivors with a tailored approach that reduces fear of harm and helps to incorporate higher intensity PA in daily activities.
BACKGROUND: lifestyle-related secondary prevention reduces cardiac events and is recommended irrespective of age. However, motivation may be influenced by age and disease progression.OBJECTIVE: to explore older cardiac patients' perspectives toward lifestyle-related secondary prevention after a hospital admission.METHODS: a generic qualitative design was used. Semi-structured interviews were performed with cardiac patients ≥ 70 years within 3 months after a hospital admission. The interview guide was based on the Attitudes, Social influence and self-Efficacy (ASE) model. All interviews were analysed using thematic analysis.RESULTS: eight themes emerged which were linked to the determinants of the ASE-model. The three themes (i) Perspectives are determined by general health and habits, (ii) feeling the threat as a motivator and (iii) balancing between health benefits and quality of life (QoL), were linked to attitude. Regarding social influence, the themes (iv) feeling both encouraged and hindered by family members, and (v) the healthcare professional says so, were identified. For the self-efficacy determinant, (vi) experiences from previous lifestyle changes, (vii) integrating advice in daily life and (viii) feeling limited by functional impairments, emerged as themes.CONCLUSION: most older cardiac patients made no lifestyle modifications after the last hospital admission and balanced possible benefits against their QoL. Functional impairments frequently limit implementation, in particular of physical activity. Patients' preferences and patient-centred outcomes focusing on QoL and functional independence may be the starting point when healthcare professionals discuss lifestyle modification in older patients. The involvement of family members may help patients to integrate lifestyle-related secondary prevention in daily life.
Mensen in een lage sociaaleconomische positie geven de voorkeur aan ondernemend sport- en beweegaanbod ten opzichte van verenigingsaanbod. Uit interviews met sleutelfiguren en in straatinterviews met wijkbewoners blijkt dat er verschillende redenen zijn om voor dit ondernemende aanbod te kiezen, zoals flexibiliteit in tijd en intensiteit, beweegschaamte, gemak en toegankelijkheid. Het onderzoek biedt ook inzichten over het verschil tussen commerciële en sociale ondernemende aanbieders, de invloed van taal en aandacht voor mensen in de meest kwetsbare positie. Het onderzoek biedt inzichten voor beleidsmakers en sportaanbieders om hun aanbod toegankelijk te maken voor mensen in een lage sep. Het verkennende kwalitatieve onderzoek is uitgevoerd in opdracht van het Kenniscentrum Sport en Bewegen en is uitgevoerd in de aandachtswijken Poelenburg in Zaanstad en in Haarlem-oost.
MULTIFILE
