Determinants of physical activity maintenance and the acceptability of a remote coaching intervention following supervised exercise oncology rehabilitation: a qualitative study
Purpose The purpose of the study was to investigate perceived determinants of physical activity (PA) maintenance following supervised exercise oncology rehabilitation and the acceptability of a remote coaching intervention during this period. Methods A phenomenological qualitative study with semi-st...
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| Veröffentlicht in: | Journal of cancer survivorship 2025-02, Vol.19 (1), p.149-161 |
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| container_title | Journal of cancer survivorship |
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| creator | Weemaes, Anouk T. R. Sieben, Judith M. Beelen, Milou Mulder, Louisa T. M. A. Lenssen, Antoine F. |
| description | Purpose
The purpose of the study was to investigate perceived determinants of physical activity (PA) maintenance following supervised exercise oncology rehabilitation and the acceptability of a remote coaching intervention during this period.
Methods
A phenomenological qualitative study with semi-structured interviews was conducted. Nineteen participants (16 women, 3 men) were recruited from the intervention (
n
= 12) and control group (
n
= 7) of a randomized controlled trial on the effectiveness of remote coaching following hospital-based, supervised exercise oncology rehabilitation. Participants in the intervention group received a 6-month remote coaching intervention after completing the exercise program, aimed at stimulating PA maintenance. The interviews were based on the Capability, Opportunity, and Motivation model of Behaviour (COM-B model) and the framework of acceptability (TFA) and were coded using template analysis.
Results
Key themes regarding determinants of PA maintenance were self-efficacy, PA habits, accountability, physical complaints, and facilities. Remote coaching was perceived acceptable because it stimulated PA maintenance by offering a source of structure and social support and thereby increased accountability. Moreover, it improved confidence to perform PA, leading to increased levels of self-efficacy. The remote nature of the intervention was perceived as convenient by some of the participants, while others would have preferred additional physical appointments.
Conclusions
Cancer survivors considered remote coaching acceptable to stimulate PA maintenance following supervised rehabilitation. Interventions should focus on increasing accountability, self-efficacy, forming habits, and helping cancer survivors to overcome barriers.
Implications for Cancer Survivors
The ability to maintain PA beyond supervised exercise oncology programs depends on many determinants. Remote coaching interventions have potential to target individually relevant determinants following exercise programs in cancer survivors. |
| doi_str_mv | 10.1007/s11764-023-01455-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_2867152008</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2867152008</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-8abe37695ea8ae6d9afcfdf5bc667de3d4df75fe66137ee0fbb4a6aaeb53d04e3</originalsourceid><addsrcrecordid>eNp9ksuO1DAQRSMEYoaBH2CBLLFhE7Dj2E7YIDQ8pZHYwNqqOJWOR4mdsZ2G_is-ETcZmseClctV5167pFsUjxl9zihVLyJjStYlrXhJWS1EKe4U56zlVVlVUt091aI9Kx7EeE2pqFpW3S_OuFKcV5KfF9_fYMIwWwcuReIHsoyHaA1MBEyye5sOZAbrEmbAIAHXkzTm0xhcEnR2OhJZBiTg7BMS48GM1u3IURT26JL1jgx-mvzXYzuuS27biD3BbxhMroh3xk9-d8ge4-YJR9XL7HqzwnbdI4lp7Q8Pi3sDTBEf3Z4XxZd3bz9ffiivPr3_ePn6qjS1EqlsoEOuZCsQGkDZtzCYoR9EZ6RUPfK-7gclBpSScYVIh66rQQJgJ3hPa-QXxavNd1m7GXuTFwkw6SXYGcJBe7D674mzo975vWasYbxhMjs8u3UI_mbFmPRso8FpAod-jbpqpGKiorTJ6NN_0Gu_Bpf305xJIZq2ZjRT1UaZ4GMMOJx-w6g-JkJvidA5EfpnIrTIoid_7nGS_IpABvgGxDxyOwy_3_6P7Q-yXMnc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3165589410</pqid></control><display><type>article</type><title>Determinants of physical activity maintenance and the acceptability of a remote coaching intervention following supervised exercise oncology rehabilitation: a qualitative study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Weemaes, Anouk T. R. ; Sieben, Judith M. ; Beelen, Milou ; Mulder, Louisa T. M. A. ; Lenssen, Antoine F.</creator><creatorcontrib>Weemaes, Anouk T. R. ; Sieben, Judith M. ; Beelen, Milou ; Mulder, Louisa T. M. A. ; Lenssen, Antoine F.</creatorcontrib><description>Purpose
The purpose of the study was to investigate perceived determinants of physical activity (PA) maintenance following supervised exercise oncology rehabilitation and the acceptability of a remote coaching intervention during this period.
Methods
A phenomenological qualitative study with semi-structured interviews was conducted. Nineteen participants (16 women, 3 men) were recruited from the intervention (
n
= 12) and control group (
n
= 7) of a randomized controlled trial on the effectiveness of remote coaching following hospital-based, supervised exercise oncology rehabilitation. Participants in the intervention group received a 6-month remote coaching intervention after completing the exercise program, aimed at stimulating PA maintenance. The interviews were based on the Capability, Opportunity, and Motivation model of Behaviour (COM-B model) and the framework of acceptability (TFA) and were coded using template analysis.
Results
Key themes regarding determinants of PA maintenance were self-efficacy, PA habits, accountability, physical complaints, and facilities. Remote coaching was perceived acceptable because it stimulated PA maintenance by offering a source of structure and social support and thereby increased accountability. Moreover, it improved confidence to perform PA, leading to increased levels of self-efficacy. The remote nature of the intervention was perceived as convenient by some of the participants, while others would have preferred additional physical appointments.
Conclusions
Cancer survivors considered remote coaching acceptable to stimulate PA maintenance following supervised rehabilitation. Interventions should focus on increasing accountability, self-efficacy, forming habits, and helping cancer survivors to overcome barriers.
Implications for Cancer Survivors
The ability to maintain PA beyond supervised exercise oncology programs depends on many determinants. Remote coaching interventions have potential to target individually relevant determinants following exercise programs in cancer survivors.</description><identifier>ISSN: 1932-2259</identifier><identifier>EISSN: 1932-2267</identifier><identifier>DOI: 10.1007/s11764-023-01455-5</identifier><identifier>PMID: 37733263</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Accountability ; Adult ; Aged ; Cancer ; Cancer Survivors - psychology ; Coaching ; Exercise ; Exercise Therapy - methods ; Female ; Health Informatics ; Health Promotion and Disease Prevention ; Humans ; Intervention ; Male ; Medicine ; Medicine & Public Health ; Mentoring - methods ; Middle Aged ; Motivation ; Neoplasms - psychology ; Neoplasms - rehabilitation ; Oncology ; Patient Acceptance of Health Care - psychology ; Physical activity ; Physical fitness ; Primary Care Medicine ; Public Health ; Qualitative Research ; Quality of Life Research ; Rehabilitation ; Self-efficacy ; Social interactions</subject><ispartof>Journal of cancer survivorship, 2025-02, Vol.19 (1), p.149-161</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>Copyright Springer Nature B.V. Feb 2025</rights><rights>The Author(s) 2023 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-8abe37695ea8ae6d9afcfdf5bc667de3d4df75fe66137ee0fbb4a6aaeb53d04e3</citedby><cites>FETCH-LOGICAL-c475t-8abe37695ea8ae6d9afcfdf5bc667de3d4df75fe66137ee0fbb4a6aaeb53d04e3</cites><orcidid>0000-0003-3627-4452 ; 0000-0003-4611-6626 ; 0000-0002-5447-9323 ; 0000-0002-5759-3383 ; 0000-0002-0065-1167</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11764-023-01455-5$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11764-023-01455-5$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37733263$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weemaes, Anouk T. R.</creatorcontrib><creatorcontrib>Sieben, Judith M.</creatorcontrib><creatorcontrib>Beelen, Milou</creatorcontrib><creatorcontrib>Mulder, Louisa T. M. A.</creatorcontrib><creatorcontrib>Lenssen, Antoine F.</creatorcontrib><title>Determinants of physical activity maintenance and the acceptability of a remote coaching intervention following supervised exercise oncology rehabilitation: a qualitative study</title><title>Journal of cancer survivorship</title><addtitle>J Cancer Surviv</addtitle><addtitle>J Cancer Surviv</addtitle><description>Purpose
The purpose of the study was to investigate perceived determinants of physical activity (PA) maintenance following supervised exercise oncology rehabilitation and the acceptability of a remote coaching intervention during this period.
Methods
A phenomenological qualitative study with semi-structured interviews was conducted. Nineteen participants (16 women, 3 men) were recruited from the intervention (
n
= 12) and control group (
n
= 7) of a randomized controlled trial on the effectiveness of remote coaching following hospital-based, supervised exercise oncology rehabilitation. Participants in the intervention group received a 6-month remote coaching intervention after completing the exercise program, aimed at stimulating PA maintenance. The interviews were based on the Capability, Opportunity, and Motivation model of Behaviour (COM-B model) and the framework of acceptability (TFA) and were coded using template analysis.
Results
Key themes regarding determinants of PA maintenance were self-efficacy, PA habits, accountability, physical complaints, and facilities. Remote coaching was perceived acceptable because it stimulated PA maintenance by offering a source of structure and social support and thereby increased accountability. Moreover, it improved confidence to perform PA, leading to increased levels of self-efficacy. The remote nature of the intervention was perceived as convenient by some of the participants, while others would have preferred additional physical appointments.
Conclusions
Cancer survivors considered remote coaching acceptable to stimulate PA maintenance following supervised rehabilitation. Interventions should focus on increasing accountability, self-efficacy, forming habits, and helping cancer survivors to overcome barriers.
Implications for Cancer Survivors
The ability to maintain PA beyond supervised exercise oncology programs depends on many determinants. Remote coaching interventions have potential to target individually relevant determinants following exercise programs in cancer survivors.</description><subject>Accountability</subject><subject>Adult</subject><subject>Aged</subject><subject>Cancer</subject><subject>Cancer Survivors - psychology</subject><subject>Coaching</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Health Informatics</subject><subject>Health Promotion and Disease Prevention</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mentoring - methods</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Neoplasms - psychology</subject><subject>Neoplasms - rehabilitation</subject><subject>Oncology</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Primary Care Medicine</subject><subject>Public Health</subject><subject>Qualitative Research</subject><subject>Quality of Life Research</subject><subject>Rehabilitation</subject><subject>Self-efficacy</subject><subject>Social interactions</subject><issn>1932-2259</issn><issn>1932-2267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9ksuO1DAQRSMEYoaBH2CBLLFhE7Dj2E7YIDQ8pZHYwNqqOJWOR4mdsZ2G_is-ETcZmseClctV5167pFsUjxl9zihVLyJjStYlrXhJWS1EKe4U56zlVVlVUt091aI9Kx7EeE2pqFpW3S_OuFKcV5KfF9_fYMIwWwcuReIHsoyHaA1MBEyye5sOZAbrEmbAIAHXkzTm0xhcEnR2OhJZBiTg7BMS48GM1u3IURT26JL1jgx-mvzXYzuuS27biD3BbxhMroh3xk9-d8ge4-YJR9XL7HqzwnbdI4lp7Q8Pi3sDTBEf3Z4XxZd3bz9ffiivPr3_ePn6qjS1EqlsoEOuZCsQGkDZtzCYoR9EZ6RUPfK-7gclBpSScYVIh66rQQJgJ3hPa-QXxavNd1m7GXuTFwkw6SXYGcJBe7D674mzo975vWasYbxhMjs8u3UI_mbFmPRso8FpAod-jbpqpGKiorTJ6NN_0Gu_Bpf305xJIZq2ZjRT1UaZ4GMMOJx-w6g-JkJvidA5EfpnIrTIoid_7nGS_IpABvgGxDxyOwy_3_6P7Q-yXMnc</recordid><startdate>202502</startdate><enddate>202502</enddate><creator>Weemaes, Anouk T. R.</creator><creator>Sieben, Judith M.</creator><creator>Beelen, Milou</creator><creator>Mulder, Louisa T. M. A.</creator><creator>Lenssen, Antoine F.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3627-4452</orcidid><orcidid>https://orcid.org/0000-0003-4611-6626</orcidid><orcidid>https://orcid.org/0000-0002-5447-9323</orcidid><orcidid>https://orcid.org/0000-0002-5759-3383</orcidid><orcidid>https://orcid.org/0000-0002-0065-1167</orcidid></search><sort><creationdate>202502</creationdate><title>Determinants of physical activity maintenance and the acceptability of a remote coaching intervention following supervised exercise oncology rehabilitation: a qualitative study</title><author>Weemaes, Anouk T. R. ; Sieben, Judith M. ; Beelen, Milou ; Mulder, Louisa T. M. A. ; Lenssen, Antoine F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-8abe37695ea8ae6d9afcfdf5bc667de3d4df75fe66137ee0fbb4a6aaeb53d04e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Accountability</topic><topic>Adult</topic><topic>Aged</topic><topic>Cancer</topic><topic>Cancer Survivors - psychology</topic><topic>Coaching</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Health Informatics</topic><topic>Health Promotion and Disease Prevention</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mentoring - methods</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Neoplasms - psychology</topic><topic>Neoplasms - rehabilitation</topic><topic>Oncology</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Primary Care Medicine</topic><topic>Public Health</topic><topic>Qualitative Research</topic><topic>Quality of Life Research</topic><topic>Rehabilitation</topic><topic>Self-efficacy</topic><topic>Social interactions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weemaes, Anouk T. R.</creatorcontrib><creatorcontrib>Sieben, Judith M.</creatorcontrib><creatorcontrib>Beelen, Milou</creatorcontrib><creatorcontrib>Mulder, Louisa T. M. A.</creatorcontrib><creatorcontrib>Lenssen, Antoine F.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of cancer survivorship</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weemaes, Anouk T. R.</au><au>Sieben, Judith M.</au><au>Beelen, Milou</au><au>Mulder, Louisa T. M. A.</au><au>Lenssen, Antoine F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of physical activity maintenance and the acceptability of a remote coaching intervention following supervised exercise oncology rehabilitation: a qualitative study</atitle><jtitle>Journal of cancer survivorship</jtitle><stitle>J Cancer Surviv</stitle><addtitle>J Cancer Surviv</addtitle><date>2025-02</date><risdate>2025</risdate><volume>19</volume><issue>1</issue><spage>149</spage><epage>161</epage><pages>149-161</pages><issn>1932-2259</issn><eissn>1932-2267</eissn><abstract>Purpose
The purpose of the study was to investigate perceived determinants of physical activity (PA) maintenance following supervised exercise oncology rehabilitation and the acceptability of a remote coaching intervention during this period.
Methods
A phenomenological qualitative study with semi-structured interviews was conducted. Nineteen participants (16 women, 3 men) were recruited from the intervention (
n
= 12) and control group (
n
= 7) of a randomized controlled trial on the effectiveness of remote coaching following hospital-based, supervised exercise oncology rehabilitation. Participants in the intervention group received a 6-month remote coaching intervention after completing the exercise program, aimed at stimulating PA maintenance. The interviews were based on the Capability, Opportunity, and Motivation model of Behaviour (COM-B model) and the framework of acceptability (TFA) and were coded using template analysis.
Results
Key themes regarding determinants of PA maintenance were self-efficacy, PA habits, accountability, physical complaints, and facilities. Remote coaching was perceived acceptable because it stimulated PA maintenance by offering a source of structure and social support and thereby increased accountability. Moreover, it improved confidence to perform PA, leading to increased levels of self-efficacy. The remote nature of the intervention was perceived as convenient by some of the participants, while others would have preferred additional physical appointments.
Conclusions
Cancer survivors considered remote coaching acceptable to stimulate PA maintenance following supervised rehabilitation. Interventions should focus on increasing accountability, self-efficacy, forming habits, and helping cancer survivors to overcome barriers.
Implications for Cancer Survivors
The ability to maintain PA beyond supervised exercise oncology programs depends on many determinants. Remote coaching interventions have potential to target individually relevant determinants following exercise programs in cancer survivors.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>37733263</pmid><doi>10.1007/s11764-023-01455-5</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-3627-4452</orcidid><orcidid>https://orcid.org/0000-0003-4611-6626</orcidid><orcidid>https://orcid.org/0000-0002-5447-9323</orcidid><orcidid>https://orcid.org/0000-0002-5759-3383</orcidid><orcidid>https://orcid.org/0000-0002-0065-1167</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of cancer survivorship, 2025-02, Vol.19 (1), p.149-161 |
| issn | 1932-2259 1932-2267 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Accountability Adult Aged Cancer Cancer Survivors - psychology Coaching Exercise Exercise Therapy - methods Female Health Informatics Health Promotion and Disease Prevention Humans Intervention Male Medicine Medicine & Public Health Mentoring - methods Middle Aged Motivation Neoplasms - psychology Neoplasms - rehabilitation Oncology Patient Acceptance of Health Care - psychology Physical activity Physical fitness Primary Care Medicine Public Health Qualitative Research Quality of Life Research Rehabilitation Self-efficacy Social interactions |
| title | Determinants of physical activity maintenance and the acceptability of a remote coaching intervention following supervised exercise oncology rehabilitation: a qualitative study |
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