The sustainability of exercise following colorectal surgery: A qualitative study of participants in the PREPARE-ABC trial

Objective This study aimed to explore perceptions regarding the sustainability of exercise following participation in a pre- and post-colorectal surgery exercise intervention trial (PREPARE-ABC). Design Qualitative interview study. Data were analysed using framework analysis and independently coded...

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Veröffentlicht in:Clinical rehabilitation 2024-10, Vol.38 (10), p.1404-1414
Hauptverfasser: Naisby, J, Baker, K, Skarparis, K, Murdoch, J, Clark, A, Stirling, S, Turner, D, Swart, AM, Hernon, J, Saxton, J
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container_end_page 1414
container_issue 10
container_start_page 1404
container_title Clinical rehabilitation
container_volume 38
creator Naisby, J
Baker, K
Skarparis, K
Murdoch, J
Clark, A
Stirling, S
Turner, D
Swart, AM
Hernon, J
Saxton, J
description Objective This study aimed to explore perceptions regarding the sustainability of exercise following participation in a pre- and post-colorectal surgery exercise intervention trial (PREPARE-ABC). Design Qualitative interview study. Data were analysed using framework analysis and independently coded by two researchers. Setting Six United Kingdom National Health Service Trusts. Participants Eighteen interviews (hospital-based exercise n = 9, home-based exercise n = 3, standard care n = 6) were conducted with patients 12–15 months after being randomised in the trial, after their 12 month appointment. Intervention Individuals who participated in one of two exercise intervention groups (hospital-supervised or home-supported exercise) or a standard care control group of the PREPARE-ABC trial were invited to interview. Results The exercise interventions were reported to influence participants’ recovery and future sustainability of exercise behaviour change. Several participants continued to engage in exercise over a year after their surgery. Reasons for this included being engaged with exercise prior to diagnosis, psychological benefits of exercise and wanting to be engaged with something to help recovery. Perceptions about the sustainability of active lifestyles were influenced by confidence to engage in structured exercise or physical activity and beliefs about its potential to promote future wellness. Conclusions Sustainability varies among individuals and early assessment of physical activity engagement could be beneficial. Physical activity interventions immediately following surgery may be important for future engagement.
doi_str_mv 10.1177/02692155241278936
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Design Qualitative interview study. Data were analysed using framework analysis and independently coded by two researchers. Setting Six United Kingdom National Health Service Trusts. Participants Eighteen interviews (hospital-based exercise n = 9, home-based exercise n = 3, standard care n = 6) were conducted with patients 12–15 months after being randomised in the trial, after their 12 month appointment. Intervention Individuals who participated in one of two exercise intervention groups (hospital-supervised or home-supported exercise) or a standard care control group of the PREPARE-ABC trial were invited to interview. Results The exercise interventions were reported to influence participants’ recovery and future sustainability of exercise behaviour change. Several participants continued to engage in exercise over a year after their surgery. Reasons for this included being engaged with exercise prior to diagnosis, psychological benefits of exercise and wanting to be engaged with something to help recovery. Perceptions about the sustainability of active lifestyles were influenced by confidence to engage in structured exercise or physical activity and beliefs about its potential to promote future wellness. Conclusions Sustainability varies among individuals and early assessment of physical activity engagement could be beneficial. Physical activity interventions immediately following surgery may be important for future engagement.</description><identifier>ISSN: 0269-2155</identifier><identifier>ISSN: 1477-0873</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/02692155241278936</identifier><identifier>PMID: 39257057</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Behavior change ; Colorectal Neoplasms - rehabilitation ; Colorectal Neoplasms - surgery ; Colorectal surgery ; Exercise ; Exercise Therapy - methods ; Exploratory Studies ; Female ; Health services ; Home based ; Humans ; Intervention ; Interviews ; Interviews as Topic ; Male ; Medical diagnosis ; Middle Aged ; Perceptions ; Physical activity ; Physical fitness ; Postoperative Care - methods ; Qualitative Research ; Recovery ; Surgery ; Sustainability ; Trusts ; United Kingdom</subject><ispartof>Clinical rehabilitation, 2024-10, Vol.38 (10), p.1404-1414</ispartof><rights>The Author(s) 2024</rights><rights>The Author(s) 2024 2024 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c306t-659378f200f36a9b3c6869ce716bf30fa5e205d9809f6bfd3a9ec3111be01f363</cites><orcidid>0000-0001-8050-7669</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/02692155241278936$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/02692155241278936$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,21819,27924,27925,30999,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39257057$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Naisby, J</creatorcontrib><creatorcontrib>Baker, K</creatorcontrib><creatorcontrib>Skarparis, K</creatorcontrib><creatorcontrib>Murdoch, J</creatorcontrib><creatorcontrib>Clark, A</creatorcontrib><creatorcontrib>Stirling, S</creatorcontrib><creatorcontrib>Turner, D</creatorcontrib><creatorcontrib>Swart, AM</creatorcontrib><creatorcontrib>Hernon, J</creatorcontrib><creatorcontrib>Saxton, J</creatorcontrib><title>The sustainability of exercise following colorectal surgery: A qualitative study of participants in the PREPARE-ABC trial</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>Objective This study aimed to explore perceptions regarding the sustainability of exercise following participation in a pre- and post-colorectal surgery exercise intervention trial (PREPARE-ABC). Design Qualitative interview study. Data were analysed using framework analysis and independently coded by two researchers. Setting Six United Kingdom National Health Service Trusts. Participants Eighteen interviews (hospital-based exercise n = 9, home-based exercise n = 3, standard care n = 6) were conducted with patients 12–15 months after being randomised in the trial, after their 12 month appointment. Intervention Individuals who participated in one of two exercise intervention groups (hospital-supervised or home-supported exercise) or a standard care control group of the PREPARE-ABC trial were invited to interview. Results The exercise interventions were reported to influence participants’ recovery and future sustainability of exercise behaviour change. Several participants continued to engage in exercise over a year after their surgery. Reasons for this included being engaged with exercise prior to diagnosis, psychological benefits of exercise and wanting to be engaged with something to help recovery. Perceptions about the sustainability of active lifestyles were influenced by confidence to engage in structured exercise or physical activity and beliefs about its potential to promote future wellness. Conclusions Sustainability varies among individuals and early assessment of physical activity engagement could be beneficial. Physical activity interventions immediately following surgery may be important for future engagement.</description><subject>Aged</subject><subject>Behavior change</subject><subject>Colorectal Neoplasms - rehabilitation</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Colorectal surgery</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Exploratory Studies</subject><subject>Female</subject><subject>Health services</subject><subject>Home based</subject><subject>Humans</subject><subject>Intervention</subject><subject>Interviews</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Perceptions</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Postoperative Care - methods</subject><subject>Qualitative Research</subject><subject>Recovery</subject><subject>Surgery</subject><subject>Sustainability</subject><subject>Trusts</subject><subject>United Kingdom</subject><issn>0269-2155</issn><issn>1477-0873</issn><issn>1477-0873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kUtvEzEUhS0EomnhB7BBltiwmeJHxg82KEThIVWiqsra8jh3UlfOOLU9hfz7ekgpL7Gy5Pudc3x9EHpBySmlUr4hTGhG25bNKZNKc_EIzehcyoYoyR-j2TRvJuAIHed8TQhRFX2KjrhmrSStnKH95RXgPOZi_WA7H3zZ49hj-A7J-Qy4jyHEb37YYBdDTOCKDZVPG0j7t3iBb0ZbNbb422pTxvUP9c6m4p3f2aFk7Adcasb5xep8cbFqFu-XuCRvwzP0pLchw_P78wR9_bC6XH5qzr58_LxcnDWOE1Ea0WouVc8I6bmwuuNOKKEdSCq6npPetsBIu9aK6L7erLnV4DiltANCq4SfoHcH393YbWHtYCjJBrNLfmvT3kTrzZ-TwV-ZTbw1lLZMacGqw-t7hxRvRsjFbH12EIIdII7ZcEqYUvVHp7BXf6HXcUxD3a9SjIr5nKmJogfKpZhzgv7hNZSYqVnzT7NV8_L3NR4UP6uswOkByHYDv2L_73gHtoGsiQ</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Naisby, J</creator><creator>Baker, K</creator><creator>Skarparis, K</creator><creator>Murdoch, J</creator><creator>Clark, A</creator><creator>Stirling, S</creator><creator>Turner, D</creator><creator>Swart, AM</creator><creator>Hernon, J</creator><creator>Saxton, J</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</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>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8050-7669</orcidid></search><sort><creationdate>20241001</creationdate><title>The sustainability of exercise following colorectal surgery: A qualitative study of participants in the PREPARE-ABC trial</title><author>Naisby, J ; Baker, K ; Skarparis, K ; Murdoch, J ; Clark, A ; Stirling, S ; Turner, D ; Swart, AM ; Hernon, J ; Saxton, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c306t-659378f200f36a9b3c6869ce716bf30fa5e205d9809f6bfd3a9ec3111be01f363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Behavior change</topic><topic>Colorectal Neoplasms - rehabilitation</topic><topic>Colorectal Neoplasms - surgery</topic><topic>Colorectal surgery</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Exploratory Studies</topic><topic>Female</topic><topic>Health services</topic><topic>Home based</topic><topic>Humans</topic><topic>Intervention</topic><topic>Interviews</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Perceptions</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Postoperative Care - methods</topic><topic>Qualitative Research</topic><topic>Recovery</topic><topic>Surgery</topic><topic>Sustainability</topic><topic>Trusts</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Naisby, J</creatorcontrib><creatorcontrib>Baker, K</creatorcontrib><creatorcontrib>Skarparis, K</creatorcontrib><creatorcontrib>Murdoch, J</creatorcontrib><creatorcontrib>Clark, A</creatorcontrib><creatorcontrib>Stirling, S</creatorcontrib><creatorcontrib>Turner, D</creatorcontrib><creatorcontrib>Swart, AM</creatorcontrib><creatorcontrib>Hernon, J</creatorcontrib><creatorcontrib>Saxton, J</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Naisby, J</au><au>Baker, K</au><au>Skarparis, K</au><au>Murdoch, J</au><au>Clark, A</au><au>Stirling, S</au><au>Turner, D</au><au>Swart, AM</au><au>Hernon, J</au><au>Saxton, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The sustainability of exercise following colorectal surgery: A qualitative study of participants in the PREPARE-ABC trial</atitle><jtitle>Clinical rehabilitation</jtitle><addtitle>Clin Rehabil</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>38</volume><issue>10</issue><spage>1404</spage><epage>1414</epage><pages>1404-1414</pages><issn>0269-2155</issn><issn>1477-0873</issn><eissn>1477-0873</eissn><abstract>Objective This study aimed to explore perceptions regarding the sustainability of exercise following participation in a pre- and post-colorectal surgery exercise intervention trial (PREPARE-ABC). Design Qualitative interview study. Data were analysed using framework analysis and independently coded by two researchers. Setting Six United Kingdom National Health Service Trusts. Participants Eighteen interviews (hospital-based exercise n = 9, home-based exercise n = 3, standard care n = 6) were conducted with patients 12–15 months after being randomised in the trial, after their 12 month appointment. Intervention Individuals who participated in one of two exercise intervention groups (hospital-supervised or home-supported exercise) or a standard care control group of the PREPARE-ABC trial were invited to interview. Results The exercise interventions were reported to influence participants’ recovery and future sustainability of exercise behaviour change. Several participants continued to engage in exercise over a year after their surgery. Reasons for this included being engaged with exercise prior to diagnosis, psychological benefits of exercise and wanting to be engaged with something to help recovery. Perceptions about the sustainability of active lifestyles were influenced by confidence to engage in structured exercise or physical activity and beliefs about its potential to promote future wellness. Conclusions Sustainability varies among individuals and early assessment of physical activity engagement could be beneficial. Physical activity interventions immediately following surgery may be important for future engagement.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>39257057</pmid><doi>10.1177/02692155241278936</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-8050-7669</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Behavior change
Colorectal Neoplasms - rehabilitation
Colorectal Neoplasms - surgery
Colorectal surgery
Exercise
Exercise Therapy - methods
Exploratory Studies
Female
Health services
Home based
Humans
Intervention
Interviews
Interviews as Topic
Male
Medical diagnosis
Middle Aged
Perceptions
Physical activity
Physical fitness
Postoperative Care - methods
Qualitative Research
Recovery
Surgery
Sustainability
Trusts
United Kingdom
title The sustainability of exercise following colorectal surgery: A qualitative study of participants in the PREPARE-ABC trial
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