Understanding physical activity behavior in patients with bladder cancer before and after radical cystectomy: a qualitative interview study

Objective: To explore the determinants of physical activity in patients with bladder cancer before and after radical cystectomy. Design: A qualitative research design using semi-structured face-to-face interviews. Setting and subjects: A total of 30 interviews were conducted with people diagnosed wi...

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Bibliographic Details
Published in:Clinical rehabilitation 2019-04, Vol.33 (4), p.750-761
Main Authors: Rammant, Elke, Fonteyne, Valérie, Decaestecker, Karel, Bultijnck, Renée, Deforche, Benedicte, Pieters, Ronny, Ost, Piet, Verhaeghe, Sofie, Van Hecke, Ann
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Attitude to Health
Behavior change
Behavior modification
Bladder cancer
Coping strategies
Cystectomy - psychology
Diarrhea
Exercise
Exercise - psychology
Fatigue
Fatigue - complications
Fatigue - etiology
Female
Health risk assessment
Humans
Interviews as Topic
Life Change Events
Male
Middle Aged
Physical activity
Physicians
Qualitative research
Self Efficacy
Social development
Social Support
Urinary Bladder Neoplasms - psychology
Urinary Bladder Neoplasms - surgery
Urinary Diversion - psychology
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Summary:Objective: To explore the determinants of physical activity in patients with bladder cancer before and after radical cystectomy. Design: A qualitative research design using semi-structured face-to-face interviews. Setting and subjects: A total of 30 interviews were conducted with people diagnosed with bladder cancer and treated with radical cystectomy at Ghent University Hospital. Main measures: The interviews were audiotaped and transcribed verbatim. Framework analysis with constant comparison between and within interviews was applied until final topics were derived from interpreting the data. Results: Physical activity behavior in patients with bladder cancer is determined multifactorial with condition-related (e.g. urinary symptoms, comorbidities), therapy-related (e.g. fatigue, diarrhea), patient-related (e.g. outcome expectations, coping skills, definitions of physical activity), social/economic-related (e.g. social support, attractive environment) and health system–related (e.g. physicians’ advice, information) factors. Conclusion: The results of this study can guide the development of theory-based behavior change interventions to increase physical activity in bladder cancer patients.
ISSN:0269-2155
1477-0873
DOI:10.1177/0269215518815531