Feasibility of a comprehensive supervised exercise program during and after treatment of head and neck cancer: a mixed-methods study.

IF 2.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES Supportive Care in Cancer Pub Date : 2025-01-16 DOI:10.1007/s00520-024-09112-y

Kaat Van Aperen, An De Groef, Thierry Troosters, Pascalle Elshout, Sandra Nuyts

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Abstract

Purpose: This study evaluates the feasibility of a comprehensive supervised exercise program (CSEP) for head and neck cancer (HNC) patients during and after (chemo)radiotherapy, integrating quantitative and qualitative data to identify participation barriers and facilitators.

Methods: To investigate the feasibility of the CSEP, a mixed-method study was performed. For the quantitative part, first, adherence to and safety of the CSEP were considered as quantitative feasibility outcome measures. Second, two questionnaires evaluated acceptability, adherence, feasibility, therapeutic support, and overall evaluation at 12 weeks and 6 months after the start of the radiotherapy. Additionally, focus groups were held to discuss acceptability, adherence, expectations, feasibility, therapeutic support, and overall evaluation. The quantitative and qualitative data were integrated and discussed via a joint display table.

Results: Quantitative data were available from 32 participants. Three focus groups with in total 11 participants were organized. Overall adherence to the CSEP was 72%, and no serious adverse events were reported, confirming the program's safety. Adherence and feasibility posed challenges; hospital sessions had higher adherence due to better motivation and guidance, whereas home sessions faced issues like lack of motivation and time constraints. Participants highlighted the program's individualization as a significant strength.

Conclusion: The CSEP was positively received, deemed safe, and feasible during and after HNC treatment, with participants recommending it to other HNC patients.

Trial registration: Trial Registration: ClinicalTrials.gov Identifier: NCT05256238 (Registered on February 25, 2022).

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头颈癌治疗期间和治疗后的综合监督运动计划的可行性：一项混合方法研究。

目的：本研究评估头颈癌（HNC）患者在化疗期间和放疗后实施综合监督运动计划（CSEP）的可行性，整合定量和定性数据以确定参与障碍和促进因素。方法：采用混合方法研究CSEP的可行性。定量部分，首先将CSEP的依从性和安全性作为定量可行性指标。其次，在放疗开始后12周和6个月分别用两份问卷评估患者的可接受性、依从性、可行性、治疗支持度和总体评价。此外，焦点小组讨论可接受性、依从性、期望、可行性、治疗支持和总体评估。通过联合展示表对定量和定性数据进行整合和讨论。结果：32名参与者获得了定量数据。组织了三个焦点小组，共有11名参与者。CSEP的总体依从性为72%，无严重不良事件报告，证实了该项目的安全性。坚持和可行性面临挑战；由于更好的动机和指导，医院会议的依从性更高，而家庭会议面临缺乏动机和时间限制等问题。与会者强调，课程的个性化是一个重要优势。结论：在HNC治疗期间和之后，CSEP被积极接受，被认为是安全可行的，参与者将其推荐给其他HNC患者。试验注册：ClinicalTrials.gov标识符：NCT05256238（注册于2022年2月25日）。

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来源期刊

Supportive Care in Cancer 医学-康复医学

CiteScore

5.70

自引率

9.70%

发文量

751

审稿时长

3 months

期刊介绍： Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.