"Moving Forward": Older Adult Motivations for Group-Based Physical Activity After Cancer Treatment.

Background: Engagement in physical activity (PA) post-treatment can improve health outcomes and quality of life among cancer survivors. The purpose of this study is to explore United States (US) older adult cancer survivors' (OACS) reasons for engaging in group-based PA classes, to identify themes s...

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Publicado en:International Journal of Behavioral Medicine Vol. 29; no. 3; pp. 286 - 299
Autores principales: Lynch, Kathleen A., Merdjanoff, Alexis, Wilson, Donna, Chiarello, Lauren, Hay, Jennifer, Mao, Jun J.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2022
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      pub: Springer Nature
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        10.1007/s12529-021-10018-w
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        atl: "Moving Forward": Older Adult Motivations for Group-Based Physical Activity After Cancer Treatment.
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        au:
          Lynch, Kathleen A.
          Merdjanoff, Alexis
          Wilson, Donna
          Chiarello, Lauren
          Hay, Jennifer
          Mao, Jun J.
        affil: Department of Psychiatry and Behavioral Science, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, 10022, New York, NY, USA
      sug:
        subj:
          Physical Activity In Old Age
          Group Exercise
          Cancer Survivors Psychosocial Factors
          Motivation
          Neoplasms Therapy
          Human
          United States
          Thematic Analysis
          Cancer Patients
          Attitude to Illness
          Semi-Structured Interview
          Grounded Theory
          Descriptive Research
          Middle Age
          Aged
          Aged, 80 and Over
          Confidence
          Patient Safety
          Survivorship
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: Background: Engagement in physical activity (PA) post-treatment can improve health outcomes and quality of life among cancer survivors. The purpose of this study is to explore United States (US) older adult cancer survivors' (OACS) reasons for engaging in group-based PA classes, to identify themes supporting exercise motivations in the context of cancer recovery. Methods: OACS participating in a fitness program at a large US comprehensive cancer center completed semi-structured interviews. Transcripts were analyzed using modified grounded theory, and demographic data were analyzed descriptively. Results: Modified grounded theory analysis (n = 25; age M = 70.92, SD = 10.82; 9 cancer types) identified individual rationales for exercise grounded in collective experience. Participants' internal motivations for PA are shaped by the desire for control over an uncertain future and post-treatment body, obtained by literally "moving forward" post-cancer; this is supported by external motivations for social connections that present a positive model of survivorship, within a setting that instills confidence and safety. Conclusions: Exercise can be a way for older adults to tap into internal and external motivations that support cancer survivorship. Interventions that make explicit connections between exercise and cancer recovery, facilitate interpersonal interaction, and promote a sense of safety may be the most effective. The concepts identified in this study can inform the development of future interventions to improve long-term behavior change among OACS and evaluate existing PA programs.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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