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Clinical and Demographic Factors Associated With Follow-Up in a Hospital-Based Exercise Oncology Program

التفاصيل البيبلوغرافية
العنوان: Clinical and Demographic Factors Associated With Follow-Up in a Hospital-Based Exercise Oncology Program
المؤلفون: Emily R. Dunston MS, Yang Bai PhD, Maria Newton PhD, Leslie Podlog PhD, Darren Walker BS, Sonal Oza MD, Rebecca W. Zingg MD, Pamela A. Hansen MD, Adriana M. Coletta PhD
المصدر: Integrative Cancer Therapies, Vol 21 (2022)
بيانات النشر: SAGE Publishing, 2022.
سنة النشر: 2022
المجموعة: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
مصطلحات موضوعية: Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
الوصف: Objective: Despite the numerous benefits of regular exercise participation for cancer survivors, nearly 60% of survivors do not meet current guidelines. Hospital-based exercise oncology programs may be one strategy to promote exercise engagement as survivors have expressed a preference for exercise programs associated with a cancer hospital. However, follow-up rates in hospital-based exercise oncology programs can be low. Follow-up assessments are a critical component of exercise oncology programs as they determine survivor progress, allow for revision of exercise prescriptions, and demonstrate the effectiveness of the exercise program. Therefore, the purpose of this study was to identify clinical and demographic factors associated with not attending a 12-week follow-up assessment in a hospital-based exercise oncology program. Methods: We analyzed data collected from 2016 to 2019 (n = 849) from the Huntsman Cancer Institute’s hospital-based exercise oncology program, the Personal Optimism with Exercise Recovery (POWER) program. Cancer survivors completed an assessment at the start of POWER and were encouraged to attend a 12-week follow-up assessment. Factors associated with not attending a 12-week follow-up assessment were identified using logistic regression. Results: Multiple myeloma cancer survivors were more likely (OR 2.33; 95% CI 1.09, 4.98) to not attend a 12-week follow-up assessment, whereas endometrial cancer survivors were less likely (OR 0.39; 95% CI 0.18, 0.87). Greater travel time (OR 2.69; 95% CI: 1.83, 3.96) and distance (OR 2.37; 95% CI: 1.61, 3.49) were associated with not attending a 12-week follow-up assessment. Immunotherapy (OR 1.66; 95% CI 1.02, 2.72), waist circumference (OR 1.01; 95% CI 1.00, 1.02), overweight status per body mass index (OR 1.62; 95% CI 1.11, 2.38), and male sex (OR 1.70; 95% CI 1.23, 2.35) were associated with an increased likelihood of not attending a 12-week follow-up assessment. Survivors with a higher baseline quality of life (OR 0.96; 95% CI 0.93, 0.99) and peak oxygen consumption (OR 0.97; 95% CI 0.95, 0.99) were less likely not to attend a 12-week follow-up assessment. Conclusions: Both clinical and demographic factors were associated with not attending a 12-week follow-up assessment in a hospital-based exercise oncology program. Understanding factors related to follow-up assessment attendance in exercise oncology programs can inform the development of targeted interventions to improve follow-up rate thus maximizing exercise support for cancer survivors.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1534-7354
1552-695X
15347354
Relation: https://doaj.org/toc/1534-7354; https://doaj.org/toc/1552-695X
DOI: 10.1177/15347354221105482
URL الوصول: https://doaj.org/article/95cb86d82c79460299315ac513bfb166
رقم الأكسشن: edsdoj.95cb86d82c79460299315ac513bfb166
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:15347354
1552695X
DOI:10.1177/15347354221105482