PDF(Pubmed)
Abstract：
BACKGROUND: Structured exercise has an important role in mitigating the extensive side effects caused by ongoing prostate cancer treatments, specifically androgen deprivation therapy (ADT) and radiation therapy (RT). Little is known about men\'s experiences of, and preferences for, structured exercise programmes during active cancer treatment. This study aimed to inform the acceptability of a 6-month supervised intervention that emphasised increasing and varied intensities of aerobic and resistance exercise, by exploring the experiences of men who participated.
METHODS: Individual semi-structured interviews were conducted with an interviewer independent of the exercise study and data was analysed using a descriptive qualitative design.
RESULTS: Twelve prostate cancer patients were interviewed including participants who completed (n = 9) and withdrew from (n = 3) the intervention. Four main themes captured how men experienced the intervention: (1) Navigating the Unknown: Building confidence amidst vulnerability (subtheme- pushing the limits), (2) Building Trust: The credibility and approach of the exercise instructor (subtheme- appropriateness of supervised vs. independent exercise), (3) Flexibility in Delivery, (4) Finding Purpose: Exercise as a means of escapism and regaining control during treatment.
CONCLUSIONS: While an initial lack of self-confidence can be a barrier to exercise participation, exercise programmes have the potential to provide psychosocial benefits, rebuild confidence and empower men throughout their cancer treatment and into recovery. Structured exercise is acceptable during treatment including RT and can offer a form of escapism and sense of control for men navigating their cancer journey. Trust building, flexible delivery and credibility alongside a challenging exercise prescription are important facilitators of acceptability for men. Strategies to embed exercise from the point of diagnosis through ADT and RT should reflect men\'s experiences of exercise during treatment.
BACKGROUND: The trial has been registered on ClinicalTrials.gov as of the 14th of December 2021 (NCT05156424).
METHODS: Individual semi-structured interviews were conducted with an interviewer independent of the exercise study and data was analysed using a descriptive qualitative design.
RESULTS: Twelve prostate cancer patients were interviewed including participants who completed (n = 9) and withdrew from (n = 3) the intervention. Four main themes captured how men experienced the intervention: (1) Navigating the Unknown: Building confidence amidst vulnerability (subtheme- pushing the limits), (2) Building Trust: The credibility and approach of the exercise instructor (subtheme- appropriateness of supervised vs. independent exercise), (3) Flexibility in Delivery, (4) Finding Purpose: Exercise as a means of escapism and regaining control during treatment.
CONCLUSIONS: While an initial lack of self-confidence can be a barrier to exercise participation, exercise programmes have the potential to provide psychosocial benefits, rebuild confidence and empower men throughout their cancer treatment and into recovery. Structured exercise is acceptable during treatment including RT and can offer a form of escapism and sense of control for men navigating their cancer journey. Trust building, flexible delivery and credibility alongside a challenging exercise prescription are important facilitators of acceptability for men. Strategies to embed exercise from the point of diagnosis through ADT and RT should reflect men\'s experiences of exercise during treatment.
BACKGROUND: The trial has been registered on ClinicalTrials.gov as of the 14th of December 2021 (NCT05156424).
摘要：
背景：结构化运动在减轻正在进行的前列腺癌治疗引起的广泛副作用方面具有重要作用，特别是雄激素剥夺治疗（ADT）和放射治疗（RT）。人们对男人的经历知之甚少，和偏好，积极治疗癌症期间的结构化锻炼计划。这项研究旨在告知6个月的监督干预措施的可接受性，该干预措施强调有氧和抵抗运动的强度增加和变化。通过探索参与的人的经历。
方法：与独立于运动研究的面试官进行个人半结构化访谈，并使用描述性定性设计对数据进行分析。
结果：对12名前列腺癌患者进行了访谈，包括完成干预（n=9）和退出干预（n=3）的参与者。四个主要主题捕捉到了男人如何经历干预：（1）导航未知：在脆弱中建立信心（亚主题-突破极限），(2)建立信任：锻炼指导员的可信度和方法(监督与监督的适当性独立锻炼)，（3）交付的灵活性，（4）寻找目的：运动作为逃避和在治疗过程中重新获得控制的手段。
结论：虽然最初缺乏自信可能是锻炼参与的障碍，锻炼计划有可能提供心理社会益处，重建信心，赋予男性在整个癌症治疗和康复过程中的权力。在包括RT在内的治疗期间，结构化运动是可以接受的，并且可以为男性在癌症旅程中导航提供一种逃避现实和控制感。建立信任,灵活的分娩和可信度以及具有挑战性的运动处方是男性可接受性的重要促进因素。通过ADT和RT从诊断角度嵌入运动的策略应反映男性在治疗期间的运动经验。
背景：该试验已于2021年12月14日在ClinicalTrials.gov上注册（NCT05156424）。
方法：与独立于运动研究的面试官进行个人半结构化访谈，并使用描述性定性设计对数据进行分析。
结果：对12名前列腺癌患者进行了访谈，包括完成干预（n=9）和退出干预（n=3）的参与者。四个主要主题捕捉到了男人如何经历干预：（1）导航未知：在脆弱中建立信心（亚主题-突破极限），(2)建立信任：锻炼指导员的可信度和方法(监督与监督的适当性独立锻炼)，（3）交付的灵活性，（4）寻找目的：运动作为逃避和在治疗过程中重新获得控制的手段。
结论：虽然最初缺乏自信可能是锻炼参与的障碍，锻炼计划有可能提供心理社会益处，重建信心，赋予男性在整个癌症治疗和康复过程中的权力。在包括RT在内的治疗期间，结构化运动是可以接受的，并且可以为男性在癌症旅程中导航提供一种逃避现实和控制感。建立信任,灵活的分娩和可信度以及具有挑战性的运动处方是男性可接受性的重要促进因素。通过ADT和RT从诊断角度嵌入运动的策略应反映男性在治疗期间的运动经验。
背景：该试验已于2021年12月14日在ClinicalTrials.gov上注册（NCT05156424）。
