Patient perspectives of vigorous intensity aerobic interval exercise prehabilitation prior to radical cystectomy: a qualitative focus group study

Srijit Banerjee, Kelly Semper, Katy Skarparis, Jenni Naisby, Liane Lewis, Gabriel Cucato, Robert Mills, Mark Rochester, John Saxton

Research output: Contribution to journalArticle

Abstract

Purpose: Preoperative cardiopulmonary fitness is increasingly being recognized as an important factor influencing postoperative recovery outcomes in cancer patients. The aim of this study was to explore patient perspectives of preoperative high intensity aerobic interval exercise before radical cystectomy. Materials and methods: Focus groups involving a purposive convenience sample of patients with bladder cancer (N = 14; mean age ± SD: 72.3 ± 6.0 years) were undertaken in a hospital education department. Data were analyzed using Framework analysis. Results: Participants identified physical (e.g., fitness) psychological (e.g., preparing for their operation) and social (e.g., peer support) benefits of the program. Key motivational factors for engaging in exercise prehabiliation were identified as social support, previous exercise experience and objective measures of progression. The need for clear information from healthcare providers to ensure that patients are adequately prepared for sessions was highlighted. Conclusions: This qualitative study provides new insights into the perspectives and experiences of patients with bladder cancer regarding participation in preoperative vigorous intensity aerobic exercise. The study yielded novel perceptions on the physical, psychological and social health benefits accruing from the exercise program and patient views on program design features, which are important for informing future interventions and implementation strategies.

Original languageEnglish
Pages (from-to)1-26
Number of pages26
JournalDisability and Rehabilitation
Early online date14 Aug 2019
DOIs
Publication statusE-pub ahead of print - 14 Aug 2019

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Cystectomy
Focus Groups
Exercise
Hospital Education Department
Urinary Bladder Neoplasms
Psychology
Physical Fitness
Insurance Benefits
Social Support
Health Personnel
Neoplasms

Keywords

  • qualitative
  • bladder cancer
  • exercise
  • physical activity
  • prehabilitation

Cite this

Banerjee, Srijit ; Semper, Kelly ; Skarparis, Katy ; Naisby, Jenni ; Lewis, Liane ; Cucato, Gabriel ; Mills, Robert ; Rochester, Mark ; Saxton, John . / Patient perspectives of vigorous intensity aerobic interval exercise prehabilitation prior to radical cystectomy : a qualitative focus group study. In: Disability and Rehabilitation. 2019 ; pp. 1-26.
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Patient perspectives of vigorous intensity aerobic interval exercise prehabilitation prior to radical cystectomy : a qualitative focus group study. / Banerjee, Srijit; Semper, Kelly; Skarparis, Katy ; Naisby, Jenni; Lewis, Liane; Cucato, Gabriel; Mills, Robert; Rochester, Mark; Saxton, John .

In: Disability and Rehabilitation, 14.08.2019, p. 1-26.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Patient perspectives of vigorous intensity aerobic interval exercise prehabilitation prior to radical cystectomy

T2 - a qualitative focus group study

AU - Banerjee, Srijit

AU - Semper, Kelly

AU - Skarparis, Katy

AU - Naisby, Jenni

AU - Lewis, Liane

AU - Cucato, Gabriel

AU - Mills, Robert

AU - Rochester, Mark

AU - Saxton, John

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PY - 2019/8/14

Y1 - 2019/8/14

N2 - Purpose: Preoperative cardiopulmonary fitness is increasingly being recognized as an important factor influencing postoperative recovery outcomes in cancer patients. The aim of this study was to explore patient perspectives of preoperative high intensity aerobic interval exercise before radical cystectomy. Materials and methods: Focus groups involving a purposive convenience sample of patients with bladder cancer (N = 14; mean age ± SD: 72.3 ± 6.0 years) were undertaken in a hospital education department. Data were analyzed using Framework analysis. Results: Participants identified physical (e.g., fitness) psychological (e.g., preparing for their operation) and social (e.g., peer support) benefits of the program. Key motivational factors for engaging in exercise prehabiliation were identified as social support, previous exercise experience and objective measures of progression. The need for clear information from healthcare providers to ensure that patients are adequately prepared for sessions was highlighted. Conclusions: This qualitative study provides new insights into the perspectives and experiences of patients with bladder cancer regarding participation in preoperative vigorous intensity aerobic exercise. The study yielded novel perceptions on the physical, psychological and social health benefits accruing from the exercise program and patient views on program design features, which are important for informing future interventions and implementation strategies.

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