Advertisement

Breast cancer survivors’ perspectives on a home-based physical activity intervention utilizing wearable technology

  • Renee L. Kokts-Porietis
  • Chelsea R. Stone
  • Christine M. Friedenreich
  • Alyssa Froese
  • Meghan McDonough
  • Jessica McNeilEmail author
Original Article
  • 66 Downloads

Abstract

Purpose

To gain breast cancer survivors’ perspectives on participation in a home-based physical activity intervention and the factors that contributed to their acceptance and adherence to physical activity.

Methods

Semi-structured interviews were conducted with six women who had participated in a 12-week, home-based physical activity intervention using Polar A360® activity trackers. Additionally, 22 participants from the physical activity interventions provided scaled responses to barriers of physical activity on weeks 3, 6, 9, and 12. Interviews were transcribed verbatim. Thematic analysis was used for qualitative data.

Results

Perceptions (n = 6) were categorized into three main themes including (i) Study Environment which consisted of three subthemes acrch versus fear of failure, power of results, and reminders of cancer and moving beyond. (ii) Influence of People encompassed two subthemes, i.e., personal relationships and self as a source of motivation; and (iii) Wearable Technology which was divided into two subthemes, i.e., objective insights into health and disconnect of person and technology. From the scaled responses, the most impactful barriers for participants within the intervention groups (n = 22) were “feeling busy,” “lack of motivation,” and “weather.”

Conclusion

Wearable technology was perceived largely as a facilitator to physical activity in the current study, but technologic difficulties created a barrier to physical activity adherence. Additionally, participants’ perceptions of study design elements and social support influenced their acceptance and adherence to the home-based physical activity interventions and should be considered to inform the design and implementation of future studies.

Keywords

Breast cancer survivorship Motivation Facilitators Barriers Activity trackers 

Notes

Acknowledgements

The authors wish to thank Mary Beth Eckersley for contributing to the knowledge translation plan for this pilot study. The BC-PAL pilot trial Exercise Physiologists were Katy Koots and Rebecca Urbat. Trainees who assisted with data collection, interview transcription, and data entry were Maryah Liepert and Benny Viner. Data management, including database creation, questionnaire design, data integrity, and quality control, was completed by Dr. Steven Szarka, Farit Vakhetov, and Wendy Walroth.

Funding

Data collection for the BC-PAL pilot trial was funded by a Catalyst Grant from the O’Brien Institute for Public Health, University of Calgary, and the Carole May Yates Memorial Endowment for Cancer Research Fund, administered through the Arnie Charbonneau Cancer Institute, University of Calgary.

Ms. Stone was supported by the Queen Elizabeth II (Province of Alberta) Scholarship. Dr. Friedenreich was supported by a Health Senior Scholar Award from Alberta Innovates-Health Solutions and the Alberta Cancer Foundation Weekend to End Women’s Cancers Breast Cancer Chair. Dr. McNeil is a recipient of Postdoctoral Fellowship Awards from the Canadian Institutes of Health Research and Alberta Innovates-Health Solutions.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

References

  1. 1.
    Canadian Cancer Statistics (2018) In Canadian Cancer Society. Toronto, ONGoogle Scholar
  2. 2.
    Palesh O et al (2018) Management of side effects during and post-treatment in breast cancer survivors. Breast J 24(2):167–175CrossRefGoogle Scholar
  3. 3.
    Boyle T et al (2016) How sedentary and physically active are breast cancer survivors, and which population subgroups have higher or lower levels of these behaviors? Support Care Cancer 24(5):2181–2190CrossRefGoogle Scholar
  4. 4.
    Lahart IM et al (2015) Physical activity, risk of death and recurrence in breast cancer survivors: a systematic review and meta-analysis of epidemiological studies. Acta Oncol 54(5):635–654CrossRefGoogle Scholar
  5. 5.
    Backman M et al (2016) Experiencing health - physical activity during adjuvant chemotherapy treatment for women with breast cancer. Eur J Oncol Nurs 21:160–167CrossRefGoogle Scholar
  6. 6.
    Wurz A, St-Aubin A, Brunet J (2015) Breast cancer survivors’ barriers and motives for participating in a group-based physical activity program offered in the community. Support Care Cancer 23(8):2407–2416CrossRefGoogle Scholar
  7. 7.
    Gresham G et al (2018) Wearable activity monitors in oncology trials: current use of an emerging technology. Contemp Clin Trials 64:13–21CrossRefGoogle Scholar
  8. 8.
    Phillips SM et al (2017) Breast cancer survivors' preferences for technology-supported exercise interventions. Support Care Cancer 25(10):3243–3252CrossRefGoogle Scholar
  9. 9.
    Nguyen NH et al (2017) A qualitative evaluation of breast cancer survivors’ acceptance of and preferences for consumer wearable technology activity trackers. Support Care Cancer 25(11):3375–3384CrossRefGoogle Scholar
  10. 10.
    Friedenreich CM et al (2014) Study design and methods for the Breast Cancer and Exercise Trial in Alberta (BETA). BMC Cancer 14:919CrossRefGoogle Scholar
  11. 11.
    Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101CrossRefGoogle Scholar
  12. 12.
    Phil M, David R (2003) Critical realism: a way forward for evaluation research in nursing? J Adv Nurs 43(4):411–420CrossRefGoogle Scholar
  13. 13.
    Boddy CR (2016) Sample size for qualitative research. Qual Mark Res Int J 19(4):426–432CrossRefGoogle Scholar
  14. 14.
    StataCorp, Stata Statistical Software: Release 15 (2017) College Station, TX, StataCorp LLCGoogle Scholar
  15. 15.
    NVivo qualitative data analysis Software (2015) QSR International Pty Ltd Version 11Google Scholar
  16. 16.
    Clifford BK et al (2018) Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer 26(3):685–700CrossRefGoogle Scholar
  17. 17.
    McArthur D et al (2014) Factors influencing adherence to regular exercise in middle-aged women: a qualitative study to inform clinical practice. BMC Womens Health 14(1):49CrossRefGoogle Scholar
  18. 18.
    Kinnafick FE, Thogersen-Ntoumani C, Duda JL (2014) Physical activity adoption to adherence, lapse, and dropout: a self-determination theory perspective. Qual Health Res 24(5):706–718CrossRefGoogle Scholar
  19. 19.
    Henriksson A et al (2016) Perceived barriers to and facilitators of being physically active during adjuvant cancer treatment. Patient Educ Couns 99(7):1220–1226CrossRefGoogle Scholar
  20. 20.
    Burke S et al (2017) Physical activity and quality of life in cancer survivors: a meta-synthesis of qualitative research. Cancers 9(5):53CrossRefGoogle Scholar
  21. 21.
    Lupton D (2014) Self-tracking cultures: towards a sociology of personal informatics. In: Proceedings of the 26th Australian Computer-Human Interaction Conference on Designing Futures: the Future of Design. ACM, Sydney, New South Wales, p 77–86Google Scholar
  22. 22.
    Habersack M, Luschin G (2013) Insecurities of women regarding breast cancer research: a qualitative study. PLoS One 8(12):e81770CrossRefGoogle Scholar
  23. 23.
    Watson SD (2017) Everyday nationalism and international hockey: contesting Canadian national identity. Nat National 23(2):289–308CrossRefGoogle Scholar
  24. 24.
    Hefferon K et al (2013) Understanding barriers to exercise implementation 5-year post-breast cancer diagnosis: a large-scale qualitative study. Health Educ Res 28(5):843–856CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Cancer Epidemiology and Prevention Research, Cancer Control AlbertaAlberta Health ServicesCalgaryCanada
  2. 2.Department of Community Health Sciences, Cumming School of MedicineUniversity of CalgaryCalgaryCanada
  3. 3.Department of Oncology, Cumming School of MedicineUniversity of CalgaryCalgaryCanada
  4. 4.Faculty of KinesiologyUniversity of CalgaryCalgaryCanada

Personalised recommendations