2023/07/10 by Adams, Leonie, Göhner, Wiebke, Eckert, Tobias +3
#Assoziationen #Brustkrebs #Medicine and health #associations #breast cancer #exercise #körperliche Aktivität #physical activity #quantitative and qualitative study #quantitative und qualitative Studie #sportliche Aktivität
paper · doi:10.3205/ors000045
Purpose: Sports and physical activity after breast cancer have been proven effective for physical and mental health outcomes. However, for the majority of the women it is a challenge to meet recommended guidelines for physical activity. Yet, it is not known to what extent women after breast cancer exercise at the beginning of medical rehabilitation and what associations they have with the terms sports and physical activity. Certain negative associations could possibly influence their behaviour. The aim of the study is to assess the extent of exercise in women after breast cancer at the beginning of medical rehabilitation quantitatively. Qualitatively, it should be discussed which associations the terms sports and physical activity evoke in this target group. Methods: In a cross-sectional study at the beginning of medical rehabilitation we collected data using the short questionnaire of physical activity (BSA-F). To investigate associations, motives and barriers regarding sports and physical activity, we conducted 21 guided interviews. The interviews were digitized and transcribed. The analysis was carried out deductively-inductively according to the structured qualitative content analysis. The target group were adult women after breast cancer with approved medical rehabilitation. Results: 3.123 women answered the questionnaire on the amount of exercising. The average duration is 98 minutes per week (95% CI: 93–103 min/w). Half of the women (n=1.564) report of less than 60 minutes per week of exercise. The qualitative results include three deductively formed categories (associations with sports and physical activity, motives for sports and physical activity, barriers to taking up or continuing sports and physical activity) and ten inductively formed categories (associations with sports, positive emotions, negative emotions, associations physical activity, no distinction/movement as a synonym, physical motives, psychosocial motives, psychological barriers, physical barriers, environmental barriers). We could not identify any lay knowledge on physical rest after being diagnosed with cancer. The majority of respondents distinguishes between sports and physical activity. The greater number of women do not care which of the terms is used. Typical characteristics such as effort, achievement, or ambition are associated with sports. Movement is often used as a synonym, which could be important for the choice of names for exercise courses. Most of the statements have positive connotations; exercising leads to balance and happiness in women. Negative emotions are mainly based on childhood experiences. Women associate physical activity with everyday activities. The motives for exercising include health, fitness, and disease management. One of the most frequently mentioned barriers is a lack of motivation. Conclusion: Every second women after breast cancer exercises less than 60 minutes per week. There is no evidence that the terms sports and physical activity have any influence on exercise behavior. The identified associations, motives, and barriers are comparable to other studies. The term exercise should find more consideration when naming sports offers for this target group.