Caregivers' attitudes toward promoting exercise among patients with late-stage lung cancer

Lori Rhudy, Ann Marie Dose, Jefrey Basford, Joan Griffin, Andrea L Cheville

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background The benefts of exercise, even at low intensity levels, in improving overall health, psychological well-being, and quality of life in patients with cancer have been well documented. However, few patients are involved in formal exercise programs, and little is known about the factors that motivate those who do participate. Although it has not been well assessed, it stands to reason that spousal and family support is an important determinant of cancer patients' adoption of, and adherence to, an exercise program. Objective To characterize attitudes among the family caregivers of patients with late-stage lung cancer about their role in promoting exercise. Methods 20 adult family caregivers of patients with stage IIIB or IV non-small-cell lung cancer were asked during semistructured interviews about their views on the role of exercise in "fghting cancer," whether with respect to survival, health, psychological well-being, or overall quality of life; their ability to encourage patients to exercise; and their receptivity to getting exercise instructions from health care providers. Findings Family caregivers viewed exercise as important in fghting cancer. Past exercise patterns and lifestyle were important considerations, with some family caregivers who had not previously exercised considering household activities suffcient for promoting ftness. Family caregivers emphasized the importance of knowing the established boundaries of their relationships and respecting patients' autonomy. Caregivers generally thought that direction from health care providers to exercise would more likely result in meaningful behavioral change for patients. Limitations The participants were recruited from a quaternary medical center and restricted to those with lung cancer, which may limit the generalizability of the fndings to other settings or cancers. Conclusions and interpretation Family caregivers believe that exercise is important for patients, but feel constrained in their willingness and ability to promote exercise behaviors because of the established boundaries of their relationships. They have mixed opinions about the utility of exercise promotion by health care providers. Family caregivers are ambivalent about promoting exercise for patients with advanced cancer. Nonjudgmental assessment of patients' past exercise preferences and established relationship boundaries should inform clinical judgment about the utility of engaging family caregivers in the promotion of exercise.

Original languageEnglish (US)
Pages (from-to)392-398
Number of pages7
JournalJournal of Community and Supportive Oncology
Volume13
Issue number11
DOIs
StatePublished - Nov 1 2015

Fingerprint

Caregivers
Lung Neoplasms
Exercise
Health Personnel
Neoplasms
Aptitude
Quality of Life
Psychology
Health
Patient Compliance
Health Promotion
Non-Small Cell Lung Carcinoma
Life Style

ASJC Scopus subject areas

  • Hematology
  • Oncology

Cite this

Caregivers' attitudes toward promoting exercise among patients with late-stage lung cancer. / Rhudy, Lori; Dose, Ann Marie; Basford, Jefrey; Griffin, Joan; Cheville, Andrea L.

In: Journal of Community and Supportive Oncology, Vol. 13, No. 11, 01.11.2015, p. 392-398.

Research output: Contribution to journalArticle

@article{1796736be0934a3cae65a39be5cc6e54,
title = "Caregivers' attitudes toward promoting exercise among patients with late-stage lung cancer",
abstract = "Background The benefts of exercise, even at low intensity levels, in improving overall health, psychological well-being, and quality of life in patients with cancer have been well documented. However, few patients are involved in formal exercise programs, and little is known about the factors that motivate those who do participate. Although it has not been well assessed, it stands to reason that spousal and family support is an important determinant of cancer patients' adoption of, and adherence to, an exercise program. Objective To characterize attitudes among the family caregivers of patients with late-stage lung cancer about their role in promoting exercise. Methods 20 adult family caregivers of patients with stage IIIB or IV non-small-cell lung cancer were asked during semistructured interviews about their views on the role of exercise in {"}fghting cancer,{"} whether with respect to survival, health, psychological well-being, or overall quality of life; their ability to encourage patients to exercise; and their receptivity to getting exercise instructions from health care providers. Findings Family caregivers viewed exercise as important in fghting cancer. Past exercise patterns and lifestyle were important considerations, with some family caregivers who had not previously exercised considering household activities suffcient for promoting ftness. Family caregivers emphasized the importance of knowing the established boundaries of their relationships and respecting patients' autonomy. Caregivers generally thought that direction from health care providers to exercise would more likely result in meaningful behavioral change for patients. Limitations The participants were recruited from a quaternary medical center and restricted to those with lung cancer, which may limit the generalizability of the fndings to other settings or cancers. Conclusions and interpretation Family caregivers believe that exercise is important for patients, but feel constrained in their willingness and ability to promote exercise behaviors because of the established boundaries of their relationships. They have mixed opinions about the utility of exercise promotion by health care providers. Family caregivers are ambivalent about promoting exercise for patients with advanced cancer. Nonjudgmental assessment of patients' past exercise preferences and established relationship boundaries should inform clinical judgment about the utility of engaging family caregivers in the promotion of exercise.",
author = "Lori Rhudy and Dose, {Ann Marie} and Jefrey Basford and Joan Griffin and Cheville, {Andrea L}",
year = "2015",
month = "11",
day = "1",
doi = "10.12788/jcso.0177",
language = "English (US)",
volume = "13",
pages = "392--398",
journal = "Journal of Community and Supportive Oncology",
issn = "2330-7749",
publisher = "Frontline Medical Communications",
number = "11",

}

TY - JOUR

T1 - Caregivers' attitudes toward promoting exercise among patients with late-stage lung cancer

AU - Rhudy, Lori

AU - Dose, Ann Marie

AU - Basford, Jefrey

AU - Griffin, Joan

AU - Cheville, Andrea L

PY - 2015/11/1

Y1 - 2015/11/1

N2 - Background The benefts of exercise, even at low intensity levels, in improving overall health, psychological well-being, and quality of life in patients with cancer have been well documented. However, few patients are involved in formal exercise programs, and little is known about the factors that motivate those who do participate. Although it has not been well assessed, it stands to reason that spousal and family support is an important determinant of cancer patients' adoption of, and adherence to, an exercise program. Objective To characterize attitudes among the family caregivers of patients with late-stage lung cancer about their role in promoting exercise. Methods 20 adult family caregivers of patients with stage IIIB or IV non-small-cell lung cancer were asked during semistructured interviews about their views on the role of exercise in "fghting cancer," whether with respect to survival, health, psychological well-being, or overall quality of life; their ability to encourage patients to exercise; and their receptivity to getting exercise instructions from health care providers. Findings Family caregivers viewed exercise as important in fghting cancer. Past exercise patterns and lifestyle were important considerations, with some family caregivers who had not previously exercised considering household activities suffcient for promoting ftness. Family caregivers emphasized the importance of knowing the established boundaries of their relationships and respecting patients' autonomy. Caregivers generally thought that direction from health care providers to exercise would more likely result in meaningful behavioral change for patients. Limitations The participants were recruited from a quaternary medical center and restricted to those with lung cancer, which may limit the generalizability of the fndings to other settings or cancers. Conclusions and interpretation Family caregivers believe that exercise is important for patients, but feel constrained in their willingness and ability to promote exercise behaviors because of the established boundaries of their relationships. They have mixed opinions about the utility of exercise promotion by health care providers. Family caregivers are ambivalent about promoting exercise for patients with advanced cancer. Nonjudgmental assessment of patients' past exercise preferences and established relationship boundaries should inform clinical judgment about the utility of engaging family caregivers in the promotion of exercise.

AB - Background The benefts of exercise, even at low intensity levels, in improving overall health, psychological well-being, and quality of life in patients with cancer have been well documented. However, few patients are involved in formal exercise programs, and little is known about the factors that motivate those who do participate. Although it has not been well assessed, it stands to reason that spousal and family support is an important determinant of cancer patients' adoption of, and adherence to, an exercise program. Objective To characterize attitudes among the family caregivers of patients with late-stage lung cancer about their role in promoting exercise. Methods 20 adult family caregivers of patients with stage IIIB or IV non-small-cell lung cancer were asked during semistructured interviews about their views on the role of exercise in "fghting cancer," whether with respect to survival, health, psychological well-being, or overall quality of life; their ability to encourage patients to exercise; and their receptivity to getting exercise instructions from health care providers. Findings Family caregivers viewed exercise as important in fghting cancer. Past exercise patterns and lifestyle were important considerations, with some family caregivers who had not previously exercised considering household activities suffcient for promoting ftness. Family caregivers emphasized the importance of knowing the established boundaries of their relationships and respecting patients' autonomy. Caregivers generally thought that direction from health care providers to exercise would more likely result in meaningful behavioral change for patients. Limitations The participants were recruited from a quaternary medical center and restricted to those with lung cancer, which may limit the generalizability of the fndings to other settings or cancers. Conclusions and interpretation Family caregivers believe that exercise is important for patients, but feel constrained in their willingness and ability to promote exercise behaviors because of the established boundaries of their relationships. They have mixed opinions about the utility of exercise promotion by health care providers. Family caregivers are ambivalent about promoting exercise for patients with advanced cancer. Nonjudgmental assessment of patients' past exercise preferences and established relationship boundaries should inform clinical judgment about the utility of engaging family caregivers in the promotion of exercise.

UR - http://www.scopus.com/inward/record.url?scp=84962068316&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84962068316&partnerID=8YFLogxK

U2 - 10.12788/jcso.0177

DO - 10.12788/jcso.0177

M3 - Article

AN - SCOPUS:84962068316

VL - 13

SP - 392

EP - 398

JO - Journal of Community and Supportive Oncology

JF - Journal of Community and Supportive Oncology

SN - 2330-7749

IS - 11

ER -