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    Understanding factors influencing physical activity and exercise in lung cancer: a systematic review

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    Author
    Granger, CL; Connolly, B; Denehy, L; Hart, N; Antippa, P; Lin, K-Y; Parry, SM
    Date
    2017-03-01
    Source Title
    SUPPORTIVE CARE IN CANCER
    Publisher
    SPRINGER
    University of Melbourne Author/s
    Denehy, Linda; Granger, Catherine; Parry, Selina; LIN, KUAN-YIN; Antippa, Phillip
    Affiliation
    Clinical School (Royal Melbourne Hospital)
    Physiotherapy
    Melbourne School of Health Sciences
    Metadata
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    Document Type
    Journal Article
    Citations
    Granger, C. L., Connolly, B., Denehy, L., Hart, N., Antippa, P., Lin, K. -Y. & Parry, S. M. (2017). Understanding factors influencing physical activity and exercise in lung cancer: a systematic review. SUPPORTIVE CARE IN CANCER, 25 (3), pp.983-999. https://doi.org/10.1007/s00520-016-3484-8.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/219764
    DOI
    10.1007/s00520-016-3484-8
    NHMRC Grant code
    NHMRC/1073330
    Abstract
    PURPOSE: Despite evidence and clinical practice guidelines supporting physical activity (PA) for people with lung cancer, this evidence has not translated into clinical practice. This review aims to identify, evaluate and synthesise studies examining the barriers and enablers for patients with lung cancer to participate in PA from the perspective of patients, carers and health care providers (HCPs). METHODS: Systematic review of articles using electronic databases: MEDLINE (1950-2016), CINAHL (1982-2016), EMBASE (1980-2016), Scopus (2004-2016) and Cochrane (2016). Quantitative and qualitative studies, published in English in a peer-reviewed journal, which assessed the barriers or enablers to PA for patients with lung cancer were included. Registered-PROSPERO (CRD4201603341). RESULTS: Twenty-six studies (n = 9 cross-sectional, n = 4 case series, n = 11 qualitative) including 1074 patients, 23 carers and 169 HCPs were included. Barriers and enablers to PA were identified (6 major themes, 18 sub-themes): Barriers included patient-level factors (physical capability, symptoms, comorbidities, previous sedentary lifestyle, psychological influences, perceived relevance), HCP factors (time/knowledge to deliver information) and environmental factors (access to services, resources, timing relative to treatment). Enablers included anticipated benefits, opportunity for behaviour change and influences from HCPs and carers. CONCLUSION: This systematic review has identified the volume of literature demonstrating that barriers and enablers to PA in lung cancer are multidimensional and span diverse factors. These include patient-level factors, such as symptoms, comorbidities, sedentary lifestyle, mood and fear, and environmental factors. These factors should be considered to identify and develop suitable interventions and clinical services in attempt to increase PA in patients with lung cancer.

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