A Longitudinal Study of Exercise Barriers in Colorectal Cancer Survivors Participating in a Randomized Controlled Trial (original) (raw)

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1Faculty of Physical Education, University of Alberta, E-424 Van Vliet Center, Edmonton, Alberta, Canada T6G 2H9

*Reprint Address: K. S. Courneya, Ph.D., Faculty of Physical Education, University of Alberta, E-424 Van Vliet Center, Edmonton, Alberta, Canada T6G 2H9. E-mail: kerry.courneya@ualberta.ca

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Christine M. Friedenreich, Ph.D.

2Division of Population Health and Information, Alberta Cancer Board, USA

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1Faculty of Physical Education, University of Alberta, E-424 Van Vliet Center, Edmonton, Alberta, Canada T6G 2H9

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Anthony L. A. Fields, M.D.

3Department of Oncology, University of Alberta, USA

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1Faculty of Physical Education, University of Alberta, E-424 Van Vliet Center, Edmonton, Alberta, Canada T6G 2H9

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Jeffrey K. H. Vallance, M.A.

1Faculty of Physical Education, University of Alberta, E-424 Van Vliet Center, Edmonton, Alberta, Canada T6G 2H9

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1Faculty of Physical Education, University of Alberta, E-424 Van Vliet Center, Edmonton, Alberta, Canada T6G 2H9

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Kerry S. Courneya, Christine M. Friedenreich, H. Arthur Quinney, Anthony L. A. Fields, Lee W. Jones, Jeffrey K. H. Vallance, Adrian S. Fairey, A Longitudinal Study of Exercise Barriers in Colorectal Cancer Survivors Participating in a Randomized Controlled Trial, Annals of Behavioral Medicine, Volume 29, Issue 2, April 2005, Pages 147–153, https://doi.org/10.1207/s15324796abm2902_9
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Abstract

Background: The Colorectal Cancer and Home-Based Physical Exercise (CAN-HOPE) trial compared the effects of a 16-week home-based exercise program to usual care on quality of life in colorectal cancer survivors. Purpose: In this study, we report the weekly exercise barriers from the exercise group. Methods: Participants randomized to the exercise group (N = 69) were asked to report their exercise on a weekly basis by telephone. Those participants not achieving the minimum weekly exercise prescription (3 times per week of 30 min of moderate intensity exercise) were asked for a primary exercise barrier. Results: We obtained 1,073 (97.2%) weeks of adherence data out of a possible 1,104 (i.e., 69 × 16). Participants did not meet the minimum exercise prescription in 39.2% (421/1,073) of the weeks. We obtained an exercise barrier in 83.8% (353/421) of these cases. Overall, participants reported 37 different exercise barriers; the three most common were lack of time/too busy, nonspecific treatment side effects, and fatigue. The top 7 to 10 barriers accounted for 70% to 80% of all missed exercise weeks. Conclusions: These findings may have utility for promoting exercise in this population both inside and outside of clinical trials.

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© The Society of Behavioral Medicine 2005

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