Evidence map›Paper›PMID 31208829›Full record

ArticleJournal of geriatric oncology2020

Barriers and facilitators of adherence to a perioperative physical activity intervention for older adults with cancer and their family caregivers.

Virginia Sun, Dan J Raz, Jae Y Kim, Laleh Melstrom, Sherry Hite, Gouri Varatkar, Yuman Fong

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of geriatric oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06566976 (Prehabilitation and Rehabilitation in PAD), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06566976 narecruitingnot on this mapstarted 2024, after this paper: background citation

Prehabilitation and Rehabilitation in PAD: A Randomized Exercise Intervention Trial (PREPARE-IT)

TypeinterventionalSponsorPalo Alto Veterans Institute for ResearchRan2024 to 2027Enrolled300ConditionsPeripheral Arterial DiseaseArmsExercise Intervention, VAPAHCS Rehabilitation Core Components
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  17. An Evaluation of Natural Environment Interventions for Informal Cancer Caregivers in the Community.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Virginia SunDepartment of Population Sciences, United States of America. Electronic address: vsun@coh.org.
Dan J RazDepartment of Surgery, United States of America.
Jae Y KimDepartment of Surgery, United States of America.
Laleh MelstromDepartment of Surgery, United States of America.
Sherry HiteDepartment of Rehabilitation, City of Hope, Duarte, CA, United States of America.
Gouri VaratkarDepartment of Rehabilitation, City of Hope, Duarte, CA, United States of America.
Yuman FongDepartment of Surgery, United States of America.
City of Hope · USPopulation Council · US

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI XIWEI WU · 1985 to 2026
$86.3M
NCI NIH HHS P30 CA033572
6 · The paper itself

Abstract

purposePerioperative physical activity behavior change in older adults with cancer is complex. Identifying the barriers and facilitators to physical activity before and after surgery can help predict adherence and optimize outcomes. We aimed to determine the barriers and facilitators of adherence to a perioperative physical activity intervention in older adults with lung and gastrointestinal (GI) cancers and their family caregivers (FCGs).

methodsA qualitative analysis of physical therapy/occupational therapy (PT/OT) baseline geriatric/functional assessment and intervention sessions notes were undertaken (N = 34 dyads). Written text documents (N = 6 independent PT/OT notes per dyad) were transcribed into a spreadsheet for coding and thematic analysis. Content analysis qualitative approach was used to identify themes and guide data interpretation.

resultsTen themes for barriers and five themes for facilitators emerged, reflecting barriers to and facilitators of perioperative physical activity adherence. Primary barriers to adherence included comorbid health conditions, physical symptoms, functional limitations, anxiety, other roles and responsibilities, unexpected life events, lack of time and motivation, not accustomed to physical activity, and environment/weather. Facilitators that enabled intervention adherence included physical activity as part of routine, coping strategies, setting goals for motivation, social/family support, and experiencing benefits from walking.

conclusionsBarriers and facilitators to a perioperative physical activity is multidimensional, and focused on social-ecological determinants of health behaviors, including intrapersonal, interpersonal, and environmental factors. Perioperative physical activity interventions for older adults with cancer and their FCGs should integrate strategies to promote self-efficacy, support realistic activity goals, enhance motivation, and optimize social support.

Indexed as

CaregiversNeoplasmsAgedExerciseHumansMotivationQualitative ResearchWalkingBarriersCancerFacilitatorsFamily caregiversPhysical activitySurgery

Identifiers

PMID31208829
PMCPMC6911031
OpenAlexW2951112484

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.