Evidence map›Paper›PMID 32938594›Full record

ArticleBMJ open2020

Exercise barriers and facilitators during hematopoietic stem cell transplantation: a qualitative study.

Mi-Seong Yu, Ki-Yong An, Jiyong Byeon, Meeok Choi, June-Won Cheong, Kerry Courneya, Justin Y Jeon

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Patient attitudes and experiences towards exercise during oncological treatment. A qualitative systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Physical activity and sedentary behavior in patients during acute recovery from hematopoietic stem cell transplantation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Associations of a previous diagnosis of cancer and/or cardiovascular disease with current physical activity levels in Korean adults.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  7. Assessment of rehabilitation practices during hematopoietic stem cell transplantation in the United States: a survey.Rehabilitation oncology (American Physical Therapy Association. Oncology Section) · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Exercise in allogeneic bone marrow transplantation: a qualitative representation of the patient perspective.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 3 countries.

Mi-Seong YuSport Industry Studies, Exercise Medicine Center for Diabetes and Cancer Patients, Yonsei University, Seoul, Republic of Korea.
Ki-Yong AnFaculty of Kinesiology, Sport and Recreation, University of Alberta, Edmonton, Alberta, Canada.
Jiyong ByeonSport Industry Studies, Exercise Medicine Center for Diabetes and Cancer Patients, Yonsei University, Seoul, Republic of Korea.
Meeok ChoiInternal Medicine, Yonsei University College of Medicine, Seodaemun-gu, Republic of Korea.
June-Won CheongInternal Medicine, Yonsei University College of Medicine, Seodaemun-gu, Republic of Korea jjeon@yonsei.ac.kr jwcheong70@yuhs.ac.
Kerry CourneyaFaculty of Kinesiology, Sport and Recreation, University of Alberta, Edmonton, Alberta, Canada.
Justin Y JeonCancer Prevention Center, Yonsei Cancer Center AND Exercise Medicine Center for Diabetes and Cancer Patients, Yonsei University, Seoul, Republic of Korea jjeon@yonsei.ac.kr jwcheong70@yuhs.ac.ORCID 0000-0001-7978-4271
Yonsei University · KRUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlthough exercise is beneficial in patients undergoing hematopoietic stem cell transplantation (HSCT), motivating patients to exercise is challenging. We aimed to understand exercise barriers and facilitators during HSCT treatment while participating in a daily unsupervised exercise programme.

participantsPatients scheduled to have HSCT. STUDY

design6 participants were included in this descriptive qualitative study during HSCT treatment while participating in an exercise programme to identify perceived barriers and facilitators of the exercise. An average of three semi-structured interviews were conducted per patient.

settingExercise during HSCT treatment in an isolated immune room.

interventionDaily unsupervised exercise.

resultsA total of six patients completed a 6-week exercise programme as well as all scheduled interviews, whose compliance to the exercise programme ranged from 12% to 79%. Based on interview results, three themes were identified as barriers to exercise and four themes were identified as facilitators to exercise. Patients experienced physical and psychological barriers such as nausea, vomiting, sore throat, reduced appetite, decreased willpower and anxiety due to feelings of isolation. Environmental factors included negative opinions about exercise programmes and lack of encouragement from the haematologist. Facilitators of exercise included willpower, easy and simple exercise, convincing explanations from haematologists and supervised support from exercise specialists.

conclusionOur study has identified potential barriers and facilitators associated with exercise participation during HSCT. Supervised exercise recommended by a haematologist, convincing explanation on the benefit of exercise by medical personnel, positive feedback from other HSCT survivors and supervision by exercise specialists may increase compliance to the exercise programme during HSCT. TRIAL REGISTRATION NUMBER: ISRCTN61498391.

Indexed as

ExerciseHematopoietic Stem Cell TransplantationExercise TherapyHumansPatient ComplianceQualitative Researchbone marrow transplantationchemotherapylymphoma

Identifiers

PMID32938594
PMCPMC7497534
OpenAlexW3085888974

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.