Evidence map›Paper›PMID 40622182›Full record

ArticleTranslational behavioral medicine2025

Mixed-methods organizational evaluation of a physical activity programme for cancer survivors in primary care.

Famke Huizinga, Nico-Derk Lodewijk Westerink, Annemiek M E Walenkamp, Annette J Berendsen, Marjolein Y Berger, Daan Brandenbarg

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Article in Translational behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Famke HuizingaDepartment of Primary and Long-term Care, University Medical Center Groningen, University of Groningen, PO Box 196, FA 21, 9700 AD, Groningen, Netherlands.ORCID 0000-0001-9560-2394
Nico-Derk Lodewijk WesterinkDepartment of Primary and Long-term Care, University Medical Center Groningen, University of Groningen, PO Box 196, FA 21, 9700 AD, Groningen, Netherlands.ORCID 0000-0001-8090-4314
Annemiek M E WalenkampDepartment of Medical Oncology, University Medical Center Groningen, University of Groningen, PO Box 30.001, DA 11, 9700 RB, Groningen, Netherlands.
Annette J BerendsenDepartment of Primary and Long-term Care, University Medical Center Groningen, University of Groningen, PO Box 196, FA 21, 9700 AD, Groningen, Netherlands.
Marjolein Y BergerDepartment of Primary and Long-term Care, University Medical Center Groningen, University of Groningen, PO Box 196, FA 21, 9700 AD, Groningen, Netherlands.ORCID 0000-0001-9906-3666
Daan BrandenbargDepartment of Primary and Long-term Care, University Medical Center Groningen, University of Groningen, PO Box 196, FA 21, 9700 AD, Groningen, Netherlands.ORCID 0000-0001-8054-7337

Funding

The Dutch Cancer Society 12375, 2019-1
6 · The paper itself

Abstract

backgroundPhysical activity (PA) has proven health benefits for cancer survivors, yet PA programmes are not routinely available in general practice. PURPOSE: This mixed-methods study used the RE-AIM framework to evaluate the Adoption, Implementation, and Maintenance of a PA programme at an organisational level for cancer survivors in Dutch general practice.

methodsPrimary care practitioners (practice nurses, dieticians, and doctor's assistants) delivering a PA programme aimed at increasing PA in daily activities, and general practitioners (GPs) in whose practices it was performed, completed questionnaires and interviews. Quantitative and qualitative data were analysed descriptively or by thematic analysis, respectively.

resultsConcerning Adoption, 9% of general practices (n = 14) took part and showed high representativeness. Primary care practitioners coached a median of seven patients over 18.5 months, with barriers and facilitators emerging mainly related to organizational support, programme alignment, and patient health benefits. Concerning Implementation, adherence to the protocol was 77%, and the training was evaluated as 8 out of 10. Concerning Maintenance, 11 primary care practitioners (69%) used programme elements outside the study context.

conclusionsWe conclude that our PA programme seems feasible in general practice provided there is sufficient organizational capacity. Designating a lead-motivated practitioner, providing sufficient training, and aligning and integrating PA counselling in routine care are key to providing appropriate and targeted support for cancer survivors in general practice.

Indexed as

Cancer SurvivorsExerciseHealth PromotionNeoplasmsPrimary Health CareAdultAgedFemaleGeneral PracticeGeneral PractitionersHumansMaleMiddle AgedNetherlandsProgram EvaluationSurveys and Questionnairescancer survivorshipimplementation sciencephysical activityprimary careprocess evaluation

Identifiers

PMID40622182
PMCPMC12230946

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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.