Evidence map›Paper›PMID 41335344›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

I want to get better; I don't want to just stay at home: a theory-driven qualitative exploration of participation in a home-based lung cancer exercise clinical trial.

Georgina A Whish-Wilson, Lara Edbrooke, Meinir Krishnasamy, Emma Visentin, Emma Kinnersly, Rachel Mitchell, Catherine L Granger, Selina M Parry

Erratum issuedAbstract readRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Georgina A Whish-WilsonDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, 161 Barry Street, 3010, Parkville, VIC, Australia. gwhishwilson@student.unimelb.edu.au.ORCID http://orcid.org/0000-0001-9881-8019
Lara EdbrookeDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, 161 Barry Street, 3010, Parkville, VIC, Australia.ORCID http://orcid.org/0000-0002-4149-5578
Meinir KrishnasamyDepartment of Health Services Research, Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne, 3000, VIC, Australia.ORCID http://orcid.org/0000-0002-3050-4213
Emma VisentinDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, 161 Barry Street, 3010, Parkville, VIC, Australia.
Emma KinnerslyDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, 161 Barry Street, 3010, Parkville, VIC, Australia.
Rachel MitchellDepartment of Physiotherapy, The Royal Melbourne Hospital, 300 Grattan Street, Parkville, VIC, 3052, Australia.
Catherine L Granger *Department of Physiotherapy, School of Health Sciences, The University of Melbourne, 161 Barry Street, 3010, Parkville, VIC, Australia.ORCID http://orcid.org/0000-0001-6169-370X
Selina M Parry *Department of Physiotherapy, School of Health Sciences, The University of Melbourne, 161 Barry Street, 3010, Parkville, VIC, Australia.ORCID http://orcid.org/0000-0003-2204-3143

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe conducted a multi-site randomised controlled trial (RCT) of home-based exercise and self-management for patients after lung cancer surgery, which improved the intervention group's exercise capacity and self-efficacy and objectively measured physical function. We conducted this qualitative evaluation of the RCT to explore participants' experiences of the program and understand factors influencing participation, behaviour change, and acceptability.

methodsA qualitative study nested within an RCT (ACTRN12617001283369), informed by the Theoretical Domains Framework (TDF) and Theoretical Framework of Acceptability (TFA). The intervention group participated in a 12-week postoperative remotely delivered exercise and self-management program. Following intervention maturation, consecutive intervention participants participated in individual, semi-structured telephone interviews at program discharge. Interviews were audio recorded, transcribed verbatim, cross-checked, and analysed using directed content analysis.

resultsTwenty-one participants took part in interviews (88% of those approached). Thirty-three themes were developed from the qualitative data and mapped to TDF and TFA domains. Key TDF domains driving behaviour change included reinforcement, skills, and social influences. Examples of exercise enablers included regular physiotherapy phone consultations and activity tracking tools. Barriers to exercise included symptoms, poor weather, and competing priorities. Perceived effectiveness was a key TFA domain driving intervention acceptability. Most participants felt the program improved their physical health, exercise self-efficacy and capacity, and physical activity levels. Minor areas for improving acceptability included increased flexibility/tailoring and exercise supervision/demonstration.

conclusionThe program was acceptable to participants and facilitated meaningful behaviour change. Qualitative findings aligned with quantitative RCT findings, particularly regarding improvements to exercise self-efficacy and capacity at program discharge.

trial registrationAustralian New Zealand Clinical Trials Registry ( http://anzctr.org.au ). Registered on 06/09/2017. Identifier: ACTRN12617001283369.

Indexed as

Exercise TherapyHome Care ServicesLung NeoplasmsSelf-ManagementAgedExerciseFemaleHumansMaleMiddle AgedQualitative ResearchSelf EfficacyExerciseLung cancerQualitative studyRehabilitationThoracic surgery

Identifiers

PMID41335344

What OpenQuestion holds

Textmetadata
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Registered trials

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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.