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Aug 10, 2023 251 likes •497 views

Good practices in adapted physical activity for cancer patients and survivors: opinion of the Raviva program participants Rompen, J., Scharff, J. & Cloes, M. University of Lige, Belgium Rompen et al. - ECSS - 2017 1 Introduction Methods

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Good practices in adapted physical activity for cancer patients and survivors: opinion of the Raviva program participants

Rompen, J., Scharff, J. & Cloes, M.

University of Liège, Belgium

Rompen et al. - ECSS - 2017 1

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Introduction

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Introduction Methods Results Conclusions

Rompen et al. - ECSS - 2017

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Cancer and physical activity

  • PA has many beneficial effects on cancer

patients and survivors

  • Quality of life, cardiovascular fitness, fatigue,

anxiety (McNeely et al., 2006 ; Zhu et al., 2016 ; Bourke et al., 2016)

  • Mortality (Holmes et al., 2005 ; Meyerhardt et al.,

2006 ; Fong et al., 2012)

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Introduction Methods Results Conclusions

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Cancer exercise specialists recommendations

  • American College of Sports Medicine / American

Cancer Society

  • ACSM/ACS Certified Cancer Exercise Trainer
  • European Health and Fitness Association
  • Standards for Exercise for Health Specialist
  • CAMI Sport et Cancer / Université Paris XIII (France)
  • University degree “Sport & Cancer”

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Introduction Methods Results Conclusions

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In Belgium

  • Hospital oncological rehabilitation
  • Multidisciplinary care (physicians,

physiotherapists, psychologists)

  • Fondation contre le Cancer

Raviva : move to feel better !

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Introduction Methods Results Conclusions

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Raviva : move to feel better !

  • Belgian Adapted Physical Activity (APA)

program for cancer patients or survivors

  • For patients during treatment or one year after

the end of the treatment

  • For maximum one year

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Introduction Methods Results Conclusions

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Raviva : move to feel better !

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Introduction Methods Results Conclusions

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Raviva instructors

  • Inconstant professional preparation and

experiences

  • No compulsory specific training programs

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Introduction Methods Results Conclusions

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Purpose

  • To identify good practices concerning activity

characteristics and instructors behaviors

  • From the point of view of the Raviva program

participants

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Introduction Methods Results Conclusions

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Methods

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Introduction Methods Results Conclusions

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Collecting tools

  • Online questionnaire to Raviva participants
  • Video-stimulated recall interviews

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Introduction Methods Results Conclusions

N = 72 N = 3 (fitness, aquafitness, yoga) Method:

  • The session is video recorded
  • The video is reviewed by the participant
  • The participant is asked to stop and comment on the

video when he feels it is important:  What it was happening  What he was feeling  Why

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Results

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Introduction Methods Results Conclusions

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Activity characteristics

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Introduction Methods Results Conclusions

Total (n = 147) 100% Exercises 22% Benefits 20% Atmosphere 16% Social link 15% Total (n = 66) 100% None 45% Organisation 27% Exercises 17% Others 8%

  • Adapted
  • Diverse
  • Physical / psychological
  • Progress
  • Equipment
  • Number of participants
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Activity characteristics

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Introduction Methods Results Conclusions

Total (n = 131) 100% Group effect 36% Benefits 19% Instructor 17% Exercises 14%

  • Atmosphere
  • Social link

Total (n = 65) 100% None 68% Intensity 9% Organisation 6% Others 17%

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Instructors’ characteristics

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Introduction Methods Results Conclusions

Total (n = 153) 100% Human qualities 43% Competences 32% Group management 24% Others 1%

  • Kindness
  • Enthusiasm
  • Experience
  • Adaptability
  • Encouragement
  • Advice
  • Attention

Total (n = 76) 100% None 42% Exercises 18% Lack of involvement 18% Others 22%

  • Disrespect
  • Leadership
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Instructors’ characteristics

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Introduction Methods Results Conclusions

Total (n = 139) 100% Human qualities 37% Group management 32% Activity management 19% Others 13% Total (n = 94) 100% Lack of involvement 35% Human qualities 22% Exercises 19% Others 24%

  • Exercises type
  • Organisation, timing,…
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Video-stimulated recall interviews

Introduction Methods Results Conclusions

Social link : « participants need to talk about what they feel » Diversity Individualization Atmosphere ; 56 Y/O

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Video-stimulated recall interviews

Introduction Methods Results Conclusions

Social link, friendship Diversity

  • Attention
  • Encouragement

Structure:

  • warm-up
  • exercises
  • stretching/relaxation

; 66 Y/O

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Video-stimulated recall interviews

Introduction Methods Results Conclusions

Social link, friendship Challenge, progress

  • Adaptability
  • Diversity

Corrections, advice ; 54 Y/O

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Conclusions

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Introduction Methods Results Conclusions

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Exercise and cancer: Raviva participants preferences

Activity Diversity Individualization Structure Progress Progress Attention Encouragement Advice Social link Atmosphere Human qualities Instructor EHFA

 Specialists’ role  Anatomy, physiology  Nutrition  Behavior change counseling  Health and fitness assessment  PA adaptations and planning  Participant management  Program administration

ACSM

 Knowledge about cancer  Benefits of PA  Fitness testing  PA adaptations and prescritption  Nutrition  Behavior change counseling  Safety  Program administration

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Exercise and cancer: Raviva participants preferences

Activity Diversity Individualization Structure Progress Progress Attention Encouragement Advice Social link Atmosphere Human qualities Instructor EHFA

 Specialists’ role  Anatomy, physiology  Nutrition  Behavior change counseling  Health and fitness assessment  PA adaptations and planning  Participant management  Program administration

ACSM

 Knowledge about cancer  Benefits of PA  Fitness testing  PA adaptations and prescritption  Nutrition  Behavior change counseling  Safety  Program administration

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References:

  • Bourke, L., Smith, D., Steed, L., Hooper, R., Carter, A., Catto, J., … Rosario, D. J. (2016). Exercise for Men with Prostate Cancer:

A Systematic Review and Meta-analysis. European Urology, 69(4), 693-703. https://doi.org/10.1016/j.eururo.2015.10.047

  • cami-sport-et-cancer | Diplôme Universitaire. (n.d.). Retrieved June 5, 2016, from

http://www.sportetcancer.com/#!blank/paryj

  • EHFA Standards EQF Level 5 Exercise for Health Specialist. (2012). European Health & Fitness Association. Retrieved from

http://www.europeactive-standards.eu/sites/europeactive- standards.eu/files/docs/standards/L5_ExerciseforHealth_Specialist.pdf

  • Fong, D. Y. T., Ho, J. W. C., Hui, B. P. H., Lee, A. M., Macfarlane, D. J., Leung, S. S. K., … Cheng, K. -k. (2012). Physical activity for

cancer survivors: meta-analysis of randomised controlled trials. BMJ, 344(jan30 5), e70–e70. http://doi.org/10.1136/bmj.e70

  • Holmes, M. D., Chen, W. Y., Feskanich, D., Kroenke, C. H., & Colditz, G. A. (2005). Physical activity and survival after breast

cancer diagnosis. Jama, 293(20), 2479–2486.

  • McNeely, M. L. (2006). Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis.

Canadian Medical Association Journal, 175(1), 34–41. http://doi.org/10.1503/cmaj.051073

  • Meyerhardt, J. A. (2006). Physical Activity and Survival After Colorectal Cancer Diagnosis. Journal of Clinical Oncology,

24(22), 3527–3534. http://doi.org/10.1200/JCO.2006.06.0855

  • Raviva : bouger pour se sentir mieux | Fondation contre le Cancer. (n.d.). Retrieved June 5, 2016, from

http://www.cancer.be/aide-aux-patients/la-fondation-votre-service/raviva-bouger-pour-se-sentir-mieux

  • Rompen, J., Korycki, M., & Cloes, M. (2015, July). Expectations and needs for training of instructors of a physical activity

program for cancer survivors. Poster presented at the Madrid 2015 AIESEP International Conference, Madrid, Spain. Retrieved from http://orbi.ulg.ac.be/handle/2268/184734

  • Schmitz, K. H., Courneya, K. S., Matthews, C., Demark-Wahnefried, W., GalvãO, D. A., Pinto, B. M., … Schwartz, A. L. (2010).

American College of Sports Medicine Roundtable on Exercise Guidelines for Cancer Survivors: Medicine & Science in Sports & Exercise, 42(7), 1409–1426. http://doi.org/10.1249/MSS.0b013e3181e0c112

  • Zhu, G., Zhang, X., Wang, Y., Xiong, H., Zhao, Y., & Sun, F. (2016, avril 13). Effects of exercise intervention in breast cancer

survivors: a meta-analysis of 33 randomized controlled trails. Consulté 20 juin 2016, à l’adresse https://www.dovepress.com/effects-of-exercise-intervention-in-breast-cancer-survivors-a-meta-ana-peer-reviewed-fulltext- article-OTT Rompen et al. - ECSS - 2017 24