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Perceived Facilitators and Barriers in Response to a Walking Intervention in Rural Cancer Survivors: A Qualitative Exploration

Author

Listed:
  • Lauren J. Frensham

    (School of Psychology Social Work and Social Policy, University of South Australia, Adelaide, SA 5001, Australia)

  • Gaynor Parfitt

    (Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia)

  • Rebecca Stanley

    (Early Start, School of Education, Faculty of Social Sciences, and Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW 2522, Australia)

  • James Dollman

    (Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia)

Abstract

Physical activity has numerous associated benefits for cancer survivors. Compared to their urban counterparts, rural and remote Australians experience a health disadvantage, including poorer survival rate after the diagnosis of cancer. The purpose of this qualitative study was to (a) investigate factors that motivated or inhibited walking in rural participants during a 12-week intervention and (b) to investigate factors that motivated or inhibited physical activity behavior change three months post-intervention. Ten cancer survivors living in rural areas of South Australia participated in a 12-week computer-delivered walking-based intervention during which they reported daily steps, daily affect, and ratings of perceived exertion. Based on this information, individualized daily step goals were sent to them to increase walking. Following the intervention, participants engaged in face-to-face semi-structured interviews. Interviews were recorded, transcribed and coded using thematic analysis. Participants identified a range of physical, psychological, social, environmental, and organizational motivators and barriers. Participants appreciated the monitoring and support from the research team, but some voiced a need for better transition to post-program and many desired ongoing support to maintain their motivation. Future studies should incorporate strategies to help walking behavior to become more intrinsically motivated and therefore sustained.

Suggested Citation

  • Lauren J. Frensham & Gaynor Parfitt & Rebecca Stanley & James Dollman, 2018. "Perceived Facilitators and Barriers in Response to a Walking Intervention in Rural Cancer Survivors: A Qualitative Exploration," IJERPH, MDPI, vol. 15(12), pages 1-13, December.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2824-:d:189758
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    Cited by:

    1. Tamar Ginossar & Heidi Rishel Brakey & Andrew L. Sussman & Brittany Price & Miria Kano & Sally Davis & Cindy K. Blair, 2021. "“You’re Going to Have to Think a Little Bit Different” Barriers and Facilitators to Using mHealth to Increase Physical Activity among Older, Rural Cancer Survivors," IJERPH, MDPI, vol. 18(17), pages 1-15, August.

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