Qualitative exploration of the perceptions of exercise in patients with cancer initiated during chemotherapy: a meta-synthesis
Objective To synthesise qualitative literature on (1) the perceptions of patients with cancer of participating in an exercise intervention while undergoing chemotherapy and (2) to inform and guide professionals in oncology and haematology practice.Design A qualitative meta-synthesis based on Noblit...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/12/e074266.full |
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| author | Karin Piil Anders Larsen Mary Jarden Tom Møller Lis Adamsen Hanne Baekgaard Larsen Christina Andersen Christina Sadolin Damhus Malene Missel |
| author_facet | Karin Piil Anders Larsen Mary Jarden Tom Møller Lis Adamsen Hanne Baekgaard Larsen Christina Andersen Christina Sadolin Damhus Malene Missel |
| author_sort | Karin Piil |
| collection | DOAJ |
| description | Objective To synthesise qualitative literature on (1) the perceptions of patients with cancer of participating in an exercise intervention while undergoing chemotherapy and (2) to inform and guide professionals in oncology and haematology practice.Design A qualitative meta-synthesis based on Noblit and Hare’s seven-step meta-ethnography.Data sources Six electronic databases: Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, EMBASE, PubMed, SCI-Expanded—SSCI and Scopus (final search June 2022) were used to identify qualitative literature containing individual or focus group interviews. The transparency of reporting for each study was assessed using the Consolidated criteria for Reporting Qualitative research checklist.Results The search identified 5002 articles, 107 of which were selected for full-text review. Seventeen articles from five countries with patients undergoing chemotherapy during exercise interventions were included. Eleven articles were included in the meta-synthesis, which comprised 193 patients with various cancer diagnoses, disease stages, sexes and ages. Four main themes were identified: chemotherapy overpowers the body; exercise in battle with side effects; a break from gloomy thoughts; and a question of survivorship.Conclusions and implications The meta-synthesis emphasised that patients with cancer undergoing chemotherapy and simultaneously participating in exercise interventions may experience momentary relief from overwhelming side effects, even though full bodily recovery may be perceived as a distant prospect. The synthesis offers a sparse empirical basis for gaining insight into what patients experience existentially following exercise interventions. It is up to patients to independently apply the transfer value of exercise to their own existential circumstances. |
| format | Article |
| id | doaj-art-ab470c53e8b64eec9c08b60f65b7f7fa |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-ab470c53e8b64eec9c08b60f65b7f7fa2025-08-20T03:11:10ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-074266Qualitative exploration of the perceptions of exercise in patients with cancer initiated during chemotherapy: a meta-synthesisKarin Piil0Anders Larsen1Mary Jarden2Tom Møller3Lis Adamsen4Hanne Baekgaard Larsen5Christina Andersen6Christina Sadolin Damhus7Malene Missel86 Dept. of Oncology, Centre for Cancer and Organ Diseases, Copenhagen University Hospital, Copenhagen, DenmarkCenter for Health Research (UCSF), Copenhagen University Hospital Rigshospitalet, Copenhagen, DenmarkDepartment of Public Health, University of Copenhagen Faculty of Health and Medical Sciences, Copenhagen, DenmarkCenter for Health Research (UCSF), Copenhagen University Hospital Rigshospitalet, Copenhagen, DenmarkCenter for Health Research (UCSF), Copenhagen University Hospital Rigshospitalet, Copenhagen, DenmarkDepartment of Public Health, University of Copenhagen Faculty of Health and Medical Sciences, Copenhagen, DenmarkCenter for Health Research (UCSF), Copenhagen University Hospital Rigshospitalet, Copenhagen, DenmarkDepartment of Public Health, University of Copenhagen Faculty of Health and Medical Sciences, Copenhagen, DenmarkDepartment of Cardiothoracic Surgery, Copenhagen University Hospital, Copenhagen, DenmarkObjective To synthesise qualitative literature on (1) the perceptions of patients with cancer of participating in an exercise intervention while undergoing chemotherapy and (2) to inform and guide professionals in oncology and haematology practice.Design A qualitative meta-synthesis based on Noblit and Hare’s seven-step meta-ethnography.Data sources Six electronic databases: Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, EMBASE, PubMed, SCI-Expanded—SSCI and Scopus (final search June 2022) were used to identify qualitative literature containing individual or focus group interviews. The transparency of reporting for each study was assessed using the Consolidated criteria for Reporting Qualitative research checklist.Results The search identified 5002 articles, 107 of which were selected for full-text review. Seventeen articles from five countries with patients undergoing chemotherapy during exercise interventions were included. Eleven articles were included in the meta-synthesis, which comprised 193 patients with various cancer diagnoses, disease stages, sexes and ages. Four main themes were identified: chemotherapy overpowers the body; exercise in battle with side effects; a break from gloomy thoughts; and a question of survivorship.Conclusions and implications The meta-synthesis emphasised that patients with cancer undergoing chemotherapy and simultaneously participating in exercise interventions may experience momentary relief from overwhelming side effects, even though full bodily recovery may be perceived as a distant prospect. The synthesis offers a sparse empirical basis for gaining insight into what patients experience existentially following exercise interventions. It is up to patients to independently apply the transfer value of exercise to their own existential circumstances.https://bmjopen.bmj.com/content/13/12/e074266.full |
| spellingShingle | Karin Piil Anders Larsen Mary Jarden Tom Møller Lis Adamsen Hanne Baekgaard Larsen Christina Andersen Christina Sadolin Damhus Malene Missel Qualitative exploration of the perceptions of exercise in patients with cancer initiated during chemotherapy: a meta-synthesis BMJ Open |
| title | Qualitative exploration of the perceptions of exercise in patients with cancer initiated during chemotherapy: a meta-synthesis |
| title_full | Qualitative exploration of the perceptions of exercise in patients with cancer initiated during chemotherapy: a meta-synthesis |
| title_fullStr | Qualitative exploration of the perceptions of exercise in patients with cancer initiated during chemotherapy: a meta-synthesis |
| title_full_unstemmed | Qualitative exploration of the perceptions of exercise in patients with cancer initiated during chemotherapy: a meta-synthesis |
| title_short | Qualitative exploration of the perceptions of exercise in patients with cancer initiated during chemotherapy: a meta-synthesis |
| title_sort | qualitative exploration of the perceptions of exercise in patients with cancer initiated during chemotherapy a meta synthesis |
| url | https://bmjopen.bmj.com/content/13/12/e074266.full |
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