iCan, Empowering Recovery: Evaluating a Patient-Centred Cancer Rehabilitation Programme across the Cancer Care Continuum
Background/Objectives: The adverse effects of cancer and the long-term sequelae of associated treatments result in reduced quality of life and increased mortality for patients. Supporting patients with cancer to mitigate adverse outcomes is an important aspect of oncology care and the primary purpos...
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MDPI AG
2024-10-01
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| Series: | Diseases |
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| author | Thomas A. Loweth Suzan R. Taylor Gareth Mapp Kim Bebbington Naomi Atkin Chris Kite |
| author_facet | Thomas A. Loweth Suzan R. Taylor Gareth Mapp Kim Bebbington Naomi Atkin Chris Kite |
| author_sort | Thomas A. Loweth |
| collection | DOAJ |
| description | Background/Objectives: The adverse effects of cancer and the long-term sequelae of associated treatments result in reduced quality of life and increased mortality for patients. Supporting patients with cancer to mitigate adverse outcomes is an important aspect of oncology care and the primary purpose of cancer rehabilitation. A retrospective service evaluation was conducted to evaluate the effectiveness of the core iCan patient-centred cancer rehabilitation service. Methods: At the beginning and end of a five-week programme, a series of questionnaires evaluating changes in mental health and wellbeing, and physical activity performance/attitudes, and functional capacity were administered to participants. Results: Following iCan, we found that functional capacity was improved (30 s sit-to-stand: +6.3 repetition; <i>d</i> = −1.00, <i>p</i> < 0.001) and that self-reported physical activity was increased (~1173 MET-mins/wk; <i>d</i> = −0.76, <i>p</i> < 0.001); participants also perceived greater capability, opportunity, and motivation to be active. Mental wellbeing was also improved (SWEMWBS: <i>d</i> = −0.69, <i>p</i> < 0.001), whilst fatigue was reduced (FACIT: <i>d</i> = −0.77, <i>p</i> < 0.001). Conclusion: It appears that iCan has beneficial effects upon the physical/functional and psychological health of its participants. Where data are available, there appear to be clinically significant improvements across the range of measured functional, wellbeing, and activity/sedentariness outcomes, which suggest that participation in iCan is instrumental in adding value to the health and wellbeing of patients. |
| format | Article |
| id | doaj-art-ee8847cbfb304136921cd76e8110bb41 |
| institution | OA Journals |
| issn | 2079-9721 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diseases |
| spelling | doaj-art-ee8847cbfb304136921cd76e8110bb412025-08-20T02:11:15ZengMDPI AGDiseases2079-97212024-10-01121023610.3390/diseases12100236iCan, Empowering Recovery: Evaluating a Patient-Centred Cancer Rehabilitation Programme across the Cancer Care ContinuumThomas A. Loweth0Suzan R. Taylor1Gareth Mapp2Kim Bebbington3Naomi Atkin4Chris Kite5Faculty of Health, Medicine and Society, Division of Public Health, Sport and Wellbeing University of Chester, Chester CH1 4BJ, UKFaculty of Health, Medicine and Society, Division of Public Health, Sport and Wellbeing University of Chester, Chester CH1 4BJ, UKLifestyle Fitness & Physiotherapy, Castle Court, Whittington, Shrewsbury SY11 4DF, UKLifestyle Fitness & Physiotherapy, Castle Court, Whittington, Shrewsbury SY11 4DF, UKLingen Davies Cancer Fund Charity, Hamar Centre, Royal Shrewsbury Hospital, Shrewsbury SY3 8XQ, UKFaculty of Health, Medicine and Society, Division of Public Health, Sport and Wellbeing University of Chester, Chester CH1 4BJ, UKBackground/Objectives: The adverse effects of cancer and the long-term sequelae of associated treatments result in reduced quality of life and increased mortality for patients. Supporting patients with cancer to mitigate adverse outcomes is an important aspect of oncology care and the primary purpose of cancer rehabilitation. A retrospective service evaluation was conducted to evaluate the effectiveness of the core iCan patient-centred cancer rehabilitation service. Methods: At the beginning and end of a five-week programme, a series of questionnaires evaluating changes in mental health and wellbeing, and physical activity performance/attitudes, and functional capacity were administered to participants. Results: Following iCan, we found that functional capacity was improved (30 s sit-to-stand: +6.3 repetition; <i>d</i> = −1.00, <i>p</i> < 0.001) and that self-reported physical activity was increased (~1173 MET-mins/wk; <i>d</i> = −0.76, <i>p</i> < 0.001); participants also perceived greater capability, opportunity, and motivation to be active. Mental wellbeing was also improved (SWEMWBS: <i>d</i> = −0.69, <i>p</i> < 0.001), whilst fatigue was reduced (FACIT: <i>d</i> = −0.77, <i>p</i> < 0.001). Conclusion: It appears that iCan has beneficial effects upon the physical/functional and psychological health of its participants. Where data are available, there appear to be clinically significant improvements across the range of measured functional, wellbeing, and activity/sedentariness outcomes, which suggest that participation in iCan is instrumental in adding value to the health and wellbeing of patients.https://www.mdpi.com/2079-9721/12/10/236cancer rehabilitationholistic caremindfulnessfunctional capacityphysical activitymental wellbeing |
| spellingShingle | Thomas A. Loweth Suzan R. Taylor Gareth Mapp Kim Bebbington Naomi Atkin Chris Kite iCan, Empowering Recovery: Evaluating a Patient-Centred Cancer Rehabilitation Programme across the Cancer Care Continuum Diseases cancer rehabilitation holistic care mindfulness functional capacity physical activity mental wellbeing |
| title | iCan, Empowering Recovery: Evaluating a Patient-Centred Cancer Rehabilitation Programme across the Cancer Care Continuum |
| title_full | iCan, Empowering Recovery: Evaluating a Patient-Centred Cancer Rehabilitation Programme across the Cancer Care Continuum |
| title_fullStr | iCan, Empowering Recovery: Evaluating a Patient-Centred Cancer Rehabilitation Programme across the Cancer Care Continuum |
| title_full_unstemmed | iCan, Empowering Recovery: Evaluating a Patient-Centred Cancer Rehabilitation Programme across the Cancer Care Continuum |
| title_short | iCan, Empowering Recovery: Evaluating a Patient-Centred Cancer Rehabilitation Programme across the Cancer Care Continuum |
| title_sort | ican empowering recovery evaluating a patient centred cancer rehabilitation programme across the cancer care continuum |
| topic | cancer rehabilitation holistic care mindfulness functional capacity physical activity mental wellbeing |
| url | https://www.mdpi.com/2079-9721/12/10/236 |
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