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Characterizing the Exercise Behaviour, Preferences, Barriers, and Facilitators of Cancer Survivors in a Rural Canadian Community: A Cross-Sectional Survey

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School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, ON L8S 1C7, Canada
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Huntsville Physicians, South Muskoka and Parry Sound Local Education Groups, 100 Frank Miller Drive, Huntsville, ON P1H 1H7, Canada
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School of Interdisciplinary Science, Faculty of Science, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada
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Northern Ontario School of Medicine, 935 Ramsey Lake Road, Sudbury, ON P3E 2C6, Canada
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Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord Street, Toronto, ON M5S 2W6, Canada
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Department of Cardiology, Toronto General Hospital Research Institute, 200 Elizabeth Street, Toronto, ON M5G 2C4, Canada
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Ted Rogers Cardiotoxicity Prevention Program, Peter Munk Cardiac Centre, 661 University Avenue, Toronto, ON M5G 1X8, Canada
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Author to whom correspondence should be addressed.
Curr. Oncol. 2021, 28(4), 3172-3187; https://doi.org/10.3390/curroncol28040276
Received: 30 July 2021 / Revised: 16 August 2021 / Accepted: 16 August 2021 / Published: 19 August 2021
(This article belongs to the Section Palliative and Supportive Care)
Barriers, facilitators, and motivators to exercise for cancer survivors living in urban settings are well described in the literature. However, there is a lack of comparable information for cancer survivors living in rural communities. We describe the exercise behaviours, barriers, facilitators, and motivators to exercise participation of cancer survivors living in a rural Canadian community. Adult cancer survivors with a primary address in a rural region of Ontario, Canada, who had visited a community hospital in the previous five years were mailed a cross-sectional survey assessing current exercise volume (minutes of moderate-to-vigorous aerobic and resistance exercise), as well as exercise preferences, barriers, and facilitators. Seventy-two survivors (mean age 65 years) completed the survey (16% response rate). A majority of respondents were diagnosed with breast cancer (49%) in the last 5 years (61%). Aerobic- and resistance-training guidelines for cancer survivors were met by 38% and 10% of respondents, respectively. Physical side effects were the most common barrier to exercise during treatment (65%) and post-treatment (35%). Being unaware of available exercise programs, time for exercise, distance to exercise services, and cost were commonly reported barriers during and post-treatment (reported by 10–22%). Respondents reported needing information from a qualified exercise professional (46%), access to a gym (33%) and exercise equipment (26%), and social support (25%) to facilitate exercise participation. Consistent with urban-based cancer survivors, most rural survivors surveyed in this study were not meeting the physical-activity guidelines and reported numerous exercise barriers. These findings can serve as a resource for this and similar rural communities when developing community-based exercise-support services for cancer survivors. View Full-Text
Keywords: exercise; barriers; motivators; oncology; rural population exercise; barriers; motivators; oncology; rural population
MDPI and ACS Style

Smith-Turchyn, J.; Allen, L.; Dart, J.; Lavigne, D.; Rooprai, S.; Dempster, H.; Trenholm, R.; Santa Mina, D.; Sabiston, C.M.; MacMillan, L.; Adams, S.C. Characterizing the Exercise Behaviour, Preferences, Barriers, and Facilitators of Cancer Survivors in a Rural Canadian Community: A Cross-Sectional Survey. Curr. Oncol. 2021, 28, 3172-3187. https://doi.org/10.3390/curroncol28040276

AMA Style

Smith-Turchyn J, Allen L, Dart J, Lavigne D, Rooprai S, Dempster H, Trenholm R, Santa Mina D, Sabiston CM, MacMillan L, Adams SC. Characterizing the Exercise Behaviour, Preferences, Barriers, and Facilitators of Cancer Survivors in a Rural Canadian Community: A Cross-Sectional Survey. Current Oncology. 2021; 28(4):3172-3187. https://doi.org/10.3390/curroncol28040276

Chicago/Turabian Style

Smith-Turchyn, Jenna, Lisa Allen, Jennifer Dart, Deanna Lavigne, Simran Rooprai, Helen Dempster, Richard Trenholm, Daniel Santa Mina, Catherine M. Sabiston, Lindsay MacMillan, and Scott C. Adams. 2021. "Characterizing the Exercise Behaviour, Preferences, Barriers, and Facilitators of Cancer Survivors in a Rural Canadian Community: A Cross-Sectional Survey" Current Oncology 28, no. 4: 3172-3187. https://doi.org/10.3390/curroncol28040276

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