2025
Factors Influencing Participation and Adherence in a Randomized Controlled Trial of Online Exercise Intervention for Cancer Patients in Czechia
BAZALOVÁ, Pavlína; Kateřina KAPOUNKOVÁ; Iva HRNČIŘÍKOVÁ; Jana HALÁMKOVÁ; Karolína KAPOUNKOVÁ et al.Základní údaje
Originální název
Factors Influencing Participation and Adherence in a Randomized Controlled Trial of Online Exercise Intervention for Cancer Patients in Czechia
Autoři
BAZALOVÁ, Pavlína ORCID; Kateřina KAPOUNKOVÁ; Iva HRNČIŘÍKOVÁ; Jana HALÁMKOVÁ; Karolína KAPOUNKOVÁ; Vendula GYÖRIOVÁ; Iva BUREŠOVÁ; Igor KISS a Zora SVOBODOVÁ
Vydání
2025
Další údaje
Typ výsledku
Konferenční abstrakt
Odkazy
Označené pro přenos do RIV
Ne
Organizační jednotka
Fakulta sportovních studií
Klíčová slova anglicky
cancer survivors; physical activity; home-based
Příznaky
Mezinárodní význam
Změněno: 23. 3. 2026 13:58, Mgr. Pavlína Roučová, DiS.
Anotace
V originále
Purpose: This study examines factors affecting recruitment, drop-out, and adherence of adult patients with various cancer types undergoing adjuvant chemotherapy in a randomized controlled trial focused on online exercise intervention. Methods: This randomized controlled trial enrolled adult cancer patients (18+) undergoing adjuvant chemotherapy. Patients were randomized into two groups: an intervention group participating in a 12-week online exercise program, and a control group receiving standard care. The exercise program consisted of supervised sessions conducted 3 times a week for 1 hour via Zoom platform. Exercise intensity was monitored using chest strap with a heart rate monitor. Reasons for non-enrollment, drop-out, and exercise adherence were analyzed. Results: Of 442 approached patients, 55.66% (n=246) were not enrolled in the study. The main reasons were failure to meet inclusion criteria (39.84%) and personal reasons such as care for another person, lack of interest in group exercise or demanding job (22.36%), and other reason was failure to attend the initial examination (18.7%). Of the 196 enrolled patients, 56 were excluded during the study, mainly due to personal reasons such as excessive time demands, stress with the technical demands of joining the exercise and taking care of another person (53.57%) and health complications (19.64%). A higher drop-out rate was observed in the experimental group (64.28%, n=36) compared to the control group (35.71%, n=20). Among the 46 patients who completed the exercise program, the average adherence was 77.15%, with a decrease to 61.67% in the last week of the intervention. Conclusion(s): The study revealed significant barriers to participation in online exercise intervention for cancer patients undergoing adjuvant chemotherapy, including personal reasons, and technical obstacles. The higher drop-out rate in the experimental group suggests a need for additional support to maintain participation. Implications: Although online interventions are potentially effective tools, it is necessary to consider the possible limitation of insufficient technical equipment for some patients. These findings can contribute to optimizing the design of future studies and improving patient adherence to online exercise interventions.
Návaznosti
| NU21-09-00558, projekt VaV |
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