A mixed-methods evaluation of care (cancer and rehabilitation exercise): a physical activity and health intervention, delivered in a community football trust

Journal article


Rutherford, Zoe, Zwolinsky, Stephen, Kime, Nicky and Pringle, Andy 2021. A mixed-methods evaluation of care (cancer and rehabilitation exercise): a physical activity and health intervention, delivered in a community football trust. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph18063327
AuthorsRutherford, Zoe, Zwolinsky, Stephen, Kime, Nicky and Pringle, Andy
Abstract

With increasing cancer survivorship has come an increased necessity to support people living with cancer (PLWC) to have a good quality of life including being physically active. Using mixed methods, the current study aimed to use the RE-AIM evaluation framework (Reach, Effectiveness, Adoption, Implementation and Maintenance) to determine how the football community trust delivered CARE (Cancer and Rehabilitation Exercise) intervention was able to increase participants’ physical activity in order to improve their quality of life and regain physiological and psychological function. Quantitative outcome data were collected at baseline, 3 and 6 months using the Cancer Physical Activity Standard Evaluation Framework questionnaire. Semi-structured focus groups (n = 5) captured participants’ (n = 40) lived experience of the reach, effectiveness, adoption, implementation, and maintenance of CARE. Questionnaire data were analysed using repeated measures ANOVAs and qualitative data were thematically analysed. Following diagnosis, CARE was successful in providing participants with a unique and accessible opportunity to become or restart physically activity, by providing a local, socially supportive, and inclusive environment. This resulted in significant increases in physical activity (F(1.58, 23) = 5.98, p = 0.009), quality of life (QoL) (F(2,36) = 13.12, p = 0.000) and significant reductions in fatigue (F(1.57,31) = 11.19, p = 0.000) over 6 months. Participants also reported becoming more active, recovering physical function, regaining independence, and enhanced psychological well-being as a result of attending CARE. Key design features of CARE were also identified across RE-AIM. CARE, a football community trust delivered physical activity intervention was successful in significantly improving participants’ QoL and in regaining the physical and psychological functioning of people living with cancer. Results suggest that maintaining engagement in CARE for 6 months and beyond can support people to maintain these changes. Engaging in robust evaluations such as this can help organizations to successfully secure future funding for their programs.

Keywordscancer; physical activity; rehabilitation
Year2021
JournalInternational Journal of Environmental Research and Public Health
PublisherMDPI
ISSN1660-4601
Digital Object Identifier (DOI)https://doi.org/10.3390/ijerph18063327
Web address (URL)http://hdl.handle.net/10545/625692
http://creativecommons.org/licenses/by-nc-nd/4.0/
hdl:10545/625692
Publication dates23 Mar 2021
Publication process dates
Deposited07 Apr 2021, 12:32
Accepted17 Mar 2021
Rights

Attribution-NonCommercial-NoDerivatives 4.0 International

ContributorsUniversity of Queensland, Yorkshire and Harrogate Cancer Alliance, Bradford Institute for Health Research and University of Derby
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