Dutch prostate cancer patients' views about exercise and experience with exercise advice: a national survey

Myrthe M. Joosten, Johanna Depenbusch, Tjendo Samuel, Neil K. Aaronson, Karen Steindorf, Martijn M. Stuiver

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose
To support the development and implementation of exercise programming for people with prostate cancer (PC), we investigated their views on exercise.

Methods
Online survey with open recruitment. We collected data on clinical and sociodemographic variables, experiences with exercise advice, outcome expectations, and preferences. We explored determinants of (1) having been counselled about exercise and (2) preferring supervised exercise.

Results
The survey was completed by 171 patients (mean age = 70 years, SD = 6.5) from all PC treatment pathways. Sixty-three percent of the respondents reported never having been informed about the potential benefits of exercise. Forty-nine percent preferred exercise to be supervised. Respondents generally reported a positive attitude towards exercise. Seventy-four percent indicated barriers to exercising, including fatigue and lack of access to specific programmes. Outcome expectations were generally positive but moderately strong. Receiving hormonal therapy and younger age were significantly associated with having received exercise advice. Being insured and having higher fatigue levels contributed significantly to the preference for supervised exercise.

Conclusion
Dutch people with PC report receiving insufficient effective exercise counselling. Yet, they are open to exercise and expect exercise to improve their health, although they experience various barriers that limit their ability to exercise.

Implications for Cancer Survivors
The moderate outcome expectations for exercise of people with PC and their limited recall of exercise counselling highlight the need for better integration of exercise in clinical pathways. The lack of access to specific programming limits the use of evidence-based exercise programmes for people with PC.
Original languageEnglish
Number of pages11
JournalJournal of Cancer Survivorship
DOIs
Publication statusE-pub ahead of print - 30 Mar 2023

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