Abstract
Purpose
Physical activity (PA) is important for well-being and coping among cancer survivors. Social support (SS) encourages adoption and maintenance of PA behavior, and PA contexts can provide opportunities for obtaining support for coping with cancer. The qualitative literature examining cancer survivors’ experience with SS in and for PA could inform understanding of behaviors experienced as supportive. The purpose of this meta-study was to synthesize the research on adult cancer survivors’ experiences with SS related to PA.
Methods
Following meta-study guidelines, we searched nine databases and retrieved 39 articles describing intervention and observation studies, and extracted, analyzed, and synthesized information addressing SS and PA in cancer survivors.
Results
Results emphasized ways that PA contexts facilitate relationships, which are a foundation for obtaining supportive behaviors that enable PA (e.g., providing encouragement and accountability) and assist with coping with cancer (e.g., understanding and talking about cancer). Some themes identified were unique to studies with female breast cancer, advanced cancer, interventions or programs, and that used interviews versus focus groups.
Conclusions
Understanding supportive behaviors could improve PA and coping with cancer in interventions. Future research should focus on identifying supportive behaviors, incorporating theory and methods to address the development of supportive relationships, and recruiting more diverse samples of participants in terms of gender, race/ethnicity, and cancer type.
Implications for Cancer Survivors
PA can provide opportunities for positive social connections ranging from loose to close social ties, and this research identifies several behaviors in the PA context that may be supportive of PA behavior (e.g., providing actionable information), and coping with cancer (e.g., opportunities but low obligation to talk about cancer).
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References
Hadd V, Sabiston CM, McDonough MH, Crocker PRE. Sources of stress for breast cancer survivors involved in dragon boating: examining associations with treatment characteristics and self-esteem. J Womens Health. 2010;19:1345–53.
Vivar CG, McQueen A. Informational and emotional needs of long-term survivors of breast cancer. J Adv Nurs. 2005;51:520–8.
Sabiston CM, Brunet J. Reviewing the benefits of physical activity during cancer survivorship. Am J Lifestyle Med. 2012;6:167–77.
McNeely ML, Campbell KL, Rowe BH, Klassen TP, Mackey JR, Courneya KS. Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. Can Med Assoc J. 2006;175:34–41.
McDonough MH, Sabiston CM, Wrosch C. Predicting changes in posttraumatic growth and subjective well-being among breast cancer survivors: the role of social support and stress. Psycho-oncol. 2014;23:114–20.
Kampshoff CS, Stacey F, Short CE, van Mechelen W, Chinapaw MJM, Brug J, et al. Demographic, clinical, psychosocial, and environmental correlates of objectively assessed physical activity among breast cancer survivors. Support Care Cancer. 2016;24:3333–42.
Fong AJ, Scarapicchia TMF, McDonough MH, Wrosch C, Sabiston CM. Changes in social support predict emotional well-being in breast cancer survivors. Psycho-oncol. 2017;26:664–71.
Rogers LQ, Markwell S, Hopkins-Price P, Vicari S, Courneya KS, Hoelzer K, et al. Reduced barriers mediated physical activity maintenance among breast cancer survivors. J Sport Exercise Psy. 2011;33:235–54.
McDonough MH, Beselt LJ, Duan JT, Shank J, Culos-Reed SN, Kronlund LJ, et al. The role of social support in physical activity for cancer survivors: a systematic review. Psycho-oncol. 2019;28:1945–58.
Baumeister RF, Leary MR. The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychol Bull. 1995;117:497–529.
Lazarus RS. Stress and emotion: a new synthesis. New York: Springer; 1999.
Cutrona CE, Russell DW. Type of social support and specific stress: toward a theory of optimal matching. In: Sarason BR, Sarason IG, Pierce GR, editors. Social support: An interactional view. New York: Wiley; 1990. p. 319–66.
Bianco T, Eklund RC. Conceptual considerations for social support research in sport and exercise settings: the case of sport injury. J Sport Exercise Psychol. 2001;23:85–107.
Laird Y, Fawkner S, Kelly P, McNamee L, Niven A. The role of social support on physical activity behaviour in adolescent girls: a systematic review and meta-analysis. Int J Behav Nutr Phy. 2016;13:79.
Reynolds JS, Perrin NA. Mismatches in social support and psychosocial adjustment to breast cancer. Health Psychol. 2004;23:425–30.
Barber FD. Social support and physical activity engagement by cancer survivors. Clin J Oncol Nurs. 2012;16:E84–98.
Feeney BC, Collins NL. A new look at social support: a theoretical perspective on thriving through relationships. Pers Soc Psychol Rev. 2015;19:113–47.
Burke SM, Wurz A, Bradshaw A, Saunders S, West MA, Brunet J. Physical activity and quality of life in cancer survivors: a meta-synthesis of qualitative research. Cancers. 2017;9:53.
Paterson B, Thorne S, Canam C, Jillings C. Meta-study of qualitative health research: a practical guide to meta-analysis and meta-synthesis. Thousand Oaks: Sage; 2001.
Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Pub Health Reports. 1986;100:126–31.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.
Sparkes AC, Smith B. Judging the quality of qualitative inquiry: criteriology and relativism in action. Psychol Sport Exerc. 2009;10:491–7.
Garside R. Should we appraise the quality of qualitative research reports for systematic reviews, and if so, how? Innovation. 2014;27:67–79.
Walsh D, Downe S. Meta-synthesis method for qualitative research: a literature review. J Adv Nurs. 2005;50:204–11.
McDonough MH, Sabiston CM, Ullrich-French S. The development of social relationships, social support, and posttraumatic growth in a dragon boating team for breast cancer survivors. J Sport Exercise Psychol. 2011;33:627–48.
McDonough MH, Patterson MC, Weisenbach BB, Ullrich-French S, Sabiston CM. The difference is more than floating: factors affecting breast cancer survivors’ decisions to join and maintain participation in dragon boat teams and support groups. Disabil Rehabil. 2019;41:1788–96.
Backman M, Browall M, Sundberg CJ, Wengström Y. Experiencing health: physical activity during adjuvant chemotherapy treatment for women with breast cancer. Eur J Oncol Nurs. 2016;21:160–7.
Browning KK, Kue J, Lyons F, Overcash J. Feasibility of mind-body movement programs for cancer survivors. Oncol Nurs Forum. 2017;44:446–56.
Brunet J, St-Aubin A. Fostering positive experiences of group-based exercise classes after breast cancer: what do women have to say? Disabil Rehabil. 2016;38:1500–8.
Bruun DM, Krustrup P, Hornstrup T, Uth J, Brasso K, Rorth M, et al. “All boys and men can play football”: a qualitative investigation of recreational football in prostate cancer patients. Scand J Med Sci Spor. 2014;24:113–21.
Burke SM, West MA, Grocott MP, Brunet J, Jack S. Exploring the experience of adhering to a prescribed pre-surgical exercise program for patients with advanced rectal cancer: a phenomenological study. Psychol Sport Exerc. 2015;16:88–95.
Coon SK, Coleman EA. Exercise decisions within the context of multiple myeloma, transplant, and fatigue. Cancer Nurs. 2004;27:108–18.
Cormie P, Turner B, Kaczmarek E, Drake D, Chambers SK. A qualitative exploration of the experience of men with prostate cancer involved in supervised exercise programs. Oncol Nurs Forum. 2015;42:24–32.
Emslie C, Whyte F, Campbell A, Mutrie N, Lee L, Ritchie D, et al. ‘I wouldn’t have been interested in just sitting round a table talking about cancer’: exploring the experiences of women with breast cancer in a group exercise trial. Health Educ Res. 2007;22:827–38.
Fox L, Cahill F, Burgess C, Peat N, Rudman S, Kinsella J, Cahill D, George G, Santaolalla A, Van Hemelrijck M. Real world evidence: A quantitative and qualitative glance at participant feedback from a free-response survey investigating experiences of a structured exercise intervention for men with prostate cancer. Biomed Res-International. 2017;3507124. https://doi.org/10.1155/2017/3507124.
Galantino ML, Greene L, Archetto B, Baumgartner M, Hassall P, Murphy JK, et al. A qualitative exploration of the impact of yoga on breast cancer survivors with aromatase inhibitor-associated arthralgias. Explore. 2012;8:40–7.
Hennessy EM, Stevinson C, Fox KR. Preliminary study of the lived experience of exercise for cancer survivors. Eur J Oncol Nurs. 2005;9:155–66.
Luoma ML, Hakamies-Blomqvist L, Blomqvist C, Nikander R, Gustavsson-Lilius M, Saarto T. Experiences of breast cancer survivors participating in a tailored exercise intervention: a qualitative study. Anticancer Res. 2014;34:1193–9.
McDonough MH, Sabiston CM, Crocker PRE. An interpretative phenomenological examination of psychosocial changes among breast cancer survivors in their first season of dragon boating. J Appl Sport Psychol. 2008;20:425–40.
McGrath P, Joske D, Bouwman M. Benefits from participation in the chemo club: psychosocial insights on an exercise program for cancer patients. J Psychosoc Oncol. 2011;29:103–19.
Midtgaard J, Rorth M, Stelter R, Adamsen L. The group matters: an explorative study of group cohesion and quality of life in cancer patients participating in physical exercise intervention during treatment. Eur J Cancer Care. 2006;15:25–33.
Missel M, Borregaard B, Schoenau MN, Sommer MS. A sense of understanding and belonging when life is at stake: operable lung cancer patients’ lived experiences of participation in exercise. Eur J Cancer Care. 2019;28:e13126.
Paltiel H, Solvoll E, Loge JH, Kaasa S, Oldervoll L. “The healthy me appears”: palliative cancer patients’ experiences of participation in a physical group exercise program. Palliat Support Care. 2009;7:459–67.
Parry DC. “There is life after breast cancer”: nine vignettes exploring dragon boat racing for breast cancer survivors. Leisure Sci. 2007;29:53–69.
Sabiston CM, McDonough MH, Crocker PRE. Psychosocial experiences of breast cancer survivors involved in a dragon boat program: exploring links to positive psychological growth. J Sport Exercise Psychol. 2007;29:419–38.
Schmidt MLK, Ostergren P, Cormie P, Ragle AM, Sonksen J, Midtgaard J. “Kicked out into the real world”: prostate cancer patients’ experiences with transitioning from hospital-based supervised exercise to unsupervised exercise in the community. Support Care Cancer. 2019;27:199–208.
Szalai M, Szirmai A, Fuge K, Makai A, Erdelyi G, Premusz V, Bodis J. Special aspects of social support: Qualitative analysis of oncologic rehabilitation through a belly dancing peer support group. Eur J Cancer Care. 2017;26(6);e12656-n/a.
Thomas R, Shaw RM. Yoga for women living with breast cancer-related arm morbidity: findings from an exploratory study. Int J Yoga Ther. 2011;21:39–48.
Unruh AM, Elvin N. In the eye of the dragon: women’s experience of breast cancer and the occupation of dragon boat racing. Can J Occup Ther. 2004;71:138–49.
Van Puymbroeck M, Burk BN, Shinew KJ, Kuhlenschmidt MC, Schmid AA. Perceived health benefits from yoga among breast cancer survivors. Am J Health Promot. 2013;27:308–15.
Weisenbach BB, McDonough MH. Breast cancer survivors’ decisions to join a dragon boating team. J Sport Exerc Psychol. 2014;36:564–73.
Wurz A, St-Aubin A, Brunet J. Breast cancer survivors’ barriers and motives for participating in a group-based physical activity program offered in the community. Support Care Cancer. 2015;23:2407–16.
Blaney J, Lowe-Strong A, Rankin J, Campbell A, Allen J, Gracey J. The cancer rehabilitation journey: barriers to and facilitators of exercise among patients with cancer-related fatigue. Phys Ther. 2010;90:1135–47.
Brunet J, Taran S, Burke SM, Sabiston CM. A qualitative exploration of barriers and motivators to physical activity participation in women treated for breast cancer. Disabil Rehabil. 2013;35:2038–45.
Cummins C, Kayes NM, Reeve J, Smith G, MacLeod R, McPherson KM. Navigating physical activity engagement following a diagnosis of cancer: a qualitative exploration. Eur J Cancer Care. 2017;26. https://doi.org/10.1111/ecc.12608.
Granger CL, Parry SM, Edbrooke L, Abo S, Leggett N, Dwyer M, et al. Improving the delivery of physical activity services in lung cancer: a qualitative representation of the patient’s perspective. Eur J Cancer Care. 2019;28:e12946.
Loh SY, Chew SL, Lee SY. Physical activity and women with breast cancer: insights from expert patients. Asian Pac J Cancer Prev. 2011;12:87–94.
Mackenzie CR. Breast cancer survivors’ experiences of partner support and physical activity participation. Psycho-oncol. 2015;24:1197–203.
Maxwell-Smith C, Zeps N, Hagger MS, Platell C, Hardcastle SJ. Barriers to physical activity participation in colorectal cancer survivors at high risk of cardiovascular disease. Psycho-oncol. 2017;26:808–14.
Rammant E, Fonteyne V, Decaestecker K, Bultijnck R, Deforche B, Pieters R, et al. Understanding physical activity behavior in patients with bladder cancer before and after radical cystectomy: a qualitative interview study. Clin Rehabil. 2019;33:750–61.
Sheill G, Guinan E, Neill LO, Hevey D, Hussey J. The views of patients with metastatic prostate cancer towards physical activity: a qualitative exploration. Support Care Cancer. 2018;26:1747–54.
Smith L, Croker H, Fisher A, Williams K, Wardle J, Beeken RJ. Cancer survivors’ attitudes towards and knowledge of physical activity, sources of information, and barriers and facilitators of engagement: a qualitative study. Eur J Cancer Care. 2017;26:e12641.
Smith SA, Whitehead MS, Sheats JQ, Chubb B, Alema-Mensah E, Ansa BE. Community engagement to address socio-ecological barriers to physical activity among African American breast cancer survivors. J Georgia Public Health Assoc. 2017;6:393–7.
Biddle SJH, Hagger MS, Chatzisarantis NLD, Lippke S. Theoretical frameworks in exercise psychology. In: Tenenbaum G, Eklund RC, editors. Handbook of sport psychology. 3rd ed. Hoboken: Wiley; 2007. p. 537–59.
Fingerman KL. Consequential strangers: the importance of unimportant relationships. J Fam Theor Rev. 2009;2:69–86.
Levasseur M, Richard L, Gauvin L, Raymond E. Inventory and analysis of definitions of social participation found in the aging literature: proposed taxonomy of social activities. Soc Sci Med. 2010;71:2141–9.
Moyer M. Women and paid work. Women in Canada: A Gender-based statistical report 2010-2011. Statistics Canada Catalogue no. 89-503-X. 2017. Retrieved from: https://www150.statcan.gc.ca/n1/pub/89-503-x/89-503-x2010001-eng.htm.
Uehara ES. Reciprocity reconsidered: Gouldner’s “moral norm of reciprocity” and social support. J Soc Pers Relat. 1995;12:483–502.
Rosario M, Shinn M, Mørch H, Huckabee CB. Gender differences in coping and social supports: testing socialization and role constraint theories. J Community Psychol. 1988;16:55–69.
Sullivan-Singh SJ, Stanton AL, Low CA. Living with limited time: socioemotional selectivity theory in the context of health adversity. J Pers Soc Psychol. 2015;108:900–16.
Floyd A, Moyer A. Group vs. individual exercise interventions for women with breast cancer: a meta-analysis. Health Psychol Rev. 2009;4:22–41.
Acknowledgments
The authors acknowledge Dr. Alix Hayden, University of Calgary Libraries for assistance with designing the search.
Funding
This study was funded by a Seed Grant from the Faculty of Kinesiology, University of Calgary.
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Meghan McDonough, Nicole Culos-Reed, and William Bridel contributed to the study conception and design. The literature search and analysis were performed by Meghan McDonough, Jayne Beselt, Liam Kronlund, Natalia Albinati, Julia Daun, Melanie Trudeau, and Janet Wong. The first draft of the manuscript was written by Meghan McDonough, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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McDonough, M.H., Beselt, L.J., Kronlund, L.J. et al. Social support and physical activity for cancer survivors: a qualitative review and meta-study. J Cancer Surviv 15, 713–728 (2021). https://doi.org/10.1007/s11764-020-00963-y
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DOI: https://doi.org/10.1007/s11764-020-00963-y