The Lived Experiences of Persons With Early Stage Non-small Cell Lung Cancer and Their Significant Other(s) Following Surgery: a Rapid Ethnographic Approach

Hasselt University16 enrolled

Overview

To understand the lived experiences, thoughts and habits about exercise and PA of persons with early stage non-small cell lung cancer and their significant other(s) following surgery.

It is important to gather information on the lived lives of persons and their significant other(s) following surgery for early stage non-small cell lung cancer (NSCLC). The adaptations these persons make, the challenges they face and their personal experiences need to be investigated so their thoughts and habits about exercise and physical activity (PA) can be better understood. In this way, rehabilitation programs focused on exercise and PA can be better individualized. The individualization of such programs is heavily influenced by the person's experiences, including beliefs and expectations regarding exercise and PA. Observations of and informal conversations with persons with early stage NSCLC and their significant other(s) following surgery will offer insight into the challenges faced by these individuals and the opportunities for exercise and PA, how this does and could fit, within their everyday lives so this can be enhanced. It is important to align exercise and PA to everyday activities, to make it meaningful to individuals (more likely to engage) and to obtain sustained effects in the long term. The investigators expect this study to show the highly personal views and behaviour of these persons, warranting an equally personal communication approach to discuss these issues with these persons in light of developing individualized rehabilitation programs.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Lung Cancer

Interventions

Home observations and interviewOTHER

If persons want to participate, the person will be invited one week before the first observation for a 'warm-up' phone call (W1) as a preparation for the three observations and follow-up interview. During the observations, SH will be an active participant, offering to help with activities of daily life with the person, so opportunities are created to observe and ask questions (sensory ethnography). The person will be asked to take pictures or make drawings of important things in the house as the observer will be able to better understand how they feel about exercise and PA (visual ethnography). Six weeks after the last observation (W10), formal follow-up interviews (30-60 min) with questions based on the observations that took place, will be held to explore specific issues in-depth.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Persons who got surgery for early stage I-IIIA NSCLC, one to three months before inclusion; * If persons received adjuvant chemotherapy/radiotherapy, the inclusion window is one to three months after the end of adjuvant chemotherapy/radiotherapy. If persons receive adjuvant immunotherapy after the end of adjuvant chemotherapy, persons can be included during the immunotherapy; * Adults (18+ year); * Ability to give informed consent. Exclusion Criteria: * Persons having progressive or recurrent lung cancer; * Persons who had other malignancies in the last 2 years; * Persons who do systematically perform or plan to perform structured exercise; * Persons not living independently at home (e.g. care home, psychiatric institution); * Psychiatric or cognitive disorders; * Not understanding and speaking Dutch; * Not living at home (e.g. nursing home, prison …).

Locations (1)

Faculteit Revalidatiewetenschappen - Gebouw 7

Diepenbeek, Limburg, Belgium

Outcomes

Primary Outcomes

Barriers and facilitators for exercise and physical activity

Self-developed questionnaire to assess person's motivation and self-efficacy regarding exercise and PA based on Chan et al. (2022) and Rogers et al. (2006)

Time frame: Visit 1 during week 1

Motivation and self-efficacy

Exercise Self-Efficacy Scale (ESES), Tampa Scale for Kinesiophobia (TSK), Perceived physical activity questionnaire (LIVAS), SRQ-E (Exercise self-regulation questionnaire)

Time frame: Visit 1 during week 1

Secondary Outcomes

Socio-demographic information

Name, birth date, address, telephone number, smoking status

Time frame: Visit 1 during week 1

Anthropometric information

Weight in kg, height in cm

Time frame: Visit 1 during week 1

Medical history (from medical file)

Oncological history, pathological staging (TNM 8e edition), treatment type, medication, hospital admissions in the past year

Time frame: Before visit 1

Lung function (from medical file)

Complete lung function after surgery

Time frame: Before visit 1

Physical activity

Objectively measured physical activity: Mean steps per day, MVPA, daily walking time, movement intensity during walking, sedentary time (measured by Dynaport MoveMonitor and Actigraph)

Time frame: One week between the third week and fourth week.

Data from ClinicalTrials.gov

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