Abstract
PurposeThe purpose of this study was to utilise the intervention mapping (IM) protocol as a framework with which to develop an intervention underpinned by relevant behaviour change theory to promote physical activity (PA) following treatment for cervical cancer.MethodsThe six steps of the IM protocol were followed. A qualitative semi-structured interview study and a rapid review of the literature were conducted along with the development of a logic model of the problem and a logic model of change to inform intervention development.ResultsAn intervention was developed which aims to increase PA levels following treatment for cervical cancer, tailored to address key findings from the IM needs assessment. These include embedding behavioural and social strategies that help participants to overcome perceived barriers to PA participation; goal setting strategies to gradually increase PA levels with a view of reaching relevant PA guidelines for cancer survivors and feedback to encourage self-assessment of well-being and PA capability.ConclusionThis study maps the development of a novel PA intervention for those who have been treated for cervical cancer. The use of a systematic development framework was necessary as little insight exists regarding PA preferences after treatment for cervical cancer.Implications for Cancer SurvivorsPA behaviour is associated with positive physical and psychological health outcomes for cancer survivors. Optimising targeted promotion of PA behaviour following treatment for cervical cancer may result in an enhanced survivorship experience through increased PA behaviour and improved quality of life (QOL).
Highlights
The most recent data suggests that there are on average 3200 cases of cervical cancer diagnosed each year [1]
The common types of physical activity (PA) performed by gynaecological cancer survivors are walking, gym-based activities and swimming [28, 29]
The evaluation of a PA programme for socio-culturally diverse endometrial cancer survivors found that women enjoy exercise programmes which provide opportunities for social interaction and which lead to physical benefits in terms of pain attenuation [34]
Summary
The most recent data suggests that there are on average 3200 cases of cervical cancer diagnosed each year [1]. Survival rate has improved over the last 40 years with documented increases in the number of cervical cancer survivors beyond 5 years or more (60%) [1]. Despite survivors being at risk of experiencing several health and lifestyle related issues [2, 3], very few lifestyle interventions exist which are aimed at improving QOL following cervical cancer and its associated treatments. Navigating the recovery period to regain a sense of normality following treatment for cervical cancer is perceived as challenging [4]. This can be due to a myriad of psychological, physical and social impacts of treatment-related changes [5]. Premature menopause is a disabling after-effect of treatment, predominantly for those treated at a young age due to the comorbid negative symptomology that may be experienced as a result
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