AIM:To evaluate associations between psychosocial and sociodemographic factors and perceived barriers to physical activity among hospitalized patients receiving chemotherapy. MATERIALS AND METHODS:This cross-sectional study included 163 patients hospitalized for chemotherapy. Anxiety, depressive symptoms, self-efficacy, and perceived barriers were assessed using validated instruments. Spearman and partial Spearman correlations examined associations between psychosocial variables and perceived barriers, and exploratory analyses examined individual barriers. Multiple linear regression evaluated independent associations with the mean score of the 21-item barrier questionnaire, adjusting for age, sex, body mass index, and self-reported race/color. RESULTS:The most frequently reported barriers were the perception that disease prevented engagement in physical activity, physical limitations, and lack of energy. Overall perceived barriers were positively associated with anxiety and depressive symptoms and inversely associated with self-efficacy. In the multivariable analysis, higher anxiety symptoms, older age, and self-reported Black race/color were independently associated with greater perceived barriers. Depressive symptoms and self-efficacy were not independently associated after adjustment. CONCLUSIONS:Perceived barriers to physical activity were common among hospitalized patients receiving chemotherapy. Anxiety, older age, and self-reported Black race/color were independently associated with greater perceived barriers. These findings highlight the importance of individualized approaches addressing physical and psychosocial barriers during cancer treatment.
Body image dissatisfaction is a significant concern for young adults with cancer (YAC), yet little is known about the views of clinical, allied health, research, and advocacy professionals who support them. This study aimed to understand their perspectives on body image challenges for YAC, and how best to provide support. Individuals working with YAC were recruited internationally via snowball sampling. Online semi-structured qualitative interviews were conducted, and data were analysed using the Framework Method. Thirteen participants were interviewed. Three themes were identified: (1) Constructing meaning around body changes; (2) Engaging with body image support: barriers and facilitators; and (3) Structural constraints and inequities in BI support/care. Participants identified the need for tailored, patient centred care, peer support and better professional training to address BI distress in YAC. Support should be timely, adaptable to individual needs and sustained across the care pathway.
