Factors that affect engagement with physical activity for patients who have received radiotherapy as part of their gynaecological cancer treatment - A rapid review.

Introduction

Gynaecological cancer survivors can suffer from acute and chronic treatment related side effects, including those resulting from radiotherapy. This can lead to low levels of engagement in physical activity and reduced quality of life. This literature review explores these patients' engagement with physical activity and identifies the factors that impact upon it.

Methods

Qualitative studies were identified via Medline, CINALH Complete and APA PsycInfo databases. A rapid review utilising a systematic approach was conducted. Studies incorporated were published in the last 10 years, peer reviewed, and included participants who were treated radically with radiotherapy.

Results

The search returned n = 68 papers. After analysis and utilising the PRISMA flow chart, six studies were included in the review. Key themes included side effects, education, social influences, practical and personal factors, as well as prior physical activity engagement.

Conclusion

This literature review has identified side effects, education, social influences, practical and personal factors, as well as prior physical activity engagement as elements that interplay to shape individuals' attitudes and behaviours towards physical activity. Further studies are required to clarify the effect radiotherapy has on gynaecological cancer patients' engagement with physical activity.

Implications for practice

This review identified the need for health care professionals to receive an improved education surrounding information giving and advice for gynaecological cancer patients. Additionally, there is a lack of person-centred care provided, with a need for a tailored approach that recognizes survivors' unique preferences, physical limitations, and readiness to engage with physical activity, which are essential for promoting sustained participation.