title: Theoretical and practical outline of the Copenhagen PACT narrative-based exercise counselling manual to promote physical activity in post-therapy cancer survivors.
abstract: BACKGROUND
  Sedentary behaviour and reduced exercise capacity are potential persisting effects of anti-cancer therapy that may predispose to serious health conditions. It is well-established that physical exercise may prevent some of these problems. However, the extent to which cancer survivors are able to adopt long-term physical activity habits depends largely on their motivation.
  
  
  OBJECTIVE
  This theoretical paper aims to outline how researchers and practitioners can draw from Antonovsky's salutogenetic theory and White & Epston's Narrative Therapy to develop and implement intervention efforts centered on promotion of long-term physical activity behaviour, while at the same time increasing the individual cancer survivor's sense of meaning and personal health resources.
  
  
  METHODS
  The Copenhagen PACT (Physical Activity after Cancer Treatment) Study targeting adoption and maintenance of regular physical activity in post-therapy cancer survivors is briefly presented including a brief review of the theoretical rationale behind the psychological component of the intervention, i.e. a narrative-based exercise counselling programme. Subsequently, particular attention is given to the core principles, different components and structure of the counselling manual including sample questions and examples of written documents that have emanated from the individual counselling sessions.
  
  
  CONCLUSIONS
  The discussion includes consideration of some methodological challenges that arise when attempting to evaluate narrative-based interventions in the context of physical activity promotion in cancer rehabilitation and survivorship care.
authors.affiliation: The University Hospitals Centre for Health Research, Copenhagen University Hospital, Denmark. julie@ucsf.dk
authors.forename: Julie
authors.initials: J
authors.lastname: Midtgaard
mesh_terms: D003718:Denmark / Q000453:epidemiology; D037001:Directive Counseling / Q000331:legislation & jurisprudence / Q000379:methods* / Q000458:organization & administration; D015444:Exercise / Q000502:physiology*; D006293:Health Promotion / Q000379:methods* / Q000458:organization & administration; D006801:Humans; D008370:Manuals as Topic; D009043:Motor Activity / Q000502:physiology; D009369:Neoplasms / Q000401:mortality / Q000523:psychology / Q000534:rehabilitation* / Q000628:therapy; D016032:Randomized Controlled Trials as Topic / Q000379:methods; D017741:Survivors / Q000523:psychology