title: "All boys and men can play football": a qualitative investigation of recreational football in prostate cancer patients.
abstract: Evidence is accumulating that exercise-based rehabilitation improves physical capacity and quality of life in cancer survivors. However, recruitment and persistence of male cancer patients in rehabilitation and physical activity are low and novel health promotion strategies are warranted. The purpose of this study was to gain an understanding of the meaning of recreational football as a team and interaction-oriented health-promoting activity in men with prostate cancer (n = 26). Qualitative data were collected through six focus group interviews (n = 4-6) and 20 h of participant observations. The two data sets were analyzed using framework analysis. The analysis produced 11 subthemes that were structured into three overarching themes: (a) motivational drivers; (b) united in sport; and (c) confirmation of own capacity. The findings indicated that participants regarded football as a welcome opportunity to regain control and acquire a sense of responsibility for own health without assuming the patient role, and football training legitimized and promoted mutual caring behavior in a male-oriented context. In conclusion, the study suggests that football, due to its cultural representation of masculine ideals, may be a potent and unique strategy for increasing recruitment and adherence to physical activity in prostate cancer patients.
authors.affiliation: The University Hospitals Centre for Health Care Research, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
authors.forename: D M
authors.initials: DM
authors.lastname: Bruun
authors.forename: P
authors.initials: P
authors.lastname: Krustrup
authors.forename: T
authors.initials: T
authors.lastname: Hornstrup
authors.forename: J
authors.initials: J
authors.lastname: Uth
authors.forename: K
authors.initials: K
authors.lastname: Brasso
authors.forename: M
authors.initials: M
authors.lastname: Rørth
authors.forename: J F
authors.initials: JF
authors.lastname: Christensen
authors.forename: J
authors.initials: J
authors.lastname: Midtgaard
mesh_terms: D000368:Aged; D001294:Attitude to Health; D017144:Focus Groups; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011471:Prostatic Neoplasms / Q000523:psychology / Q000534:rehabilitation*; D036301:Qualitative Research; D020377:Self Efficacy; D012916:Soccer / Q000523:psychology*
keywords: Prostate cancer; exercise; focus group interviews; framework analysis; rehabilitation