title: Motivation and preferences of exercise programmes in patients with inoperable metastatic lung cancer: a need assessment.
abstract: OBJECTIVE
  The aim of this study is to investigate the motivation, ability, preferences, and perceived potential facilitating factors/barriers of patients with inoperable metastatic lung cancer towards exercise programmes.
  
  
  METHODS
  This is a cross-sectional study using survey adopting the Theory of Planned Behaviour (TPB) to obtain patients' experience recruited through Odette Cancer Centre, Sunnybrook Health Sciences Complex. Results were expressed in percentages, P value, and Spearman's rho.
  
  
  RESULTS
  Sixty patients were recruited from January 2014 to April 2014. Patients generally had a high level across TPB measures, with 63% of them indicating that they have the motivation to exercise. Significant association in relation to motivation was established on attitudes (importance, P = 0.005, rho = 0.326; helpfulness, P = 0.015, rho = 0.348; and easiness, P = 0.001, rho = 0.375) and subjective norm of close members (P = 0.0069, rho = 0.348) and healthcare professionals (P = 0.012, rho = 0.328). Being a non-smoker (P = 0.042, rho = 0.311), having a past exercise history prior to diagnosis (P = 0.000, rho = 0.563), and absence of COPD (P = 0.016, rho = -0.312) were also shown to have a significant association with motivation to exercise.
  
  
  CONCLUSIONS
  Patients were motivated to participate in an exercise programme despite contrary belief; however, they might have limited ability and preferred light intensity type of exercise such as walking. Their motivation to exercise was driven by different factors when compared to other cancer patient populations. Thus, it is important for healthcare professionals to understand the factors influencing their motivation and increase their awareness (only 26% of patients indicated receiving advice regarding exercise) to better the care towards patients with metastatic lung cancer.
authors.affiliation: University of Toronto, Toronto, ON, Canada. adi.kartolo@mail.utoronto.ca.
authors.forename: Adi
authors.initials: A
authors.lastname: Kartolo
authors.affiliation: Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.|University of Toronto, Toronto, ON, Canada.
authors.forename: Susanna
authors.initials: S
authors.lastname: Cheng
authors.affiliation: Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.|University of Toronto, Toronto, ON, Canada.
authors.forename: Teresa
authors.initials: T
authors.lastname: Petrella
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000534:rehabilitation* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009042:Motivation; D020380:Needs Assessment; D009362:Neoplasm Metastasis; D011795:Surveys and Questionnaires
keywords: Exercise; Inoperable; Metastatic lung cancer; Theory of Planned Behaviour