title: Creating an upward spiral: A qualitative study of caregivers' experience of participating in a structured physical activity programme.
abstract: Family caregivers' physical and emotional well-being may be negatively impacted while in the caregiver role. Interventions to support caregiver health have largely focused on psychological support, with only a few studies to date evaluating the role of exercise. Of the exercise studies conducted, there has been one qualitative study examining caregivers' perspectives on the value and impact of this type of intervention. This qualitative study was part of a larger mixed methods investigation including a randomised controlled trial investigating the effects of a 24-week exercise programme for cancer caregivers conducted in western Canada. We aimed to explore cancer family caregivers' experience of participating in a structured exercise programme. We conducted face-to-face interviews with 20 of the participants from the exercise intervention and analysed transcribed data using Thorne's interpretive description as a guiding framework. Two main patterns characterised the experiences of the caregivers. The metaphor of a downward spiral represented the experience of being in the caregiver role, while the metaphor of an upward spiral represented the experience of participating in the exercise programme. Our findings highlight that caregivers valued the exercise programme, experienced positivity through exercise and the group-based format, and noticed improvements to their physical and emotional well-being.
authors.affiliation: Faculty of Nursing, University of Calgary, Calgary, AB, Canada.|Alberta Health Services, Cancer Care, Tom Baker Cancer Center, Calgary, AB, Canada.
authors.forename: C A
authors.identifier: http://orcid.org/0000-0002-0940-2802
authors.initials: CA
authors.lastname: Cuthbert
authors.affiliation: Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.|Cumming School of Medicine, Division of Medical Oncology, Department of Psychosocial Oncology, University of Calgary, Calgary, AB, Canada.
authors.forename: S N
authors.initials: SN
authors.lastname: Culos-Reed
authors.affiliation: Faculty of Nursing, University of Calgary, Calgary, AB, Canada.|Cumming School of Medicine, Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
authors.forename: K
authors.initials: K
authors.lastname: King-Shier
authors.affiliation: Alberta Health Services, Cancer Care, Tom Baker Cancer Center, Calgary, AB, Canada.|Cumming School of Medicine, Division of Medical Oncology, University of Calgary, Calgary, AB, Canada.
authors.forename: J D
authors.initials: JD
authors.lastname: Ruether
authors.affiliation: Faculty of Communication, Media and Film, University of Calgary, Calgary, AB, Canada.
authors.forename: M B
authors.initials: MB
authors.lastname: Bischoff
authors.affiliation: Faculty of Nursing, University of Calgary, Calgary, AB, Canada.
authors.forename: D M
authors.initials: DM
authors.lastname: Tapp
mesh_terms: D000328:Adult; D000368:Aged; D002170:Canada; D017028:Caregivers / Q000523:psychology*; D015444:Exercise / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing*; D036301:Qualitative Research; D016032:Randomized Controlled Trials as Topic
keywords: cancer; exercise intervention; family caregivers; interpretive description; qualitative