CN45 - Exercise training following surgery and chemotherapy for ovarian cancer: A realist evaluation of a co-designed implementation process

Background

The benefits of exercise for women with ovarian cancer are reasonably well established however uptake is poor. Presently, research exploring a co-designed implementation process is limited and may assist in exercise uptake. Determining the feasibility of exercise training in this population is necessary to improve survivorship.

Methods

This single centre study involved a series of three co-design workshops with contributors including ovarian cancer survivors (n=10) and their informal carers (n=10), followed by implementation of an exercise intervention with women (n=31) following surgery and chemotherapy for ovarian cancer. Following completion of the intervention participants undertook a realist interview. Healthcare professionals (n=3) familiar with the exercise intervention were also interviewed.

Results

Key themes that emerged include; the initial approach should be made by a disease specific health care professional, flexibility in meeting exercise goals, weekly telephone behavioural support, and a home-based approach. This promotes: a shift of mental focus from the disease to exercise and wellness; a sense of control over one's destiny; and a feeling of empowerment to reach exercise goals. A recruitment rate of 73.8% was achieved. 100% achieved the recommended dose of aerobic exercise, with 93.4% achieving the recommended dose of resistance training. The retention rate was 96.7%.

Conclusions

The co-design process facilitated exercise recruitment, adherence and retention. This intervention is feasible and safe for women following surgery and chemotherapy treatment for ovarian cancer. These findings contribute to the evolution of a programme theory in relation of how to successfully implement exercise into the care of this patient population.

Clinical trial identification

Editorial acknowledgement

Legal entity responsible for the study

Queens University Belfast.

Funding

Department for the economy postgraduate studentship scheme, Northern Ireland.

Disclosure

The author has declared no conflicts of interest.