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@ARTICLE{Sweegers:285381,
      author       = {M. G. Sweegers and J. Depenbusch$^*$ and C. S. Kampshoff
                      and N. K. Aaronson and A. Hiensch and Y. Wengström and M.
                      Backman and N. Gunasekara and D. Clauss and M. Pelaez and M.
                      Lachowicz and A. M. May and K. Steindorf$^*$ and M. M.
                      Stuiver},
      collaboration = {P. s. group},
      othercontributors = {H. Arrieta and M. G. Toribio and M. L. Santillan and J. Tol
                          and W. Malter and J. Puppe},
      title        = {{P}erspectives of patients with metastatic breast cancer on
                      physical exercise programs: results from a survey in five
                      {E}uropean countries.},
      journal      = {Supportive care in cancer},
      volume       = {31},
      number       = {12},
      issn         = {0941-4355},
      address      = {New York,NY},
      publisher    = {Springer},
      reportid     = {DKFZ-2023-02350},
      pages        = {694},
      year         = {2023},
      abstract     = {To successfully implement exercise programs for patients
                      with metastatic breast cancer (MBC), services and patient
                      education should consider patients' knowledge, preferences,
                      values, and goals. Hence, gaining insight into their
                      perspectives on exercise and exercise programming is
                      important.In this cross-sectional survey, we recruited
                      patients with MBC from the Netherlands, Germany, Poland,
                      Spain, and Sweden. We collected data on patients' knowledge
                      and skills about exercise and outcome expectations. We
                      identified barriers to and facilitators of participation in
                      exercise programs, and patients' preferences for program
                      content and modes of exercise delivery.A total of 420
                      patients participated in the survey. Respondents were, on
                      average, 56.5 years old (SD 10.8) and $70\%$ had bone
                      metastases. Sixty-eight percent reported sufficient skills
                      to engage in aerobic exercise, but only $35\%$ did so for
                      resistance exercise. Respondents expected exercise to have
                      multiple physical benefits, but a few patients expected
                      exercise to worsen their pain $(5\%).$ Not having access to
                      an exercise program for cancer patients $(27\%),$ feeling
                      too tired $(23\%),$ and/or weak $(23\%)$ were the most often
                      reported barriers. Facilitators for exercising regularly
                      were previous positive physical $(72\%)$ and emotional
                      $(68\%)$ experiences with exercising, and receiving
                      personalized advice from a physiotherapist or sport/fitness
                      instructor $(62\%).$ Patients were most interested in
                      walking and preferred exercising at a public gym, although
                      there were differences by country. Fifty-seven percent did
                      not know whether their insurance company reimburses exercise
                      programs and only $9\%$ would be willing to pay more than
                      €50 per month to participate.A large percentage of
                      patients with MBC lack the skills to engage in regular
                      exercise as recommended by exercise guidelines for people
                      with cancer. Patients may benefit from personalized advice
                      and appropriate training facilities to overcome barriers.
                      When implementing exercise interventions, attention should
                      be given to reimbursement and the relatively low
                      willingness-to-pay.},
      keywords     = {Humans / Middle Aged / Female / Breast Neoplasms: therapy /
                      Cross-Sectional Studies / Exercise / Surveys and
                      Questionnaires / Exercise Therapy / Cancer survivorship
                      (Other) / Exercise (Other) / Metastatic breast cancer
                      (Other) / Patient perspectives (Other)},
      cin          = {C110},
      ddc          = {610},
      cid          = {I:(DE-He78)C110-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:37955790},
      doi          = {10.1007/s00520-023-08124-4},
      url          = {https://inrepo02.dkfz.de/record/285381},
}