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dc.contributor.authorRutherford, Zoe
dc.contributor.authorZwolinsky, Stephen
dc.contributor.authorKime, Nicky
dc.contributor.authorPringle, Andy
dc.date.accessioned2021-04-07T12:32:49Z
dc.date.available2021-04-07T12:32:49Z
dc.date.issued2021-03-23
dc.identifier.citationRutherford, Z., Zwolinsky, S., Kime, N. and Pringle, A., (2021). 'A mixed-methods evaluation of care (cancer and rehabilitation exercise): a physical activity and health intervention, delivered in a community football trust'. International Journal of Environmental Research and Public Health, 18(6), pp. 1-27.en_US
dc.identifier.doi10.3390/ijerph18063327
dc.identifier.urihttp://hdl.handle.net/10545/625692
dc.description.abstractWith increasing cancer survivorship has come an increased necessity to support people living with cancer (PLWC) to have a good quality of life including being physically active. Using mixed methods, the current study aimed to use the RE-AIM evaluation framework (Reach, Effectiveness, Adoption, Implementation and Maintenance) to determine how the football community trust delivered CARE (Cancer and Rehabilitation Exercise) intervention was able to increase participants’ physical activity in order to improve their quality of life and regain physiological and psychological function. Quantitative outcome data were collected at baseline, 3 and 6 months using the Cancer Physical Activity Standard Evaluation Framework questionnaire. Semi-structured focus groups (n = 5) captured participants’ (n = 40) lived experience of the reach, effectiveness, adoption, implementation, and maintenance of CARE. Questionnaire data were analysed using repeated measures ANOVAs and qualitative data were thematically analysed. Following diagnosis, CARE was successful in providing participants with a unique and accessible opportunity to become or restart physically activity, by providing a local, socially supportive, and inclusive environment. This resulted in significant increases in physical activity (F(1.58, 23) = 5.98, p = 0.009), quality of life (QoL) (F(2,36) = 13.12, p = 0.000) and significant reductions in fatigue (F(1.57,31) = 11.19, p = 0.000) over 6 months. Participants also reported becoming more active, recovering physical function, regaining independence, and enhanced psychological well-being as a result of attending CARE. Key design features of CARE were also identified across RE-AIM. CARE, a football community trust delivered physical activity intervention was successful in significantly improving participants’ QoL and in regaining the physical and psychological functioning of people living with cancer. Results suggest that maintaining engagement in CARE for 6 months and beyond can support people to maintain these changes. Engaging in robust evaluations such as this can help organizations to successfully secure future funding for their programs.en_US
dc.description.sponsorshipThis research was supported by Leeds Beckett University who received funding from Notts County Foundation.en_US
dc.language.isoenen_US
dc.publisherMDPIen_US
dc.relation.urlhttps://www.mdpi.com/1660-4601/18/6/3327#citeen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectcanceren_US
dc.subjectphysical activityen_US
dc.subjectrehabilitationen_US
dc.titleA mixed-methods evaluation of care (cancer and rehabilitation exercise): a physical activity and health intervention, delivered in a community football trusten_US
dc.typeArticleen_US
dc.identifier.eissn1660-4601
dc.contributor.departmentUniversity of Queenslanden_US
dc.contributor.departmentYorkshire and Harrogate Cancer Allianceen_US
dc.contributor.departmentBradford Institute for Health Researchen_US
dc.contributor.departmentUniversity of Derbyen_US
dc.identifier.journalInternational Journal of Environmental Research and Public Healthen_US
dcterms.dateAccepted2021-03-17
dc.author.detail787106en_US


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