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To understand the lived experiences, thoughts and habits about exercise and PA of persons with early stage non-small cell lung cancer and their significant other(s) following surgery.
It is important to gather information on the lived lives of persons and their significant other(s) following surgery for early stage non-small cell lung cancer (NSCLC). The adaptations these persons make, the challenges they face and their personal experiences need to be investigated so their thoughts and habits about exercise and physical activity (PA) can be better understood. In this way, rehabilitation programs focused on exercise and PA can be better individualized. The individualization of such programs is heavily influenced by the person's experiences, including beliefs and expectations regarding exercise and PA. Observations of and informal conversations with persons with early stage NSCLC and their significant other(s) following surgery will offer insight into the challenges faced by these individuals and the opportunities for exercise and PA, how this does and could fit, within their everyday lives so this can be enhanced. It is important to align exercise and PA to everyday activities, to make it meaningful to individuals (more likely to engage) and to obtain sustained effects in the long term. The investigators expect this study to show the highly personal views and behaviour of these persons, warranting an equally personal communication approach to discuss these issues with these persons in light of developing individualized rehabilitation programs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NSCLC patients 1-3 months after lung resection surgery with or without (neo-)adjuvant therapy | This study will include twenty persons who underwent surgery for early stage I-IIIA NSCLC (with or without (neo-) adjuvant chemotherapy/radiotherapy/immunotherapy) one to three months before inclusion and their carers significant other(s). This can be one person or multiple persons (e.g. partner, parent, child, brother, sister). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Home observations and interview | Other | If persons want to participate, the person will be invited one week before the first observation for a 'warm-up' phone call (W1) as a preparation for the three observations and follow-up interview. During the observations, SH will be an active participant, offering to help with activities of daily life with the person, so opportunities are created to observe and ask questions (sensory ethnography). The person will be asked to take pictures or make drawings of important things in the house as the observer will be able to better understand how they feel about exercise and PA (visual ethnography). Six weeks after the last observation (W10), formal follow-up interviews (30-60 min) with questions based on the observations that took place, will be held to explore specific issues in-depth. |
| Measure | Description | Time Frame |
|---|---|---|
| Barriers and facilitators for exercise and physical activity | Self-developed questionnaire to assess person's motivation and self-efficacy regarding exercise and PA based on Chan et al. (2022) and Rogers et al. (2006) | Visit 1 during week 1 |
| Motivation and self-efficacy | Exercise Self-Efficacy Scale (ESES), Tampa Scale for Kinesiophobia (TSK), Perceived physical activity questionnaire (LIVAS), SRQ-E (Exercise self-regulation questionnaire) | Visit 1 during week 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Socio-demographic information | Name, birth date, address, telephone number, smoking status | Visit 1 during week 1 |
| Anthropometric information | Weight in kg, height in cm |
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Inclusion Criteria:
Exclusion Criteria:
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This study will include twenty persons who underwent surgery for early stage I-IIIA NSCLC (with or without (neo-) adjuvant chemotherapy/radiotherapy/immunotherapy) one to three months before inclusion and their carers significant other(s). This can be one person or multiple persons (e.g. partner, parent, child, brother, sister). In case the person doesn't have a significant other, this person will not be excluded from the study. Purposive sampling will be applied. The study will aim to recruit persons with a wide range of characteristics including age, sex and ethnic cultural background as it is important to recruit a diverse sample. We will not have access to the socio-economic background of persons during the screening process.
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| Name | Affiliation | Role |
|---|---|---|
| Chris Burtin, PhD | University Hasselt | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculteit Revalidatiewetenschappen - Gebouw 7 | Diepenbeek | Limburg | 3590 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42139296 | Derived | Haesevoets S, Muijsenberg AJL, Cops D, Harrison SL, Criel M, Ruttens D, Daenen M, Spruit MA, Demeyer H, Burtin C. The lived experiences of individuals with early stage non-small cell lung cancer following lung surgery: A rapid ethnographic approach. Chron Respir Dis. 2026 Jan-Dec;23:14799731261438123. doi: 10.1177/14799731261438123. Epub 2026 May 15. |
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|
| Visit 1 during week 1 |
| Medical history (from medical file) | Oncological history, pathological staging (TNM 8e edition), treatment type, medication, hospital admissions in the past year | Before visit 1 |
| Lung function (from medical file) | Complete lung function after surgery | Before visit 1 |
| Physical activity | Objectively measured physical activity: Mean steps per day, MVPA, daily walking time, movement intensity during walking, sedentary time (measured by Dynaport MoveMonitor and Actigraph) | One week between the third week and fourth week. |
| Activity related information | Previous exercise/activity interventions. Marital status, living status, education level, last work experience, current work status, feeling of loneliness, having grandchildren and/or a pet(s), experience with step counters/activity trackers | Visit 2 during week 2 |
| Comorbidities | Self-Administered Comorbidity Questionnaire | Visit 2 during week 2 |
| Symptoms of dyspnea | Modified Medical Research Council Dyspnoe vragenlijst (mMRC) | Visit 2 during week 2 |
| Symptoms of fatigue | Multidimensional Fatigue Inventory (MFI-20) | Visit 2 during week 2 |
| Symptoms of anxiety | Depression Anxiety Stress Scale (DASS-21) | Visit 3 during week 3 |
| Health related Quality of Life | European Organization for Research and Treatment of Cancer Quality of Life Questionnaires Core-30 item (EORTC QLQ-C30), European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire and Lung Cancer Module (EORTC QLQ-LC-13) and EuroQoL five-dimensional instrument (EQ-5D) | Visit 3 during week 3 |
| Quality of Life | 36-Item Short Form Survey (SF-36) and 12-Item Short Form Survey (SF-12) | Visit 3 during week 3 |
| Loneliness | Loneliness Scale | Visit 3 during week 3 |
| ID | Term |
|---|---|
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D007407 | Interviews as Topic |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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