本研究的目的是调查在受监督的肿瘤康复运动后维持体力活动的感知决定因素，以及在此期间远程辅导干预的可接受性。本研究采用半结构化访谈的现象学定性研究方法进行。从一项关于医院基于随机对照试验的远程辅导效果的研究中，招募了19名参与者（16名女性，3名男性）。干预组（n = 12）和对照组（n = 7）的参与者分别来自被监测的肿瘤康复运动方案中。干预组的参与者在完成运动计划后接受了为期6个月的远程辅导干预，旨在激发体力活动的维持。访谈基于行为的能力、机会和动机模型（COM-B模型）以及可接受性框架（TFA），并使用模板分析进行编码。关于维持体力活动的决定因素的主题包括自我效能、体力活动习惯、问责制、身体不适和设施。远程辅导因提供一种结构和社会支持的源泉，增强了问责制而被感知为可接受。此外，它提高了进行体力活动的信心，从而增加了自我效能水平。一些参与者认为干预的远程性质方便，而另一些人则更愿意额外进行门诊预约。癌症幸存者认为远程辅导可接受，以促进受监督康复后的体力活动的维持。干预措施应重点关注增加问责制、自我效能、养成习惯并帮助癌症幸存者克服障碍的因素。能够在受监督的肿瘤康复项目之外维持体力活动的能力取决于许多因素。远程辅导干预在肿瘤幸存者的运动计划后针对个体相关因素具有潜力。 © 2023. 作者。

The purpose of the study was to investigate perceived determinants of physical activity (PA) maintenance following supervised exercise oncology rehabilitation and the acceptability of a remote coaching intervention during this period.A phenomenological qualitative study with semi-structured interviews was conducted. Nineteen participants (16 women, 3 men) were recruited from the intervention (n = 12) and control group (n = 7) of a randomized controlled trial on the effectiveness of remote coaching following hospital-based, supervised exercise oncology rehabilitation. Participants in the intervention group received a 6-month remote coaching intervention after completing the exercise program, aimed at stimulating PA maintenance. The interviews were based on the Capability, Opportunity, and Motivation model of Behaviour (COM-B model) and the framework of acceptability (TFA) and were coded using template analysis.Key themes regarding determinants of PA maintenance were self-efficacy, PA habits, accountability, physical complaints, and facilities. Remote coaching was perceived acceptable because it stimulated PA maintenance by offering a source of structure and social support and thereby increased accountability. Moreover, it improved confidence to perform PA, leading to increased levels of self-efficacy. The remote nature of the intervention was perceived as convenient by some of the participants, while others would have preferred additional physical appointments.Cancer survivors considered remote coaching acceptable to stimulate PA maintenance following supervised rehabilitation. Interventions should focus on increasing accountability, self-efficacy, forming habits, and helping cancer survivors to overcome barriers.The ability to maintain PA beyond supervised exercise oncology programs depends on many determinants. Remote coaching interventions have potential to target individually relevant determinants following exercise programs in cancer survivors.© 2023. The Author(s).