为了成功地为转移性乳腺癌 (MBC) 患者实施锻炼计划，服务和患者教育应考虑患者的知识、偏好、价值观和目标。因此，深入了解他们对运动和运动计划的看法非常重要。 在这项横断面调查中，我们招募了来自荷兰、德国、波兰、西班牙和瑞典的 MBC 患者。我们收集了患者关于运动和结果预期的知识和技能的数据。我们确定了参与锻炼计划的障碍和促进因素，以及患者对计划内容和锻炼方式的偏好。共有 420 名患者参与了调查。受访者平均年龄为 56.5 岁 (SD 10.8)，70% 患有骨转移。 68% 的人表示拥有足够的技能进行有氧运动，但只有 35% 的人进行阻力运动。受访者预计运动会给身体带来多种好处，但少数患者预计运动会加剧疼痛（5%）。癌症患者无法参加锻炼计划（27%）、感觉太累（23%）和/或虚弱（23%）是最常报告的障碍。定期锻炼的促进因素是之前积极的身体（72%）和情感（68%）锻炼经历，以及接受物理治疗师或运动/健身教练（62%）的个性化建议。患者对步行最感兴趣，并且更喜欢在公共健身房锻炼，尽管各国之间存在差异。 57% 的人不知道他们的保险公司是否报销锻炼计划，只有 9% 的人愿意每月支付超过 50 欧元来参加。很大一部分 MBC 患者缺乏按照建议进行定期锻炼的技能癌症患者的运动指南。患者可以受益于个性化的建议和适当的培训设施来克服障碍。在实施运动干预时，应关注报销和相对较低的支付意愿。© 2023。作者。

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.© 2023. The Author(s).