Exploring patient perspectives of exercise in advanced pancreatic cancer care in Canada: A qualitative interpretive description.

OBJECTIVES: Individuals living with advanced pancreatic cancer (APC) face a poor prognosis and high symptom burden. Although exercise training is an evidence-based approach in improving physical and psychological health outcomes in those living with and beyond a cancer diagnosis, there is limited research exploring its role and integration within advanced pancreatic care. The aim of this study was to explore the exercise experiences and perspectives of individuals living with APC in Canada. METHODS: Using a qualitative interpretive description methodology, we conducted semi-structured interviews with 6 individuals diagnosed with advanced (stage III or IV) exocrine pancreatic cancer from across Canada. Interviews were transcribed verbatim, and transcripts were analyzed using reflexive thematic analysis. Inductive and deductive analysis was conducted using the Behaviour Change Wheel and Theoretical Domains Framework as guiding lenses. RESULTS: Three themes were identified impacting how individuals living with APC perceive and experience exercise: (1) Taking control of my journey; (2) Building the motivation; and (3) If it was a program for me. SIGNIFICANCE OF RESULTS: This study highlights aspects of the perception of exercise in pancreatic cancer care among individuals living with advanced disease in Canada. Integration of progressive programming, realistic goal setting, and fostering of a supportive environment were identified as important considerations for the care context.