Outcomes of exercise training and integrative support services on the physiological and psychosocial outcomes of cancer patients

    Research output: ThesisDoctoral Thesis

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    Abstract

    [Truncated abstract] The increasing number of cancer survivors, attributable to advances in early detection and treatment, has lead to a growing emphasis on patient supportive care strategies. With a complex myriad of disease and treatment related side effects it is crucial for researchers to determine the efficacy of given interventions or supportive services, and the bearing they have on patient outcomes. Recent years have seen an increase in the incidence of haematological malignancies (HEM), a cancer subtype incorporating non-Hodgkin lymphoma (NHL), Hodgkin lymphoma (HL), and myeloma. Along with the increased diagnosis of HEM, there have been concurrent improvements in HEM survival rates creating a survivorship population with unique acute and long-term health considerations. Support services that are integrative and complementary to mainstream medical care have emerged as an integral aspect of patient management during and post cancer treatment. The unique environments created in supportive care centres and the impact of patient engagement with services are largely undocumented and understudied. The first paper presented in this thesis aimed to determine the medical and demographic characteristics of patients accessing support services at integrative oncology centres across Western Australia, in addition to the comparison of patient rated outcomes (PRO) to population normative values. Results from the 95 respondents demonstrated a large proportion of the sample (80%) had at least one other comorbid condition, PRO were significantly worse than comparative populations and half of the sample were not meeting recommended physical activity guidelines. A greater understanding of the health profiles of patients presenting to supportive care centres provides health professionals with key information to foster optimal patient outcomes and enhance the integration of supportive care strategies within mainstream medical care.
    Original languageEnglish
    QualificationDoctor of Philosophy
    Publication statusUnpublished - 2013

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