Supplementary Information files for Increasing physical activity levels following treatment for cervical cancer: an intervention mapping approach

Supplementary Information files for Increasing physical activity levels following treatment for cervical cancer: an intervention mapping approach<br>Purpose The purpose of this study was to utilise the intervention mapping (IM) protocol as a framework with which to develop an intervention underpinned by relevant behaviour change theory to promote physical activity (PA) following treatment for cervical cancer. Methods The six steps of the IM protocol were followed. A qualitative semi-structured interview study and a rapid review of the literature were conducted along with the development of a logic model of the problem and a logic model of change to inform intervention development. Results An intervention was developed which aims to increase PA levels following treatment for cervical cancer, tailored to address key findings from the IM needs assessment. These include embedding behavioural and social strategies that help participants to overcome perceived barriers to PA participation; goal setting strategies to gradually increase PA levels with a view of reaching relevant PA guidelines for cancer survivors and feedback to encourage self-assessment of well-being and PA capability. Conclusion This study maps the development of a novel PA intervention for those who have been treated for cervical cancer. The use of a systematic development framework was necessary as little insight exists regarding PA preferences after treatment for cervical cancer. Implications for Cancer Survivors PA behaviour is associated with positive physical and psychological health outcomes for cancer survivors. Optimising targeted promotion of PA behaviour following treatment for cervical cancer may result in an enhanced survivorship experience through increased PA behaviour and improved quality of life (QOL).<br>

《宫颈癌治疗后提升身体活动水平：采用干预映射方法》研究补充信息文件<br>## 目的 本研究旨在以干预映射（Intervention Mapping, IM）框架为基础，依托相关行为改变理论开发一项干预方案，以促进宫颈癌治疗后患者的身体活动（Physical Activity, PA）水平提升。<br>## 方法 本研究遵循干预映射框架的六个步骤开展工作：开展质性半结构化访谈研究与快速文献综述，同时构建问题逻辑模型与改变逻辑模型，为干预方案的开发提供依据。<br>## 结果 本研究开发了一款面向宫颈癌治疗后患者的干预方案，旨在提升其身体活动水平，该方案贴合干预映射需求评估的核心发现进行定制。方案具体内容包括：嵌入行为与社会策略，帮助参与者克服参与身体活动的感知障碍；设置目标设定策略，逐步提升身体活动水平以达到癌症幸存者相关身体活动指南标准；配套反馈机制，鼓励参与者对自身健康状况与身体活动能力进行自我评估。<br>## 结论 本研究明确了一款面向宫颈癌治疗后患者的新型身体活动干预方案的开发流程。由于目前对宫颈癌治疗后患者的身体活动偏好认知不足，因此采用系统化的开发框架十分必要。<br>## 对癌症幸存者的启示 身体活动行为与癌症幸存者的躯体及心理健康结局呈显著正相关。针对宫颈癌治疗后患者优化身体活动行为的靶向推广，可通过提升其身体活动水平、改善生活质量（Quality of Life, QOL），进而优化其康复体验。