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 approachPurpose 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).

补充信息文件：提高宫颈癌治疗后体力活动水平：干预映射方法研究目的本研究的目的是利用干预映射（IM）协议作为框架，结合相关行为改变理论，开发旨在促进宫颈癌治疗后体力活动（PA）的干预措施。方法遵循IM协议的六个步骤。进行了定性半结构化访谈研究、文献快速综述，并构建了问题逻辑模型和变革逻辑模型，以指导干预措施的开发。结果开发了一项旨在提高宫颈癌治疗后体力活动水平的干预措施，该措施针对IM需求评估的关键发现进行量身定制。这些包括嵌入有助于参与者克服参与体力活动感知障碍的行为和社会策略；目标设定策略，旨在逐步提高体力活动水平，以期达到针对癌症幸存者的相关体力活动指南；以及反馈信息，以鼓励自我评估健康状况和体力活动能力。结论本研究描绘了针对宫颈癌治疗后个体开发的新型体力活动干预措施的发展过程。由于关于宫颈癌治疗后体力活动偏好的洞察有限，因此使用系统开发框架是必要的。对癌症幸存者的启示体力活动行为与癌症幸存者的积极身体和心理健康结果相关。优化针对宫颈癌治疗后体力活动行为的针对性促进，可能通过提高体力活动行为和改善生活质量（QOL）来增强幸存者的生存体验。