A Qualitative Exploration of Knowledge, Attitude, and Preferences for Physical Activity Among Women with a History of Breast Cancer in Western India
Abstract
Objective: Despite the proven benefits of physical activity (PA) in cancer recovery, very few women with a history of breast cancer (WhBC) engage in regular PA programs, especially in a country like India, where sociocultural factors significantly influence women’s participation in PA. Preference assessment is a valuable first step in developing and implementing strategies to improve exercise behavior and practice patterns. The present study aimed to identify the knowledge, attitude, and preferences for PA among WhBC in western India.
Material and Methods: Eighteen WhBC were recruited with convenience sampling. The qualitative approach was adopted using a semi-structured interview guide to understand the knowledge, attitude, and preferences for PA. One-to-one, in-depth interviews were conducted, and conversations were audio-recorded after obtaining written informed consent. Thematic analysis was conducted based on codes and themes derived from the transcripts.
Results: Several themes emerged, including understanding of PA, its perceived effects, perception of being physically active, optimism, and beliefs about PA, guidance from Health Care Professionals (HCPs), influences in PA engagement, and PA preferences. The majority of Indian WhBC considered housework as PA, and were in consensus on continuing it even during survivorship. Participants recognized multidimensional benefits of PA, including both physical and mental well-being, and showed a positive attitude towards it. PA preferences varied, being influenced by cultural norms, gender roles, and socioeconomic factors.
Conclusion: Indian WhBC preferred home-based PA, which primarily involves walking, and is comfortable, safe, and compatible with their daily routines. These findings highlight the need to consider survivors’ perspectives and preferences when designing culturally appropriate PA programs.
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