Barriers to and facilitators of adherence to pelvic floor muscle exercises and vaginal dilator use among gynecologic cancer patients: a qualitative study

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dc.contributor.authorAraya, Paulina
dc.contributor.authorRoa, Sonia
dc.contributor.authorCeledón, Claudia
dc.contributor.authorCuevas, Mónica
dc.contributor.authorde Sousa, Diego
dc.contributor.authorSacomori, Cinara
dc.date.accessioned2022-10-12T14:24:42Z
dc.date.available2022-10-12T14:24:42Z
dc.date.issued2022
dc.description.abstractObjective: Women with gynecologic cancer may suffer from pelvic floor dysfunction (PFD). Before radiotherapy, prehabilitation with pelvic floor muscle exercises (PFME) and vaginal dilator (VD) might prevent it and foster sexual life. This study aims to explore the experience of gynecologic cancer patients getting external beam radiation treatments regarding barriers to and facilitators of adherence to a prehabilitation program to prevent PFD. Methods: This qualitative research with thematic content analysis included 11 women with gynecologic cancer and different levels of adherence to PFME and VD. Participants were interviewed based on a semi-structured script. The information was analyzed manually, assisted with Nvivo12® software, and triangulated with open coding. Results: High self-motivation, desire to improve their health, symptoms of improvement, availability of time, the desire to resume sexual life, and the support of the partner were facilitators of adherence. The instructional exercise audio, clarity of the information, and closer communication with the physical therapist were also valued. The main barriers were general malaise secondary to oncological treatments, forgetfulness, lack of time, misinformation, lack of coordination with the treatment team, discomfort with the VD, and a feeling of shame. Feedback from the attending physician was a facilitator when present or a barrier when absent. Conclusion: These barriers and facilitators should be considered when designing and implementing preventive programs with PFME and VD. Behavioral counselling should consider the desire to remain sexually active; in such cases, including the partner in the therapeutic process is appraised. Otherwise, the focus should be on benefits for maintenance of pelvic floor function.es
dc.description.versionVersión publicadaes
dc.identifier.citationAraya-Castro P, Roa-Alcaino S, Celedón C, Cuevas-Said M, de Sousa Dantas D, Sacomori C. Barriers to and facilitators of adherence to pelvic floor muscle exercises and vaginal dilator use among gynecologic cancer patients: a qualitative study. Support Care Cancer. 2022 Sep 6:1–10. doi: 10.1007/s00520-022-07344-4es
dc.identifier.urihttps://doi.org/10.1007/s00520-022-07344-4es
dc.identifier.urihttp://hdl.handle.net/11447/6597
dc.language.isoenes
dc.subjectHealth behaviores
dc.subjectGynecologic canceres
dc.subjectPelvic floor muscle exerciseses
dc.subjectVaginal dilatores
dc.subjectTreatment adherence and compliancees
dc.subjectVaginal dilatores
dc.titleBarriers to and facilitators of adherence to pelvic floor muscle exercises and vaginal dilator use among gynecologic cancer patients: a qualitative studyes
dc.typeArticlees
dcterms.sourceSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Canceres

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