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. 2020 Sep 16;10(9):e037460. doi: 10.1136/bmjopen-2020-037460

Table 2.

Barriers to exercise programme

Subtheme Meaningful quotes Participants
Physical aspects Nausea and vomiting 1 Treatment made me lethargic and I vomited so often, it was impossible to exercise. I just hope the nausea gets better. That’s all I think about. 1, 2, 3, 4, 5, 6
Sore throat 2 Stomatitis and sore throat kept me from exercising regularly. The pain made me think that I would rather die. 1, 3, 4, 5, 6
Reduced appetite 3 Meal times are the most frightening—07:00, 12:00 and 18:00. I am so afraid of meal times because I puke every time I eat. It is uncontrollable. 1, 2, 3, 4, 5, 6
Lack of energy/fatigue 4 I don’t think I can handle exercise, because I don’t have the energy—no energy at all. I was on an intravenous medication for 25 days. 1, 2, 3, 4, 5, 6
Psychological aspects Decreased willpower 5 I have no desire to exercise and actually I don’t feel like doing anything. I know that I should be able to handle exercise, but don’t want to. 1, 2, 3, 4, 5
Anxiety due to isolated life 6 I’m just stuck here, so I’m going crazy. It’s not because of cancer, but because it is frustrating that I don’t feel stable. I am so frustrated. 1, 2, 4, 5
Environmental aspects Negative stories from other patients 7 I heard that he doesn’t like exercise too. 1, 2, 4
No encouragement from oncologist 8 If the oncologist had talked about the benefits of exercise, I would have participated more. It would have been good if the oncologists had recommended exercise when I was first admitted to the hospital. 1, 2, 4, 5