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. 2021 Mar 22;7(1):e23927. doi: 10.2196/23927

Table 2.

Levers and barriers to physical activity and mHealth use.

Theme Message emerging from the analyses Number of patients citing it Quotes
PAa after breast cancer

Levers


Physical Physical benefits and previous practice are important levers Physical benefits 5/9; Previous practice 4/9
  • And there is another thing that is beneficial too; it’s that I have a lot of joint pain. And indeed, when I move, it hurts less. [Sylvie, 50 years, working part-time]

  • So, it helps the fact that was doing a little bit of physical activity before getting sick. [Rose, 47 years, working part-time]



Psychological Oncologist’s recommendation is an incentive 4/9
  • So, indeed, it’s the oncologist who told me and this made me want to move: “Well, you are tired, there aren’t a hundred options: it’s physical activity!” [Anne, 60 years, sick leave]



Social Doing it in a group, with friends, or with relatives are seen as levers 4/9
  • Because me too, I like doing it in a group. Otherwise it’s hard for me to do physical activity. [Christine, 39 years, working part-time]



Organizational Planning PA sessions to fit PA in the daily regular schedule is helpful Planning PA 2/9
  • When I come home from work at night ... I feel really exhausted ... So I’m lucky to be able to do physical activity at work at lunch time. [Rose, 47 years, working part-time]


Barriers


Physical Late effects of cancer treatment can negatively impact the practice Late effects 9/9
  • And regarding fatigue level, after the end of primary treatments, I was at 10/10. Today, I don’t know, I may be at... it decreased though: I’m at 6/10. But still always with this permanent exhaustion feeling, it is hard to exercise. [Rose, 47 years, working part-time]



Psychological Lack of motivation is a main psychological barrier cited 3/9
  • I’m really not motivated at all. [Sandrine, 44 years, working part-time]

  • So me, I try to do it. But motivation is not always there. [Sylvie, 50 years, working part-time]



Organizational Lack of time is a main organizational barrier cited 2/9
  • But I don’t always have time... It’s also a lack of time. [Rose, 47 years, working part-time]

Use of mHealth

Lever


Psychological To be able to know how many steps a day and track the activity they do is associated with motivation and facilitates the use of these strategies 3/9
  • It’s a tool that allows us to see what we are doing, either when we don’t do a lot, or when we do a lot. [Sylvie, 50 years, working part-time]


Barriers


Psychological Some patients are not familiar or interested in mHealth, which can be a barrier to their use 6/9
  • I think I have a friend who has one. But I have never asked for more details. [Marie, 46 years, full-time]

  • I’m not really interested about that. [Marlène, 29 years, sick leave]

  • Oh, me, I’m not a “connected device” person. I’m not a geek at all. [Anne, 60 years, sick leave]

aPA: physical activity.