{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:36:13Z","timestamp":1777890973460,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["CA122061"],"award-info":[{"award-number":["CA122061"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["CA226960"],"award-info":[{"award-number":["CA226960"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA12197"],"award-info":[{"award-number":["P30CA12197"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Exercise mitigates chemotherapy\u2010related cardiotoxicity, but implementing exercise interventions during chemotherapy treatment can be challenging. Understanding the patient perspective can help refine exercise programs and facilitate successful implementation of future interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To utilize qualitative data to optimize adherence and retention for a future randomized clinical trial involving a tailored physical activity (PA) intervention among breast cancer and lymphoma patients receiving potentially cardiotoxic chemotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eighteen breast cancer and lymphoma patients receiving potentially cardiotoxic chemotherapy who enrolled in a PA intervention completed semi\u2010structured interviews. Interviews focused on reasons for enrollment or dropout, perceptions of study personnel, experiences within the study interventions, and barriers to intervention adherence. Interviews were audio recorded. Key points and potential themes were identified using an integrative synthesis of the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants were on average 53\u2009years (SD\u2009=\u200915) old, were 50% female (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099), predominantly identified as White (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915, 83%), and were mostly non\u2010Hodgkin Lymphoma patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911, 61%). The main reasons for enrollment were altruism and provider recommendation. Participants stated they completed the study because of intrinsic motivation, ease of participation, and positive study experiences. Participants reported favorable perceptions of the study interventions and study staff. Barriers to adherence included symptom burden and lack of motivation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Messages to enhance altruism and collaboration with providers may be important recruitment tools. Developing positive study\u2010staff relationships and delivering tailored, flexible interventions may enhance study adherence and retention. Ultimately, these strategies contribute to the successful implementation of cancer exercise trials.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trials Registration<\/jats:title>\n                    <jats:p>NCT01719562<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71747","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T05:00:57Z","timestamp":1774414857000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Qualitative Study of Breast Cancer and Lymphoma Patients Participating in a Physical Activity Intervention: The Case for Tailored Physical Activity"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0406-0118","authenticated-orcid":false,"given":"Brianna N.","family":"Leitzelar","sequence":"first","affiliation":[{"name":"Department of Social Sciences and Health Policy Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"},{"name":"School of Kinesiology University of Minnesota\u2010Twin Cities  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana V.","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Health and Exercise Science Worrell Professional Center, Wake Forest University  Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aylin A.","family":"Aguilar","sequence":"additional","affiliation":[{"name":"Qualitative and Patient\u2010Reported Outcomes Shared Resource Atrium Health Wake Forest Baptist Comprehensive Cancer Center  Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brianna R.","family":"Wolle","sequence":"additional","affiliation":[{"name":"Department of Health and Exercise Science Worrell Professional Center, Wake Forest University  Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7318-3387","authenticated-orcid":false,"given":"Alexander R.","family":"Lucas","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\u2014Cardiology Virginia Commonwealth University  Richmond Virginia USA"},{"name":"Department of Social and Behavioral Sciences Virginia Commonwealth University School of Public Health  Richmond Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Marshall","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\u2014Cardiology Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Norton","sequence":"additional","affiliation":[{"name":"Department of Health and Exercise Science Worrell Professional Center, Wake Forest University  Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon L.","family":"Mihalko","sequence":"additional","affiliation":[{"name":"Department of Social Sciences and Health Policy Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"},{"name":"Department of Health and Exercise Science Worrell Professional Center, Wake Forest University  Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter H.","family":"Brubaker","sequence":"additional","affiliation":[{"name":"Department of Health and Exercise Science Worrell Professional Center, Wake Forest University  Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakhee","family":"Vaidya","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine (Section on Hematology\u2010Oncology) Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Beth","family":"Seegars","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine (Section on Hematology\u2010Oncology) Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Yazbeck","sequence":"additional","affiliation":[{"name":"Massey Cancer Center Virginia Commonwealth University  Richmond Virginia USA"},{"name":"Department of Internal Medicine Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. 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