{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:16:48Z","timestamp":1788517008985,"version":"build-2803163510"},"reference-count":47,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"unspecified","delay-in-days":246,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526103356_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Individuals living with advanced pancreatic cancer (APC) face a poor prognosis and high symptom burden. Although exercise training is an evidence-based approach in improving physical and psychological health outcomes in those living with and beyond a cancer diagnosis, there is limited research exploring its role and integration within advanced pancreatic care. The aim of this study was to explore the exercise experiences and perspectives of individuals living with APC in Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103356_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a qualitative interpretive description methodology, we conducted semi-structured interviews with 6 individuals diagnosed with advanced (stage III or IV) exocrine pancreatic cancer from across Canada. Interviews were transcribed verbatim, and transcripts were analyzed using reflexive thematic analysis. Inductive and deductive analysis was conducted using the Behaviour Change Wheel and Theoretical Domains Framework as guiding lenses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103356_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three themes were identified impacting how individuals living with APC perceive and experience exercise: (1)\n                      <jats:italic>Taking control of my journey<\/jats:italic>\n                      ; (2)\n                      <jats:italic>Building the motivation<\/jats:italic>\n                      ; and (3)\n                      <jats:italic>If it was a program for me.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103356_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>This study highlights aspects of the perception of exercise in pancreatic cancer care among individuals living with advanced disease in Canada. Integration of progressive programming, realistic goal setting, and fostering of a supportive environment were identified as important considerations for the care context.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103356","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T09:56:28Z","timestamp":1788515788000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Exploring patient perspectives of exercise in advanced pancreatic cancer care in Canada: A qualitative interpretive description"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0321-1861","authenticated-orcid":false,"given":"Chloe","family":"Cyr","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01e6qks80","id-type":"ROR","asserted-by":"publisher"}],"name":"Dalhousie University"},{"name":"Physical Activity and Cancer Lab"},{"id":[{"id":"https:\/\/ror.org\/0052qq196","id-type":"ROR","asserted-by":"publisher"}],"name":"Beatrice Hunter Cancer Research Institute"},{"name":"Craig\u2019s Cause Pancreatic Cancer Society"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Perry","sequence":"additional","affiliation":[{"name":"Craig\u2019s Cause Pancreatic Cancer Society"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Ramjeesingh","sequence":"additional","affiliation":[{"name":"Craig\u2019s Cause Pancreatic Cancer Society"},{"name":"Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Blanchard","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01e6qks80","id-type":"ROR","asserted-by":"publisher"}],"name":"Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Keats","sequence":"additional","affiliation":[{"name":"Physical Activity and Cancer Lab"},{"id":[{"id":"https:\/\/ror.org\/0052qq196","id-type":"ROR","asserted-by":"publisher"}],"name":"Beatrice Hunter Cancer Research Institute"},{"name":"Dalhousie University"},{"name":"Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"S1478951526103356_ref31","unstructured":"Lewis, J and Ritchie, J (2014) Generalizing from qualitative research. In Ritchie J, Lewis C, McNaughton Nicholls C and Ormston R (eds), Qualitative Research Practice, 2nd edn. London: Sage, pp. 347\u2013366."},{"key":"S1478951526103356_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-020-00873-z"},{"key":"S1478951526103356_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-025-01779-4"},{"key":"S1478951526103356_ref32","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0000000000001753"},{"key":"S1478951526103356_ref38","doi-asserted-by":"publisher","DOI":"10.1016\/j.pan.2014.11.006"},{"key":"S1478951526103356_ref20","doi-asserted-by":"publisher","DOI":"10.3390\/nu9030243"},{"key":"S1478951526103356_ref39","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.4746"},{"key":"S1478951526103356_ref40","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15245899"},{"key":"S1478951526103356_ref43","doi-asserted-by":"publisher","DOI":"10.1158\/1078-0432.CCR-09-1525"},{"key":"S1478951526103356_ref44","volume-title":"Interpretive Description: Qualitative Research for Applied Practice","author":"Thorne","year":"2016"},{"key":"S1478951526103356_ref8","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"S1478951526103356_ref24","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.47649"},{"key":"S1478951526103356_ref46","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20031930"},{"key":"S1478951526103356_ref1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.33336"},{"key":"S1478951526103356_ref28","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-019-02233-6"},{"key":"S1478951526103356_ref29","doi-asserted-by":"publisher","DOI":"10.21037\/cco-23-94"},{"key":"S1478951526103356_ref45","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsampl.2024.100055"},{"key":"S1478951526103356_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1697"},{"key":"S1478951526103356_ref5","first-page":"331","article-title":"Exercise therapy in oncology","volume":"121","author":"Baumann","year":"2024","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"S1478951526103356_ref19","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0300852"},{"key":"S1478951526103356_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2023.01.004"},{"key":"S1478951526103356_ref35","volume-title":"The Behaviour Change Wheel: A Guide to Designing Interventions","author":"Michie","year":"2014"},{"key":"S1478951526103356_ref37","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.0198"},{"key":"S1478951526103356_ref41","doi-asserted-by":"publisher","DOI":"10.1037\/h0092976"},{"key":"S1478951526103356_ref15","doi-asserted-by":"publisher","DOI":"10.1080\/17439760.2016.1262613"},{"key":"S1478951526103356_ref27","doi-asserted-by":"publisher","DOI":"10.21037\/jgo.2017.11.10"},{"key":"S1478951526103356_ref33","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"S1478951526103356_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0000000000001025"},{"key":"S1478951526103356_ref3","doi-asserted-by":"publisher","DOI":"10.1002\/jcsm.12368"},{"key":"S1478951526103356_ref10","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000002116"},{"key":"S1478951526103356_ref18","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2502760"},{"key":"S1478951526103356_ref23","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.21.02810"},{"key":"S1478951526103356_ref47","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2023.1298553"},{"key":"S1478951526103356_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-022-00948-x"},{"key":"S1478951526103356_ref26","doi-asserted-by":"publisher","DOI":"10.3389\/fcacs.2024.1389084"},{"key":"S1478951526103356_ref34","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2004.011155"},{"key":"S1478951526103356_ref30","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13172126"},{"key":"S1478951526103356_ref36","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"S1478951526103356_ref12","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-7-37"},{"key":"S1478951526103356_ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-023-01434-w"},{"key":"S1478951526103356_ref42","doi-asserted-by":"publisher","DOI":"10.1007\/s12646-017-0385-y"},{"key":"S1478951526103356_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/1073274820906124"},{"key":"S1478951526103356_ref21","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2016-0174"},{"key":"S1478951526103356_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(23)00319-4"},{"key":"S1478951526103356_ref11","unstructured":"Canadian Cancer Statistics Advisory Committee, Canadian Cancer Society, Statistics Canada, and Public Health Agency of Canada. (2023) Canadian cancer statistics 2023. cancer.ca\/Canadian-Cancer-Statistics-2023-EN."},{"key":"S1478951526103356_ref17","doi-asserted-by":"publisher","DOI":"10.1177\/1359105309338974"},{"key":"S1478951526103356_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/SPC.0000000000000455"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951526103356","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T09:56:31Z","timestamp":1788515791000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951526103356\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":47,"alternative-id":["S1478951526103356"],"URL":"https:\/\/doi.org\/10.1017\/s1478951526103356","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e214"}}