Online physical activity and sedentary behaviour information for cancer survivors

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Online physical activity and sedentary behaviour information for cancer survivors Belinda C. Goodwin 1,2 & Fiona Crawford-Williams 2 & Oscar Castro 2 & Arlen Rowe 2,3 & Katrien De Cocker 2 Received: 4 November 2019 / Accepted: 26 March 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Purpose The purpose of this study is to assess the prevalence, content, and nature of information and/or advice regarding physical activity and sedentary behaviour available online for cancer survivors. Methods A search strategy was designed to identify website links that were most likely to be accessed by cancer survivors, living in five English speaking nations, looking for information about maintaining and improving health after a cancer diagnosis. All content pertaining to physical activity and sedentary behaviour was extracted, and proportions of website links containing key information were calculated. Content analysis was performed on the data to describe the nature of information provided. Results Of the 394 website links reviewed, 73.4% contained information about physical activity; however, most websites did not detail recommendations, strategies and potential risks of engaging in physical activity. Less than 10% of the links reviewed contained information about sedentary behaviour. Results varied according to website and cancer type. Conclusions Although the importance of physical activity is frequently mentioned, online content on the subject lacks comprehensive, specific advice. Health advice online for cancer survivors regarding the importance of avoiding sedentary behaviour is scarce with little to no detail on how to achieve this. Implication of cancer survivors Until website conveners improve the comprehensiveness and specificity of the information they provide, cancer survivors may find it difficult to find, via the Internet, the advice required to properly guide and facilitate their safe participation in physical activity and avoidance of sedentary behaviour. Keywords Physical activity . Sedentary behaviour . Sitting . Internet . Review . Website information . Recommendations

Introduction Cancer incidence is on the rise with one in five men and one in six women diagnosed with the disease worldwide [1]. Advancements in treatment and technology mean that survival rates are higher than ever. Maintaining general health after a Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11764-020-00881-z) contains supplementary material, which is available to authorized users. * Belinda C. Goodwin [email protected] 1

Cancer Council Queensland, Gregory Terrace, Fortitude Valley, Queensland, Australia

2

Institute for Resilient Regions, University of Southern Queensland, Sinnathamby Boulevard, Springfield, Queensland, Australia

3

School of Psychology & Counselling, University of Southern Queensland, Sinnathamby Boulevard, Springfield, Queensland, Australia

cancer diagnosis, during treatment, and in the recovery phase is key to increasi