Anas S Alyazidi, Mahmoud A Gaddoury, Fahad A Alotibi, Khalid M Aljehani, Renad A Ahmed, Saeed A Alhudaifi, Abdulmohsen S Aldharrab, Abdulaziz S Alkhallagi, Rajaa Al-Raddadi
The determining factors of medical students in considering a specialty as a future career path: A cross-sectional multinational study in the Middle East
Journal of family medicine and primary care
breast cancer survivors disproportionately risk cardiovascular disease exercisebased interventions may improve cardiovascular health objective formative research better understand needs patients barriers participation adapted cardiac rehabilitation program diverse breast cancer survivors urban safety net setting recruited 30 participants 10 englishspeaking 10 spanishspeaking 10 cantonesespeaking received treatment curative intent breast cancer urban safety net hospital november 9 2021 august 30 2022 participants completed surveys interviews perspectives health behaviors participating adapted cardiac rehabilitation program interviews qualitatively analyzed using rapid template analysis preselected constructs theory planned behavior unified theory acceptance use technology consolidated framework implementation research well emergent codes developed participant user journey program based responses conducted humancentered design sessions 8 participants iteratively revise participant user journey among 30 participants mean age 567 years standard deviation sd 102 100 female sex assigned birth 1 participant withdrew completing study procedures participants limited health literacy 1829 62 mean body mass index 314 sd 83 2129 72 blood pressure 14090 mmhg 1229 41 blood pressure 13080 mean 6minute walk distance 3849 meters sd 783 desired benefits program included healthy living prevention cancer recurrence barriers participation included motivation social support transportation concerns exercise safety participants emphasized need practicality fitting physical activity daily life nutrition support including recipes shopping lists trusted experts cultural language concordance viewed important aspects program participant interviews humancentered design sessions developed heartact program 12week multidisciplinary program addressing physical activity nutrition emotional wellbeing cardiovascular risk survivorship components indicated eg tobacco cessation future research test effects program patientcentered outcomes