The Feasibility and Acceptability of ExerciseGuide UK: A Web-Based Platform for Personalised Physical Activity Programmes and Educational Resources for Individuals Living with and Beyond Lung Cancer: A Mixed Methods Thesis.

Background: Lung cancer has a high incidence and mortality rate, particularly in older adults (65y+). Physical activity can improve the physical and psychological health of these patients. A virtual exercise and education programme could address barriers to engaging with technology and improve health outcomes.
Purpose: Determine the feasibility and acceptability of a website providing personalised physical activity programmes and education for those diagnosed with lung cancer.
Methods: This doctoral research was comprised of three primary components: 1) a systematic review, 2) development of ExerciseGuide UK and usability assessment, and 3) a mixed-methods study examining of the feasibility and acceptability of ExerciseGuide UK for those living with and beyond lung cancer (LWBLC).
Results: Systematic review findings suggest that online supportive care programmes for people LWBLC may be feasible and acceptable, though the field is within its infancy. The mixed-methods feasibility and acceptability demonstrated that ExerciseGuide UK appears feasible for a subset of lung cancer patients, however, it is important to focus on improving accessibility for those with limited digital access and literacy. Overall, ExerciseGuide UK was well received, and participants regarded it as a useful supplement to current cancer treatment.
Conclusion: ExerciseGuide UK demonstrated low-moderate feasibility and moderate acceptability among those living with and beyond lung cancer. Collaboration with patients contributed insights that were crucial to the study. The key next stages will be to maximise equitable access to digital platforms and interventions, increase support for those who experience breathlessness and continue evaluations through larger trials. The foundation for incorporating digitally delivered, personalised supportive care into lung cancer routes has been set forth in this thesis.