Abstract
Problem field: Male cancer survivors with late effects have a low uptake to the Danish rehabilitation. It is estimated that it is just every fourth participant in rehabilitation, which is a man. This makes male cancer survivors with late effects, more exposed to the development of late effects, and creates inequality in late effect occurrence in between genders. Some barriers are seen in relation to rehabilitation participation , and risk factors for late effects development in men. There is therefore a basis for change in this area.

Purpose: The purpose of the thesis, is therefore to investigate, motivation for and barriers to rehabilitation participation, and to determine a basis for decision-making, to develop an intervention. The purpose of the interventions is to increase participation and continued participation to rehabilitation, for male cancer survivors with late effects.

Method: To answer the thesis's problems, a systematic literature search has been carried out. to investigate the evidence base for which elements there is a barrier to participation among male cancer survivors with late effects, and what are motivations for participation. Qualitative data was obtained through an interview study, based on a focus group interview. This with the purposes to develop a multi-strain intervention program, that provides the framework for intervention development, to increase participation and continued participation in rehabilitation.

Result: Based on the results of the systematic literature search and the interview study, two interventions have been developed. these should help increase participation in rehabilitation for male cancer survivors with late effects and reduce late effects. Intervention 1 consists of information and advisory talks on discharge after the end of cancer treatment, and to move cancer control, where it is possible, to intervention 2 which takes place in the municipal’s health centers. Intervention 2 consists of supervised group-based and individual physical training activities for men only. As well as the formation of networking groups and the involvement of social relations.

Conclusion: The development of a multi-strain intervention program, targeting male cancer survivors with late effects, aimed at increasing participation and continued participation in rehabilitation. The interventions can be organized from the main results; experience of the accessibility of rehabilitation, coping ability and high self-efficacy, the influence of male gender roles, the importance of physical and mental rehabilitation, and the influence of the network. By implementing the multi-strain intervention program, it will increase the likelihood that male cancer survivors with late effects will participate and maintain the participation in rehabilitation. In the long term, these interventions will be able to reduce the consequences of late effects following cancer.