Active Living After Cancer: Adaptation and evaluation of a community-based physical activity program for minority and medically underserved breast cancer survivors.
breast cancer
cancer survivors
community
health disparities
physical activity
Journal
Cancer
ISSN: 1097-0142
Titre abrégé: Cancer
Pays: United States
ID NLM: 0374236
Informations de publication
Date de publication:
15 Jan 2022
15 Jan 2022
Historique:
revised:
27
07
2021
received:
02
12
2020
accepted:
23
08
2021
pubmed:
24
9
2021
medline:
11
3
2022
entrez:
23
9
2021
Statut:
ppublish
Résumé
An expanding body of research documents the benefits of physical activity for cancer survivors' physical functioning and quality of life, but few successful models provide community-based physical activity programs to cancer survivors. This report presents an evaluation of Active Living After Cancer, an evidence-based physical activity program for breast cancer survivors, adapted for community delivery to minority and medically underserved survivors. Survivors were recruited from health care and community settings. The program consisted of 12 weekly group sessions providing training in cognitive and behavioral skills for behavior change, brief physical activity, and cancer survivorship-related content. At the baseline and follow-up, participants completed assessments of their physical activity, quality of life, and physical functioning (6-minute walk and 30-second sit-to-stand test). At follow-up, they also completed questionnaires to measure program content mastery and satisfaction. The outcome analysis included 127 participants. Physical activity and quality of life (mental and physical) improved from the baseline to follow-up (all P < .01). Physical functioning improved, with increases in sit-to-stand repetitions (mean, 12.5 at the baseline vs 14.9 at the follow-up; P < .01) and 6-minute walk distances (mean, 428 m at the baseline vs 470 m at the follow-up; P < .01). The results highlight the effectiveness of an evidence-based program adapted for community-based delivery to minority and medically underserved breast cancer survivors. The program could be delivered to improve outcomes in diverse survivor populations. Physical activity in breast cancer survivors is related to better quality of life and longer cancer-free survival. However, there are few community-based programs to help breast cancer survivors to become more physically active. The Active Living After Cancer program was adapted from an evidence-based program and delivered in community-based settings to minority and medically underserved breast cancer survivors. It consisted of 12 weekly group sessions in which participants learned skills to increase their physical activity. The program participants increased their physical activity and improved their mental and physical well-being and physical functioning.
Sections du résumé
BACKGROUND
BACKGROUND
An expanding body of research documents the benefits of physical activity for cancer survivors' physical functioning and quality of life, but few successful models provide community-based physical activity programs to cancer survivors. This report presents an evaluation of Active Living After Cancer, an evidence-based physical activity program for breast cancer survivors, adapted for community delivery to minority and medically underserved survivors.
METHODS
METHODS
Survivors were recruited from health care and community settings. The program consisted of 12 weekly group sessions providing training in cognitive and behavioral skills for behavior change, brief physical activity, and cancer survivorship-related content. At the baseline and follow-up, participants completed assessments of their physical activity, quality of life, and physical functioning (6-minute walk and 30-second sit-to-stand test). At follow-up, they also completed questionnaires to measure program content mastery and satisfaction.
RESULTS
RESULTS
The outcome analysis included 127 participants. Physical activity and quality of life (mental and physical) improved from the baseline to follow-up (all P < .01). Physical functioning improved, with increases in sit-to-stand repetitions (mean, 12.5 at the baseline vs 14.9 at the follow-up; P < .01) and 6-minute walk distances (mean, 428 m at the baseline vs 470 m at the follow-up; P < .01).
CONCLUSIONS
CONCLUSIONS
The results highlight the effectiveness of an evidence-based program adapted for community-based delivery to minority and medically underserved breast cancer survivors. The program could be delivered to improve outcomes in diverse survivor populations.
LAY SUMMARY
BACKGROUND
Physical activity in breast cancer survivors is related to better quality of life and longer cancer-free survival. However, there are few community-based programs to help breast cancer survivors to become more physically active. The Active Living After Cancer program was adapted from an evidence-based program and delivered in community-based settings to minority and medically underserved breast cancer survivors. It consisted of 12 weekly group sessions in which participants learned skills to increase their physical activity. The program participants increased their physical activity and improved their mental and physical well-being and physical functioning.
Identifiants
pubmed: 34554567
doi: 10.1002/cncr.33904
pmc: PMC8738132
mid: NIHMS1736279
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
353-363Subventions
Organisme : NCI NIH HHS
ID : P30 CA016672
Pays : United States
Organisme : Cancer Prevention and Research Institute of Texas
ID : PP130079
Informations de copyright
© 2021 The Authors. Cancer published by Wiley Periodicals LLC on behalf of American Cancer Society.
Références
Obesity (Silver Spring). 2017 Nov;25 Suppl 2:S9-S22
pubmed: 29086526
Qual Life Res. 2009 Sep;18(7):873-80
pubmed: 19543809
Transl Behav Med. 2019 Jan 1;9(1):1-10
pubmed: 29346635
Front Public Health. 2015 Apr 27;2:171
pubmed: 25964905
Patient Educ Couns. 2006 Dec;64(1-3):225-34
pubmed: 16843633
J Cancer Surviv. 2020 Aug;14(4):556-577
pubmed: 32240461
J Nurs Scholarsh. 2017 Sep;49(5):529-536
pubmed: 28755453
CA Cancer J Clin. 2019 Nov;69(6):468-484
pubmed: 31617590
Clin Cancer Res. 2016 Oct 1;22(19):4766-4775
pubmed: 27407093
J Oncol Pract. 2012 Nov;8(6):320-4, 2 p following 324
pubmed: 23598839
Cancer. 2022 Jan 15;128(2):353-363
pubmed: 34554567
J Geriatr Phys Ther. 2018 Jan/Mar;41(1):42-48
pubmed: 27341327
Int J Behav Nutr Phys Act. 2018 Jun 7;15(1):48
pubmed: 29879993
Med Sci Sports Exerc. 2019 Nov;51(11):2375-2390
pubmed: 31626055
Can J Sport Sci. 1992 Dec;17(4):338-45
pubmed: 1330274
PM R. 2017 Sep;9(9S2):S347-S384
pubmed: 28942909
Int J Environ Res Public Health. 2020 Jun 01;17(11):
pubmed: 32492824
Cancer. 2017 Apr 1;123(7):1249-1258
pubmed: 27893938
Med Sci Sports Exerc. 2003 Aug;35(8):1381-95
pubmed: 12900694
J Am Geriatr Soc. 2017 Feb;65(2):e39-e44
pubmed: 27943255
Curr Oncol. 2017 Oct;24(5):284-294
pubmed: 29089795
Clin J Oncol Nurs. 2015 Apr;19(2):213-7
pubmed: 25840387
Gerontologist. 2013 Apr;53(2):255-67
pubmed: 22613940
Oncol Nurs Forum. 2013 May 1;40(3):E126-34
pubmed: 23615146
J Natl Compr Canc Netw. 2016 Dec;14(12):1555-1562
pubmed: 27956540
Implement Sci. 2015 Feb 12;10:21
pubmed: 25889199
JAMA. 1999 Jan 27;281(4):327-34
pubmed: 9929085
J Immigr Minor Health. 2012 Dec;14(6):1082-9
pubmed: 22610693
Support Care Cancer. 2019 Dec;27(12):4435-4450
pubmed: 31418074