A remotely delivered, peer-led intervention to improve physical activity and quality of life in younger breast cancer survivors.
Younger breast cancer survivors (YBCS) consistently report poorer quality of life (QOL) than older survivors. Increasing physical activity (PA) may improve QOL, but this has been understudied in YBCS. This single arm pilot study evaluated the feasibility and acceptability of a 3-month, peer-delivere...
| Published in: | Journal of Behavioral Medicine Vol. 46; no. 4; pp. 578 - 594 |
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| Main Authors: | , , , , , , , |
| Format: | clinical trial research tables/charts Journal Article |
| Published: |
Springer Nature
Aug2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164900762&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164900762 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Aug2023 vid: 46 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 164900762 160657059 164900762 164900762 10.1007/s10865-022-00381-8 164900762 ppf: 578 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A remotely delivered, peer-led intervention to improve physical activity and quality of life in younger breast cancer survivors. aug: au: Weiner, Lauren S. Nagel, Stori Irene Su, H. Hurst, Samantha Levy, Susan S. Arredondo, Elva M. Hekler, Eric Hartman, Sheri J. affil: Herbert Wertheim School of Public Health and Human Longevity Science, UC San Diego, La Jolla, CA, USA sug: subj: Peer Group Health Promotion Methods Telehealth Physical Activity Evaluation Exercise Quality of Life Evaluation Breast Neoplasms Cancer Survivors Psychosocial Factors Cancer Survivors Psychosocial Factors Human Adult Middle Age Female Pilot Studies Clinical Trials Fitness Trackers Support, Social Pretest-Posttest Design Questionnaires Accelerometry Exercise Intensity Self Report Muscle Strength Pliability Multimethod Studies Interviews Personal Satisfaction One-Way Analysis of Variance Repeated Measures Prospective Studies Body Image Health Behavior Anxiety Prevention and Control Fatigue Prevention and Control Support, Psychosocial Mentorship Adult: 19-44 years Middle Aged: 45-64 years Female ab: Younger breast cancer survivors (YBCS) consistently report poorer quality of life (QOL) than older survivors. Increasing physical activity (PA) may improve QOL, but this has been understudied in YBCS. This single arm pilot study evaluated the feasibility and acceptability of a 3-month, peer-delivered, remote intervention to increase PA and improve QOL in YBCS. Data were collected from October 2019 – July 2020. Participants (n = 34, 43.1 ± 5.5 years old, 46 ± 34.4 months post-diagnosis, BMI = 30.2 ± 7.4 kg/m2) completed six video sessions with a trained peer mentor; self-monitored PA with a Fitbit activity tracker; and interacted with a private Fitbit Community for social support. At baseline, 3-and 6-months, participants completed QOL questionnaires and PA was measured through accelerometer (moderate-to-vigorous PA [MVPA]) and self-report (strength and flexibility). A parallel mixed-methods approach (qualitative interviews and quantitative satisfaction survey at 3-months) explored intervention feasibility and acceptability. One-way repeated-measures ANOVAs examined impacts on PA and QOL at 3-and 6-months. The intervention was feasible as evidenced by efficient recruitment, high retention, and adherence to intervention components. Remote delivery, working with a peer mentor, and using Fitbit tools were highly acceptable. From baseline to 3-months, participants increased time spent in objectively measured MVPA, strength, and flexibility exercises, and reported meaningful improvements to body image, fatigue, anxiety, and emotional support. A fully remote, peer-to-peer intervention is an acceptable and promising strategy to increase PA and improve QOL in YBCS. Refinements to the intervention and its delivery should be further assessed in future studies, toward the goal of disseminating an evidence-based, scalable intervention to the growing number of YBCS. Trial registration Prospectively registered as NCT04064892. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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