Breast cancer survivors’ preferences for social support features in technology-supported physical activity interventions: findings from a mixed methods evaluation

Lloyd, Gillian R.; Hoffman, Sara A.; Welch, Whitney A.; Blanch‐Hartigan, Danielle; Gavin, Kara L.; Cottrell, Alison; Cadmus-Bertram, Lisa; Spring, Bonnie; Penedo, Frank J.; Courneya, Kerry S.

doi:10.1093/tbm/iby112

Cited by 18 publications

(33 citation statements)

References 35 publications

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“…Some techniques, such as social support, commonly included in trials for weight management had wide ranges of perceived importance, bringing down the mean rating in our small sample. This could be because social support features can take many shapes in mHealth interventions (eg, Facebook group, coaching calls, and message boards), which have varying levels of appeal . Future research should further explore which types of social support are most valued by breast cancer survivors from underserved populations.…”

Section: Discussionmentioning

confidence: 99%

Preferences of mHealth app features for weight management among breast cancer survivors from underserved populations

2019

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KEYWORDS cancer, health status disparities, oncology, obesity management, telemedicine 1 | BACKGROUND A majority of U.S. adults own smartphones (77%), with similar ownership rates between gender and racial/ethnic groups. 1 mHealth has been gaining in popularity as scalable, personalized opportunities to provide effective behavioral change strategies for health promotion among cancer survivors. 2 A systematic review found digital interventions for cancer survivors resulted in improved moderate to vigorous physical activity behaviors and body weight; data was mixed for diet behaviors. 2 However, key questions remain in terms of how mHealth interventions should be optimally designed for breast cancer survivors from underserved populations based on their cultural and literacy differences 3 and the cancer-related disparities they face. 4 Obesity disproportionally affects underserved populations, and excess weight is associated with increased risk of recurrence and decreased survival among breast cancer survivors. 4 Reviewing the Behavior ChangeTechniques (BCTs) present in previous efficacious trials for weight loss among cancer survivors may provide a useful starting point to design mHealth interventions. We examined perceptions of evidenced-based features breast cancer survivors from underserved health disparity-facing populations would find important to include in an mHealth weight management app and to examine the usability of app prototypes.

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Section: Discussionmentioning

confidence: 99%

Preferences of mHealth app features for weight management among breast cancer survivors from underserved populations

2019

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Section: Introductionmentioning

confidence: 99%

“…Adding peer support features to technology-based exercise interventions may enhance their effectiveness [ 42 ] and may be appealing to younger cancer survivors [ 7 , 43 , 44 ]. A mixed methods study of breast cancer survivors’ preferences for social support features within technology-supported, remotely delivered physical activity interventions revealed that survivors were highly interested in using technology-supported message boards to post questions, give and receive feedback, and share ideas with other survivors [ 42 ]. Similarly, survivors believed that sharing their exercise on a progress board or within a private community would help formalize goals, create a sense of accountability, and facilitate an understanding of their achievements relative to their peers [ 42 ]—behavioral theory–supported behavior change techniques [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

“…A mixed methods study of breast cancer survivors’ preferences for social support features within technology-supported, remotely delivered physical activity interventions revealed that survivors were highly interested in using technology-supported message boards to post questions, give and receive feedback, and share ideas with other survivors [ 42 ]. Similarly, survivors believed that sharing their exercise on a progress board or within a private community would help formalize goals, create a sense of accountability, and facilitate an understanding of their achievements relative to their peers [ 42 ]—behavioral theory–supported behavior change techniques [ 31 ]. Previous exercise intervention studies in young cancer survivors that have included online forums through study websites [ 27 , 29 ] or Facebook [ 28 ] have reported low engagement with the forums, perhaps due to lack of moderation [ 27 ] or moderation by a researcher [ 28 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

“…Previous exercise intervention studies in young cancer survivors that have included online forums through study websites [ 27 , 29 ] or Facebook [ 28 ] have reported low engagement with the forums, perhaps due to lack of moderation [ 27 ] or moderation by a researcher [ 28 , 29 ]. Moderation of web- or app-based message boards by other younger cancer survivors could further enhance intervention effectiveness by increasing the likelihood that participants will engage with theory-based strategies designed to promote behavior change [ 42 ]. Further research is needed to determine feasible and acceptable strategies for increasing physical activity, and potential benefits for quality of life, among the understudied population of younger breast cancer survivors.…”

Section: Introductionmentioning

confidence: 99%

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A Remotely Delivered, Peer-Led Physical Activity Intervention for Younger Breast Cancer Survivors (Pink Body Spirit): Protocol for a Feasibility Study and Mixed Methods Process Evaluation

Weiner

Nagel²,

et al. 2020

JMIR Res Protoc

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Background Younger breast cancer survivors consistently report a greater impact of their cancer experience on quality of life compared with older survivors, including higher rates of body image disturbances, sexual dysfunction, and fatigue. One potential strategy to improve quality of life is through physical activity, but this has been understudied in younger breast cancer survivors, who often decrease their activity during and after cancer treatment. Objective The aim of this study is to explore the feasibility and acceptability of a technology-based, remotely delivered, peer-led physical activity intervention for younger breast cancer survivors. We will also assess the preliminary impact of the intervention on changes in physical activity and multiple aspects of quality of life. Methods This study is a community-academic partnership between University of California, San Diego and Haus of Volta, a nonprofit organization that promotes positive self-image in younger breast cancer survivors. This ongoing pilot study aims to recruit 30 younger breast cancer survivors across the United States (<55 years old, >6 months post primary cancer treatment, self-report <60 min of moderate-to-vigorous-intensity physical activity [MVPA]) into a 3-month peer-delivered, fully remote exercise program. Participants will complete 6 biweekly video chat sessions with a trained peer mentor, a fellow younger breast cancer survivor. Participants will receive a Fitbit Charge 3; weekly feedback on Fitbit data from their peer mentor; and access to a private, in-app Fitbit Community to provide and receive support from other participants and all peer mentors. At baseline, 3 months, and 6 months, participants will complete quality of life questionnaires, and MVPA will be measured using the ActiGraph accelerometer. Feasibility and acceptability will be explored through a mixed methods approach (ie, quantitative questionnaires and qualitative interviews). Intervention delivery and adaptations by peer mentors will be tracked through peer mentor self-evaluations and reflections, review of video-recorded mentoring sessions, and monthly templated reflections by the research team. Results Recruitment began in September 2019. As of February 2020, the physical activity intervention is ongoing. Final measures are expected to occur in summer 2020. Conclusions This study explores the potential for physical activity to improve sexual function, body image, and fatigue, key quality of life issues in younger breast cancer survivors. Using peer mentors extends our reach into the young survivor community. The detailed process evaluation of intervention delivery and adaptations by mentors could inform a future hybrid-effectiveness implementation trial. Finally, remote delivery with commercially available technology could promote broader dissemination. Trial Registration ClinicalTrials.gov NCT04064892; https://clinicaltrials.gov/ct2/show/NCT04064892 International Registered Report Identifier (IRRID) DERR1-10.2196/18420

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Intensity of Social Support Matters: A Latent Class Analysis to Identify Levels of Social Support Associated with Optimal Health Outcomes Among Women Living with HIV

et al. 2021

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Social support is associated with improved HIV care and quality of life. We utilized latent class analysis to identify three classes of baseline emotional and tangible perceived social support, termed "Strong", "Wavering" and "Weak". "Weak" vs. "Strong" perceived social support was associated over time with an 8% decreased risk of optimal antiretroviral therapy (ART) adherence for emotional and 6% decreased risk for tangible perceived social support. Importantly, "Wavering" vs "Strong" social support also showed a decreased risk of ART adherence of 6% for emotional and 3% for tangible support. "Strong" vs. "Weak" perceived support had a similar association with undetectable viral load, but the association for "Strong" vs. "Wavering" support was not statistically significant. Intensity of social support is associated with HIV care outcomes, and strong social support may be needed for some individuals. It is important to quantify the level or intensity of social support that is needed to optimize HIV outcomes. Keywords Latent Class Analysis • Social Support • HIV • Adherence • Viral Load • WIHS ResumenEl apoyo social está asociado con una mejor atención y calidad de vida del virus de inmunodeficiencia humana (VIH). Utilizamos el análisis de clase latente para identificar tres clases de apoyo social percibido emocional y tangible de referencia, denominado "fuerte", "vacilante" y "débil". El apoyo social percibido "débil" versus el "fuerte" se asoció con el tiempo con una disminución del 8% en el riesgo de una adherencia óptima al terapia antirretroviral (TAR) para el apoyo emocional y del 6% en el riesgo de un apoyo social percibido tangible. Es importante destacar que el apoyo social "vacilante" frente a "fuerte" también mostró una disminución del riesgo de adherencia al TAR del 6% para el apoyo emocional y del 3% para el apoyo tangible. El apoyo percibido "fuerte" frente a "débil" tuvo una asociación similar con una carga viral indetectable, pero * Aruna Chandran

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Breast cancer survivors’ preferences for social support features in technology-supported physical activity interventions: findings from a mixed methods evaluation

Cited by 18 publications

References 35 publications

Preferences of mHealth app features for weight management among breast cancer survivors from underserved populations

Preferences of mHealth app features for weight management among breast cancer survivors from underserved populations

A Remotely Delivered, Peer-Led Physical Activity Intervention for Younger Breast Cancer Survivors (Pink Body Spirit): Protocol for a Feasibility Study and Mixed Methods Process Evaluation

Intensity of Social Support Matters: A Latent Class Analysis to Identify Levels of Social Support Associated with Optimal Health Outcomes Among Women Living with HIV

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