“…Psychosocial sequellae may manifest as a result of reduced ability to engage in leisure activities, (Edelman & Mandle, 2006;Pedersen, Sawatzky, & Hack, 2010) alongside disruptions to other meaningful roles in work and family life Radina & Fu, 2011). Many breast cancer survivors either cease or decrease participation in leisurely activities because of the discomforts of arm morbidity (Karki, Simonen, Mälkiä, & Selfe, 2005;Miedema et al, 2008Miedema et al, , 2011. However, maintaining participation in leisurely activities may improve quality of life, as well as physical and mental health, among cancer survivors (Burnham & Wilcox 2002;Kendall, MahueGiangreco, Carpenter, Ganz, & Bernstein, 2005;McNeely et al, 2006).…”