Effects of the BEAT Cancer physical activity behavior change intervention on physical activity, aerobic fitness, and quality of life in breast cancer survivors: a multicenter randomized controlled trial

Rogers, Laura Q.; Courneya, Kerry S.; Anton, Philip M.; Hopkins-Price, Patricia; Verhulst, Steven J.; Vicari, Sandra; Robbs, Randall; Mocharnuk, Robert S.; McAuley, Edward

doi:10.1007/s10549-014-3216-z

Cited by 154 publications

(238 citation statements)

References 37 publications

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“…As previously reported, our 3-month physical activity behavior change intervention significantly increased the odds of meeting physical activity recommendations (primary outcome for this trial) (28). Measurement of sleep outcomes as a secondary study outcome provides the opportunity to further address the current knowledge gap by testing sleep outcomes in a larger trial (33).…”

Section: Introductionsupporting

confidence: 72%

Physical Activity and Sleep Quality in Breast Cancer Survivors

Rogers

Courneya

Oster

et al. 2017

Medicine &Amp; Science in Sports &Amp; Exercise

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Purpose Data from large randomized controlled trials confirming sleep quality improvements with aerobic physical activity have heretofore been lacking for post-primary treatment breast cancer survivors. Our primary purpose for this report was to determine the effects of a physical activity behavior change intervention, previously reported to significantly increase physical activity behavior, on sleep quality in post-primary treatment breast cancer survivors. Methods Post-primary treatment breast cancer survivors (n=222) were randomized to a 3-month physical activity behavior change intervention (BEAT Cancer) or usual care. Self-report (Pittsburgh Sleep Quality Index [PSQI]) and actigraphy (latency and efficiency) sleep outcomes were measured at baseline, 3 months (M3), and 6 months (M6). Results After adjusting for covariates, BEAT Cancer significantly improved PSQI global sleep quality when compared with usual care at M3 (mean between group difference [M] = −1.4; 95% CI = −2.1 to −0.7; p < .001) and M6 (M = −1.0; 95% CI = −1.7 to −0.2; P = .01). BEAT Cancer improved several PSQI subscales at M3 (sleep quality M = −0.3; 95% CI = −0.4 to −0.1; P = .002; sleep disturbances M = −0.2; 95% CI = −0.3 to −0.03; P = .016; daytime dysfunction M = −0.2; 95% CI = −0.4 to −0.02; P = .027) but not M6. A non-significant increase in percent of participants classified as good sleepers occurred. No significant between group difference was noted for accelerometer latency or efficiency. Conclusion A physical activity intervention significantly reduced perceived global sleep dysfunction at 3 and 6 months, primarily due to improvements in sleep quality aspects not detected with accelerometer.

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Section: Introductionsupporting

confidence: 72%

Physical Activity and Sleep Quality in Breast Cancer Survivors

Rogers

Courneya

Oster

et al. 2017

Medicine &Amp; Science in Sports &Amp; Exercise

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“…These findings are noteworthy because previous examinations of expressive writing interventions among non-Hispanic Whites have not reported improvements in quality of life [32]. Although the study sample lived in the USA for 18 years on average, the baseline quality of life indicated by FACT (M = 73.3) was low, compared with non-Hispanic White female cancer patients (normative value = 82.1) [33] and breast cancer survivors (M = 84.3) [34]. Perhaps, the significant unmet emotional needs among Chinese-speaking breast cancer survivors [35] render this underserved population more likely to experience the benefits of an intervention, suggesting the importance of conducting intervention studies in underserved populations both from scientific and clinical perspectives.…”

Section: Discussionmentioning

confidence: 66%

Expressive Writing Intervention Improves Quality of Life Among Chinese-American Breast Cancer Survivors: A Randomized Controlled Trial

Lü

Gallagher

Loh³

et al. 2018

Annals of Behavioral Medicine

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Background Expressive writing interventions are shown to confer health benefits for Caucasian cancer survivors. However, few studies reported improved quality of life or studied ethnic minorities. Purpose The study evaluated whether a culturally sensitive expressive writing intervention improved quality of life. Methods Chinese-speaking breast cancer survivors (n = 136) in the USA were randomly assigned to one of three conditions to write three 30-min weekly essays: a cancer-fact condition to write about facts relevant to the cancer experience for three weeks; a self-regulation condition to write about deepest feelings at week 1, stress and coping at week 2, and finding benefits at week 3; or an enhanced self-regulation condition to write about stress and coping at week 1, deepest feelings at week 2, and finding benefits at week 3. Quality of life was assessed by Functional Assessment of Cancer Therapy at baseline, 1-, 3-, and 6-month follow-ups. Results Growth curve models showed that quality of life was increased in the sample from baseline to the 6-month follow-up. The enhanced self-regulation condition had a large and statistically significant effect ConclusionExpressive writing is shown to be an effective intervention to improve quality of life for ChineseAmerican cancer survivors. Future efforts are warranted to disseminate and implement this low-dose and brief intervention in community and clinical settings. Clinical Trial Registration NCT02946619.

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“…78 Among breast cancer survivors, supervised exercise as well as home-based exercise and telephone coaching have been successful in increasing physical activity levels, with increases seen up to 271 minutes/week. 79-81 Weight loss interventions, utilizing in person or telephone coaching have also been successful in this population with weight loss of up to 12.5 kg achieved. 82-84 These studies demonstrate the potential for health behavior modification following a DCIS diagnosis.…”

Section: An Opportunity For Interventionmentioning

confidence: 99%

Health behavior change following a diagnosis of ductal carcinoma in situ: An opportunity to improve health outcomes

Berkman

Trentham‐Dietz

Dittus

et al. 2015

Preventive Medicine

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Ductal carcinoma in situ (DCIS) is a non-invasive breast cancer that comprises approximately 20% of new breast cancer diagnoses. DCIS is predominantly detected by screening mammography prior to the development of any clinical symptoms. Prognosis following a DCIS diagnosis is excellent, due to both the availability of effective treatments and the frequently benign nature of the disease. However, a DCIS diagnosis and its treatment have psychological and physical impacts that often lead to adverse changes in health-related behaviors, including changes in physical activity, body weight, alcohol intake, and smoking, which may represent a greater threat to the woman's overall health than the DCIS itself. Depending on age at diagnosis, women diagnosed with DCIS are 3-13 times more likely to die from non-breast cancer related causes, such as cardiovascular disease, than from breast cancer. Thus, the maintenance and improvement of healthy behaviors that influence a variety of outcomes after diagnosis may warrant increased attention during DCIS management. This may also represent an important opportunity to promote the adoption of healthy behaviors, given that DCIS carries the psychological impact of a cancer diagnosis but also a favorable prognosis. Particular focus is needed to address these issues in vulnerable patient subgroups with pre-existing higher rates of unhealthy behaviors and demonstrated health disparities.

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Effects of the BEAT Cancer physical activity behavior change intervention on physical activity, aerobic fitness, and quality of life in breast cancer survivors: a multicenter randomized controlled trial

Cited by 154 publications

References 37 publications

Physical Activity and Sleep Quality in Breast Cancer Survivors

Physical Activity and Sleep Quality in Breast Cancer Survivors

Expressive Writing Intervention Improves Quality of Life Among Chinese-American Breast Cancer Survivors: A Randomized Controlled Trial

Health behavior change following a diagnosis of ductal carcinoma in situ: An opportunity to improve health outcomes

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