Exploring the Feasibility of a Broad-Reach Physical Activity Behavior Change Intervention for Women Receiving Chemotherapy for Breast Cancer: A Randomized Trial

Abstract

Background: Facilitating healthy levels of physical activity (PA) during chemotherapy is important for the psychosocial and physical health of breast cancer survivors. The primary objective of this feasibility study was to examine the effects of a broad-reach PA behavior change intervention among women with breast cancer receiving adjuvant chemotherapy.Methods: Breast cancer patients receiving adjuvant chemotherapy (N ¼ 95) were randomly assigned to receive a PA resource kit consisting of tailored print materials and a step pedometer (intervention) or a standard public health PA recommendation (standard recommendation). The primary outcome was daily pedometer steps. Secondary outcomes were self-reported light, moderate, and vigorous intensity PA, total moderate-to-vigorous PA, and sedentary time. Assessments were conducted before and after adjuvant chemotherapy.

Feasibility and effect of a physical activity counselling session with or without provision of an activity tracker on maintenance of physical activity in women with breast cancer — A randomised controlled trial

“…This was expected given the motivated convenience sample eligible for participation, and since time requirements of study participation were low. Similarly, previous trials that have evaluated Fitbit- 18 and pedometer-based 30 interventions among women with breast cancer (but that have required greater time commitments from participants compared with SAFE-Maintain) have also reported high recruitment and retention rates (ranging between 70% to 90%). 17,18,30 Nonetheless, it is important to consider the circumstances of the two participants who completed SAFE but refused to participate in this follow-up study.…”

Adherence to Diet and Physical Activity Cancer Prevention Guidelines and Cancer Outcomes: A Systematic Review

“…Data extracted from each study included the author’s first and last names, title, publication year, study population (cohort and sample size), follow-up period, guidelines utilized and how adherence score was generated, covariates, and study outcomes including relative risks (RR) or hazard ratios (HR) and confidence intervals (CI). The Critical Appraisal Skills Programme’s Making sense of evidence (11) was the predetermined tool used to assess the risk of bias. The tool was used to assess recruitment procedures, measurement of exposure, confounding variables, study outcomes, and generalizability.…”

A Systematic Review and Meta-Analysis of the Safety, Feasibility, and Effect of Exercise in Women With Stage II+ Breast Cancer

“…51,53 Intervention characteristics Details of intervention characteristics are shown in Table 1. Approximately one-third of studies (n=20 45,47,48,50,[52][53][54][59][60][61][62][63][64][65][66][67][68][69][70][71] ) evaluated aerobic exercise only, whereas another third (n=21 9,55,57,[72][73][74][75][76][77][78][79][80][81][82][83][84][85][86][87][88][89] ) evaluated combined aerobic and resistance exercise. The remaining studies evaluated resistance exercise only (n=6 studies 46,49,[90][91][92][93] ), or other modes of exercise (n=11,…”

“…9,53,55,56,58,66,91,100,101 Eleven trials involved telephone contact with an exercise specialist 75 , research staff member 61, 68-70, 81, 104 , accredited exercise physiologist 72 , nurse 63 or a physical activity counsellor 64,65 throughout the intervention. The remaining nine unsupervised trials involved other forms of intervention support such as provision of guidebooks or print materials 50,67,71,89,103 , emails with support from an e-counsellor exercise physiologist 79 , a website 88 or exercise instructional videos or CDs. 51,84 Intervention durations ranged between 6 weeks and 1 year (median 12 weeks, Table 1).…”