Predicting Physical Activity in Survivors of Breast Cancer: the Health Action Process Approach at the Intrapersonal Level

Sequeira, Margarida; Pereira, Cí­cero Roberto; Alvarez, Maria‐João

doi:10.1007/s12529-022-10140-3

Cited by 7 publications

(2 citation statements)

References 48 publications

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“…Finally, single-case experimental design appears well-suited to examine personalized interventions and assess experimental manipulations at an individual level. This specific method, which has garnered increasing interest in oncology and PA research 23,24 , requires multiple measures of dependent variables facilitated by realtime monitoring technology.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of a remote physical activity intervention coupled with short text messages in women with breast cancer and severe depressive or anxiety symptoms

Caudroit,

Lapointe,

Comtois

et al. 2024

Preprint

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Introduction: Physical activity (PA) interventions for women with breast cancer (BC) are extensively documented, but its adherence remains modest and patients with severe psychological distress are often excluded. Consequently, this study aimed to test the feasibility and acceptability of a remote PA intervention coupled with motivational text messages among women with BC experiencing severe depressive and/ or anxiety symptoms. Method: A three-phase-single-case experimental study design was conducted among 18 women with BC reporting high levels of depressive and anxiety symptoms: A (pre-intervention; 2-week), B (intervention; 12-week), A’ (post-intervention; 2-week). Our intervention was based on the American College of Sport Medicine’s guidelines and behavior change techniques (BCTs) and included 2 to 3 supervised PA session per week, for at least 30 minutes, coupled with 4 to 7 weekly personalized text messages. Feasibility (satisfaction and drop-out rates), acceptability (participation rates and therapeutic alliance), fidelity (quality of BCTs delivered), and the effectiveness of PA level and physical fitness were assessed. Results: Participants expressed high satisfaction and reported an excellent working alliance with their kinesiologist. Notably, there were very high participation rates (90%) and a low dropout rate (11%). However, only 3 patients significantly increased their PA level between Phase A and A’. Conclusion: This study highlighted the importance to personalize and individualize remote PA interventions for women with BC, particularly those self-reporting severe depressive or anxiety symptoms. The combination of a remote PA intervention with daily text messages appears to be very suitable to increase their adherence.

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Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of a remote physical activity intervention coupled with short text messages in women with breast cancer and severe depressive or anxiety symptoms

Caudroit,

Lapointe,

Comtois

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…An appropriate method, such as single case experimental study (or N-of-1) is necessary to examine the evolution of depressive and anxiety symptoms during the intervention (Bentley et al, 2019). N-of-1 has received an increasing interest in oncology (Sequeira et al, 2023), PA (Lapointe et al, 2023), and mental health research (St-Amour et al, 2024). This design consists in collecting data regularly form participants as they progress through different phases of the study, i.e., the first phase measures the baseline of the interest variables and the subsequent phase serve to introduce the intervention.…”

Section: Introductionmentioning

confidence: 99%

A remote adapted physical activity intervention for women with breast cancer and severe depressive or anxiety symptoms: series of N-of-1 trials with ecological momentary assessment

Caudroit,

St-Amour,

Lapointe

et al. 2024

Preprint

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Background: Women with breast cancer live with the burden of the disease, its treatment, and the psychosocial consequences of illness, often contributing to the experience of psychological distress. At this end, physical activity (PA) is an evidence-based strategy to decrease depressive and anxiety symptoms. However, no study has yet investigated how those psychological symptoms fluctuate and vary during a PA intervention at the individual level, especially for individuals with severe psychological distress. Thus, the aim of the present study was to examine the effects of a 12-week remote PA intervention on daily level of depressive and anxiety symptoms among women with breast cancer and severe depressive or anxiety symptoms. Method: A N-of-1 study followed an ABA’ design was conducted. Each A phase (2-week) represents pre- and post-intervention phase and B phase (12-week) represents the intervention phase. For the whole 16 weeks, participants received a daily prompt to report their depressive and anxiety levels. The intervention combined 2 to 3 (un)supervised remote PA sessions per week coupled with weekly text messages. Results: Sixteen participants completed the intervention. A significant decrease of depressive and anxiety symptoms was found for 9 and 7 participants, respectively. Different temporal patterns of depressive and anxiety were observed during and after the intervention. Interestingly, the impact of PA intervention was generally not immediate and gradual. Conclusion: This study supports the utility of remote PA intervention to improve depressive and anxiety symptoms in women with breast cancer and poor mental health.

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Exploration of helpful elements contributing to engage in physical activity in patients with cancer

Matsui

2024

Support Care Cancer

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Purpose Although there are many reported benefits of physical activity for patients with cancer (e.g., improving quality of life), many patients with cancer do not meet the recommendations of physical activity guidelines. The amount of physical activity declines after diagnosis of cancer. This study aimed to clarify the elements that contribute engagement in regular moderate-or-higher-level intensity of physical activity (MHPA), based on the Health Action Process Approach (HAPA), among patients with cancer. Methods Two web surveys were conducted among cancer outpatients, asking them to respond to a questionnaire. Participants provided information regarding their demographics, physical activity, purpose, advantages, disadvantages, barriers, triggers, and need for support for regular MHPA. Results Categories were obtained for purposes, advantages, disadvantages, barriers, triggers, and support needs for regular MHPA. For example, the support they considered necessary to regularly engage in MHPA were developed 9 categories, such as Improving the environment, Support for the implementation of PA (interpersonal), and Reducing the burden. Women and younger patients provided more statements about reducing their burden; younger patients also mentioned on improving the environment more among those who did not engage in MHPA. Additionally, patients with cancer who provided statements about interpersonal support reported higher barriers to physical activity. Conclusions These findings will contribute to the development of a scale to measure the components of the HAPA on physical activity in patients with cancer. In addition, it will help develop a support system that promotes engagement in regular MHPA.

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Predicting Physical Activity in Survivors of Breast Cancer: the Health Action Process Approach at the Intrapersonal Level

Cited by 7 publications

References 48 publications

Feasibility and acceptability of a remote physical activity intervention coupled with short text messages in women with breast cancer and severe depressive or anxiety symptoms

Feasibility and acceptability of a remote physical activity intervention coupled with short text messages in women with breast cancer and severe depressive or anxiety symptoms

A remote adapted physical activity intervention for women with breast cancer and severe depressive or anxiety symptoms: series of N-of-1 trials with ecological momentary assessment

Exploration of helpful elements contributing to engage in physical activity in patients with cancer

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