Abstract
Purpose/Objectives: To determine whether empirically selected and social cognitive theory-based factors, including baseline characteristics and modifiable behavioral and psychosocial factors, were determinants of physical activity (PA) maintenance in breast cancer survivors (BCSs) six months after a PA intervention. Design: Single-group longitudinal study. Setting: The Breast Health Centre in Winnipeg, Manitoba, Canada. Sample: 42 survivors with stage 0-III breast cancer who completed chemotherapy and/or radiation therapy. Methods: The community-based PA intervention included six weekly education and practice sessions on home-based aerobic, resistance, balance, and flexibility exercises. Main Research Variables: The dependent variable, PA maintenance, was determined based on PA level measurement at six months postintervention. The independent variables of baseline characteristics (age, stage of cancer, and chronic musculoskeletal symptoms) and modifiable behavioral and psychosocial factors (PA level, fatigue, PA self-efficacy in overcoming barriers and performing tasks) were assessed at baseline and postintervention. Findings: Multivariate regression analyses revealed that baseline fatigue and chronic musculoskeletal symptoms were the only factors significantly associated with PA maintenance. Conclusions: Baseline fatigue level and chronic musculoskeletal symptoms were significant determinants of PA maintenance in breast cancer survivors who had completed a community-based PA intervention. However, other key factors were considered. Implications for Nursing: Prior to participation in community-based PA interventions, clinicians should take into account the effects of high baseline fatigue levels and chronic musculoskeletal symptoms on potential PA maintenance, and consider additional assessments and support for BCSs to sustain their PA behavioral change.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 93-102 |
| Number of pages | 10 |
| Journal | Oncology Nursing Forum |
| Volume | 43 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2016 |
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Keywords
- Breast cancer
- Fatigue
- Maintenance
- Musculoskeletal pain
- Physical activity
ASJC Scopus subject areas
- Oncology(nursing)
Cite this
Determinants of physical activity maintenance in breast cancer survivors after a community-based intervention. / Lee, C. Ellen; Von Ah, Diane; Szuck, Beth; Lau, Yiu Keung James.
In: Oncology Nursing Forum, Vol. 43, No. 1, 01.01.2016, p. 93-102.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Determinants of physical activity maintenance in breast cancer survivors after a community-based intervention
AU - Lee, C. Ellen
AU - Von Ah, Diane
AU - Szuck, Beth
AU - Lau, Yiu Keung James
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Purpose/Objectives: To determine whether empirically selected and social cognitive theory-based factors, including baseline characteristics and modifiable behavioral and psychosocial factors, were determinants of physical activity (PA) maintenance in breast cancer survivors (BCSs) six months after a PA intervention. Design: Single-group longitudinal study. Setting: The Breast Health Centre in Winnipeg, Manitoba, Canada. Sample: 42 survivors with stage 0-III breast cancer who completed chemotherapy and/or radiation therapy. Methods: The community-based PA intervention included six weekly education and practice sessions on home-based aerobic, resistance, balance, and flexibility exercises. Main Research Variables: The dependent variable, PA maintenance, was determined based on PA level measurement at six months postintervention. The independent variables of baseline characteristics (age, stage of cancer, and chronic musculoskeletal symptoms) and modifiable behavioral and psychosocial factors (PA level, fatigue, PA self-efficacy in overcoming barriers and performing tasks) were assessed at baseline and postintervention. Findings: Multivariate regression analyses revealed that baseline fatigue and chronic musculoskeletal symptoms were the only factors significantly associated with PA maintenance. Conclusions: Baseline fatigue level and chronic musculoskeletal symptoms were significant determinants of PA maintenance in breast cancer survivors who had completed a community-based PA intervention. However, other key factors were considered. Implications for Nursing: Prior to participation in community-based PA interventions, clinicians should take into account the effects of high baseline fatigue levels and chronic musculoskeletal symptoms on potential PA maintenance, and consider additional assessments and support for BCSs to sustain their PA behavioral change.
AB - Purpose/Objectives: To determine whether empirically selected and social cognitive theory-based factors, including baseline characteristics and modifiable behavioral and psychosocial factors, were determinants of physical activity (PA) maintenance in breast cancer survivors (BCSs) six months after a PA intervention. Design: Single-group longitudinal study. Setting: The Breast Health Centre in Winnipeg, Manitoba, Canada. Sample: 42 survivors with stage 0-III breast cancer who completed chemotherapy and/or radiation therapy. Methods: The community-based PA intervention included six weekly education and practice sessions on home-based aerobic, resistance, balance, and flexibility exercises. Main Research Variables: The dependent variable, PA maintenance, was determined based on PA level measurement at six months postintervention. The independent variables of baseline characteristics (age, stage of cancer, and chronic musculoskeletal symptoms) and modifiable behavioral and psychosocial factors (PA level, fatigue, PA self-efficacy in overcoming barriers and performing tasks) were assessed at baseline and postintervention. Findings: Multivariate regression analyses revealed that baseline fatigue and chronic musculoskeletal symptoms were the only factors significantly associated with PA maintenance. Conclusions: Baseline fatigue level and chronic musculoskeletal symptoms were significant determinants of PA maintenance in breast cancer survivors who had completed a community-based PA intervention. However, other key factors were considered. Implications for Nursing: Prior to participation in community-based PA interventions, clinicians should take into account the effects of high baseline fatigue levels and chronic musculoskeletal symptoms on potential PA maintenance, and consider additional assessments and support for BCSs to sustain their PA behavioral change.
KW - Breast cancer
KW - Fatigue
KW - Maintenance
KW - Musculoskeletal pain
KW - Physical activity
UR - http://www.scopus.com/inward/record.url?scp=84989170542&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84989170542&partnerID=8YFLogxK
U2 - 10.1188/16.ONF.43-01AP
DO - 10.1188/16.ONF.43-01AP
M3 - Article
C2 - 26679449
AN - SCOPUS:84989170542
VL - 43
SP - 93
EP - 102
JO - Oncology Nursing Forum
JF - Oncology Nursing Forum
SN - 1538-0688
IS - 1
ER -