Adapting an Efficacious Peer-Delivered Physical Activity Program for Survivors of Breast Cancer for Web Platform Delivery: Protocol for a 2-Phase Study
Interventions promoting physical activity (PA) among survivors of cancer improve their functioning, reduce fatigue, and offer other benefits in cancer recovery and risk reduction for future cancer. There is a need for interventions that can be implemented on a wider scale than that is possible in re...
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| Vydáno v: | JMIR research protocols Ročník 13; s. e52494 |
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JMIR Publications
19.06.2024
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| Abstract | Interventions promoting physical activity (PA) among survivors of cancer improve their functioning, reduce fatigue, and offer other benefits in cancer recovery and risk reduction for future cancer. There is a need for interventions that can be implemented on a wider scale than that is possible in research settings. We have previously demonstrated that a 3-month peer-delivered PA program (Moving Forward Together [MFT]) significantly increased the moderate to vigorous PA (MVPA) of survivors of breast cancer.
Our goal is to scale up the MFT program by adapting an existing peer mentoring web platform, Mentor1to1. InquistHealth's web platform (Mentor1to1) has demonstrated efficacy in peer mentoring for chronic disease management. We will partner with InquisitHealth to adapt their web platform for MFT. The adaptation will allow for automating key resource-intensive components such as matching survivors with a coach via the web-based peer mentoring platform and collecting key indexes to prepare for large-scale implementation. The aim is to streamline intervention delivery, assure fidelity, and improve survivor outcomes.
In phase 1 of this 2-phase study, we will interview 4 peer mentors or coaches with experience in delivering MFT and use their feedback to create Mentor1to1 web platform adapted for MFT (webMFT). Next, another 4 coaches will participate in rapid, iterative user-centered testing of webMFT. In phase 2, we will conduct a randomized controlled trial by recruiting and training 10 to 12 coaches from cancer organizations to deliver webMFT to 56 survivors of breast cancer, who will be assigned to receive either webMFT or MVPA tracking (control) for 3 months. We will assess effectiveness with survivors' accelerometer-measured MVPA and self-reported psychosocial well-being at baseline and 3 months. We will assess implementation outcomes, including acceptability, feasibility, and program costs from the perspective of survivors, coaches, and collaborating organizations, as guided by the expanded Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.
As of September 2023, phase 1 of the study was completed, and 61 survivors were enrolled in phase 2. Using newer technologies for enhanced intervention delivery, program management, and automated data collection has the exciting promise of facilitating effective implementation by organizations with limited resources. Adapting evidence-based MFT to a customized web platform and collecting data at multiple levels (coaches, survivors, and organizations) along with costs will provide a strong foundation for a robust multisite implementation trial to increase MVPA and its benefits among many more survivors of breast cancer.
The quantitative and qualitative data collected from survivors of cancer, coaches, and organizations will be analyzed to inform a future larger-scale trial of peer mentoring for PA delivered by cancer care organizations to survivors.
ClinicalTrials.gov NCT05409664; https://clinicaltrials.gov/study/NCT05409664.
DERR1-10.2196/52494. |
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| AbstractList | Interventions promoting physical activity (PA) among survivors of cancer improve their functioning, reduce fatigue, and offer other benefits in cancer recovery and risk reduction for future cancer. There is a need for interventions that can be implemented on a wider scale than that is possible in research settings. We have previously demonstrated that a 3-month peer-delivered PA program (Moving Forward Together [MFT]) significantly increased the moderate to vigorous PA (MVPA) of survivors of breast cancer.
Our goal is to scale up the MFT program by adapting an existing peer mentoring web platform, Mentor1to1. InquistHealth's web platform (Mentor1to1) has demonstrated efficacy in peer mentoring for chronic disease management. We will partner with InquisitHealth to adapt their web platform for MFT. The adaptation will allow for automating key resource-intensive components such as matching survivors with a coach via the web-based peer mentoring platform and collecting key indexes to prepare for large-scale implementation. The aim is to streamline intervention delivery, assure fidelity, and improve survivor outcomes.
In phase 1 of this 2-phase study, we will interview 4 peer mentors or coaches with experience in delivering MFT and use their feedback to create Mentor1to1 web platform adapted for MFT (webMFT). Next, another 4 coaches will participate in rapid, iterative user-centered testing of webMFT. In phase 2, we will conduct a randomized controlled trial by recruiting and training 10 to 12 coaches from cancer organizations to deliver webMFT to 56 survivors of breast cancer, who will be assigned to receive either webMFT or MVPA tracking (control) for 3 months. We will assess effectiveness with survivors' accelerometer-measured MVPA and self-reported psychosocial well-being at baseline and 3 months. We will assess implementation outcomes, including acceptability, feasibility, and program costs from the perspective of survivors, coaches, and collaborating organizations, as guided by the expanded Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.
As of September 2023, phase 1 of the study was completed, and 61 survivors were enrolled in phase 2. Using newer technologies for enhanced intervention delivery, program management, and automated data collection has the exciting promise of facilitating effective implementation by organizations with limited resources. Adapting evidence-based MFT to a customized web platform and collecting data at multiple levels (coaches, survivors, and organizations) along with costs will provide a strong foundation for a robust multisite implementation trial to increase MVPA and its benefits among many more survivors of breast cancer.
The quantitative and qualitative data collected from survivors of cancer, coaches, and organizations will be analyzed to inform a future larger-scale trial of peer mentoring for PA delivered by cancer care organizations to survivors.
ClinicalTrials.gov NCT05409664; https://clinicaltrials.gov/study/NCT05409664.
DERR1-10.2196/52494. Interventions promoting physical activity (PA) among survivors of cancer improve their functioning, reduce fatigue, and offer other benefits in cancer recovery and risk reduction for future cancer. There is a need for interventions that can be implemented on a wider scale than that is possible in research settings. We have previously demonstrated that a 3-month peer-delivered PA program (Moving Forward Together [MFT]) significantly increased the moderate to vigorous PA (MVPA) of survivors of breast cancer.BACKGROUNDInterventions promoting physical activity (PA) among survivors of cancer improve their functioning, reduce fatigue, and offer other benefits in cancer recovery and risk reduction for future cancer. There is a need for interventions that can be implemented on a wider scale than that is possible in research settings. We have previously demonstrated that a 3-month peer-delivered PA program (Moving Forward Together [MFT]) significantly increased the moderate to vigorous PA (MVPA) of survivors of breast cancer.Our goal is to scale up the MFT program by adapting an existing peer mentoring web platform, Mentor1to1. InquistHealth's web platform (Mentor1to1) has demonstrated efficacy in peer mentoring for chronic disease management. We will partner with InquisitHealth to adapt their web platform for MFT. The adaptation will allow for automating key resource-intensive components such as matching survivors with a coach via the web-based peer mentoring platform and collecting key indexes to prepare for large-scale implementation. The aim is to streamline intervention delivery, assure fidelity, and improve survivor outcomes.OBJECTIVEOur goal is to scale up the MFT program by adapting an existing peer mentoring web platform, Mentor1to1. InquistHealth's web platform (Mentor1to1) has demonstrated efficacy in peer mentoring for chronic disease management. We will partner with InquisitHealth to adapt their web platform for MFT. The adaptation will allow for automating key resource-intensive components such as matching survivors with a coach via the web-based peer mentoring platform and collecting key indexes to prepare for large-scale implementation. The aim is to streamline intervention delivery, assure fidelity, and improve survivor outcomes.In phase 1 of this 2-phase study, we will interview 4 peer mentors or coaches with experience in delivering MFT and use their feedback to create Mentor1to1 web platform adapted for MFT (webMFT). Next, another 4 coaches will participate in rapid, iterative user-centered testing of webMFT. In phase 2, we will conduct a randomized controlled trial by recruiting and training 10 to 12 coaches from cancer organizations to deliver webMFT to 56 survivors of breast cancer, who will be assigned to receive either webMFT or MVPA tracking (control) for 3 months. We will assess effectiveness with survivors' accelerometer-measured MVPA and self-reported psychosocial well-being at baseline and 3 months. We will assess implementation outcomes, including acceptability, feasibility, and program costs from the perspective of survivors, coaches, and collaborating organizations, as guided by the expanded Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.METHODSIn phase 1 of this 2-phase study, we will interview 4 peer mentors or coaches with experience in delivering MFT and use their feedback to create Mentor1to1 web platform adapted for MFT (webMFT). Next, another 4 coaches will participate in rapid, iterative user-centered testing of webMFT. In phase 2, we will conduct a randomized controlled trial by recruiting and training 10 to 12 coaches from cancer organizations to deliver webMFT to 56 survivors of breast cancer, who will be assigned to receive either webMFT or MVPA tracking (control) for 3 months. We will assess effectiveness with survivors' accelerometer-measured MVPA and self-reported psychosocial well-being at baseline and 3 months. We will assess implementation outcomes, including acceptability, feasibility, and program costs from the perspective of survivors, coaches, and collaborating organizations, as guided by the expanded Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.As of September 2023, phase 1 of the study was completed, and 61 survivors were enrolled in phase 2. Using newer technologies for enhanced intervention delivery, program management, and automated data collection has the exciting promise of facilitating effective implementation by organizations with limited resources. Adapting evidence-based MFT to a customized web platform and collecting data at multiple levels (coaches, survivors, and organizations) along with costs will provide a strong foundation for a robust multisite implementation trial to increase MVPA and its benefits among many more survivors of breast cancer.RESULTSAs of September 2023, phase 1 of the study was completed, and 61 survivors were enrolled in phase 2. Using newer technologies for enhanced intervention delivery, program management, and automated data collection has the exciting promise of facilitating effective implementation by organizations with limited resources. Adapting evidence-based MFT to a customized web platform and collecting data at multiple levels (coaches, survivors, and organizations) along with costs will provide a strong foundation for a robust multisite implementation trial to increase MVPA and its benefits among many more survivors of breast cancer.The quantitative and qualitative data collected from survivors of cancer, coaches, and organizations will be analyzed to inform a future larger-scale trial of peer mentoring for PA delivered by cancer care organizations to survivors.CONCLUSIONSThe quantitative and qualitative data collected from survivors of cancer, coaches, and organizations will be analyzed to inform a future larger-scale trial of peer mentoring for PA delivered by cancer care organizations to survivors.ClinicalTrials.gov NCT05409664; https://clinicaltrials.gov/study/NCT05409664.TRIAL REGISTRATIONClinicalTrials.gov NCT05409664; https://clinicaltrials.gov/study/NCT05409664.DERR1-10.2196/52494.INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)DERR1-10.2196/52494. Background:Interventions promoting physical activity (PA) among survivors of cancer improve their functioning, reduce fatigue, and offer other benefits in cancer recovery and risk reduction for future cancer. There is a need for interventions that can be implemented on a wider scale than that is possible in research settings. We have previously demonstrated that a 3-month peer-delivered PA program (Moving Forward Together [MFT]) significantly increased the moderate to vigorous PA (MVPA) of survivors of breast cancer.Objective:Our goal is to scale up the MFT program by adapting an existing peer mentoring web platform, Mentor1to1. InquistHealth’s web platform (Mentor1to1) has demonstrated efficacy in peer mentoring for chronic disease management. We will partner with InquisitHealth to adapt their web platform for MFT. The adaptation will allow for automating key resource-intensive components such as matching survivors with a coach via the web-based peer mentoring platform and collecting key indexes to prepare for large-scale implementation. The aim is to streamline intervention delivery, assure fidelity, and improve survivor outcomes.Methods:In phase 1 of this 2-phase study, we will interview 4 peer mentors or coaches with experience in delivering MFT and use their feedback to create Mentor1to1 web platform adapted for MFT (webMFT). Next, another 4 coaches will participate in rapid, iterative user-centered testing of webMFT. In phase 2, we will conduct a randomized controlled trial by recruiting and training 10 to 12 coaches from cancer organizations to deliver webMFT to 56 survivors of breast cancer, who will be assigned to receive either webMFT or MVPA tracking (control) for 3 months. We will assess effectiveness with survivors’ accelerometer-measured MVPA and self-reported psychosocial well-being at baseline and 3 months. We will assess implementation outcomes, including acceptability, feasibility, and program costs from the perspective of survivors, coaches, and collaborating organizations, as guided by the expanded Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.Results:As of September 2023, phase 1 of the study was completed, and 61 survivors were enrolled in phase 2. Using newer technologies for enhanced intervention delivery, program management, and automated data collection has the exciting promise of facilitating effective implementation by organizations with limited resources. Adapting evidence-based MFT to a customized web platform and collecting data at multiple levels (coaches, survivors, and organizations) along with costs will provide a strong foundation for a robust multisite implementation trial to increase MVPA and its benefits among many more survivors of breast cancer.Conclusions:The quantitative and qualitative data collected from survivors of cancer, coaches, and organizations will be analyzed to inform a future larger-scale trial of peer mentoring for PA delivered by cancer care organizations to survivors.Trial Registration:ClinicalTrials.gov NCT05409664; https://clinicaltrials.gov/study/NCT05409664International Registered Report Identifier (IRRID):DERR1-10.2196/52494 BackgroundInterventions promoting physical activity (PA) among survivors of cancer improve their functioning, reduce fatigue, and offer other benefits in cancer recovery and risk reduction for future cancer. There is a need for interventions that can be implemented on a wider scale than that is possible in research settings. We have previously demonstrated that a 3-month peer-delivered PA program (Moving Forward Together [MFT]) significantly increased the moderate to vigorous PA (MVPA) of survivors of breast cancer. ObjectiveOur goal is to scale up the MFT program by adapting an existing peer mentoring web platform, Mentor1to1. InquistHealth’s web platform (Mentor1to1) has demonstrated efficacy in peer mentoring for chronic disease management. We will partner with InquisitHealth to adapt their web platform for MFT. The adaptation will allow for automating key resource-intensive components such as matching survivors with a coach via the web-based peer mentoring platform and collecting key indexes to prepare for large-scale implementation. The aim is to streamline intervention delivery, assure fidelity, and improve survivor outcomes. MethodsIn phase 1 of this 2-phase study, we will interview 4 peer mentors or coaches with experience in delivering MFT and use their feedback to create Mentor1to1 web platform adapted for MFT (webMFT). Next, another 4 coaches will participate in rapid, iterative user-centered testing of webMFT. In phase 2, we will conduct a randomized controlled trial by recruiting and training 10 to 12 coaches from cancer organizations to deliver webMFT to 56 survivors of breast cancer, who will be assigned to receive either webMFT or MVPA tracking (control) for 3 months. We will assess effectiveness with survivors’ accelerometer-measured MVPA and self-reported psychosocial well-being at baseline and 3 months. We will assess implementation outcomes, including acceptability, feasibility, and program costs from the perspective of survivors, coaches, and collaborating organizations, as guided by the expanded Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework. ResultsAs of September 2023, phase 1 of the study was completed, and 61 survivors were enrolled in phase 2. Using newer technologies for enhanced intervention delivery, program management, and automated data collection has the exciting promise of facilitating effective implementation by organizations with limited resources. Adapting evidence-based MFT to a customized web platform and collecting data at multiple levels (coaches, survivors, and organizations) along with costs will provide a strong foundation for a robust multisite implementation trial to increase MVPA and its benefits among many more survivors of breast cancer. ConclusionsThe quantitative and qualitative data collected from survivors of cancer, coaches, and organizations will be analyzed to inform a future larger-scale trial of peer mentoring for PA delivered by cancer care organizations to survivors. Trial RegistrationClinicalTrials.gov NCT05409664; https://clinicaltrials.gov/study/NCT05409664 International Registered Report Identifier (IRRID)DERR1-10.2196/52494 |
| Author | Ostendorf, Danielle M Huebschmann, Amy G Patel, Ashwin Kindred, Madison M Dunsiger, Shira I Pinto, Bernardine M |
| AuthorAffiliation | 5 Brown University School of Public Health Providence, RI United States 6 University of Augusta Augusta, GA United States 1 College of Nursing University of South Carolina Columbia, SC United States 4 Department of Medicine University of Colorado School of Medicine Aurora, CO United States 2 Pyx Health Tucson, AZ United States 3 Department of Medicine University of Colorado Anschutz Medical Campus Aurora, CO United States |
| AuthorAffiliation_xml | – name: 4 Department of Medicine University of Colorado School of Medicine Aurora, CO United States – name: 2 Pyx Health Tucson, AZ United States – name: 3 Department of Medicine University of Colorado Anschutz Medical Campus Aurora, CO United States – name: 1 College of Nursing University of South Carolina Columbia, SC United States – name: 6 University of Augusta Augusta, GA United States – name: 5 Brown University School of Public Health Providence, RI United States |
| Author_xml | – sequence: 1 givenname: Bernardine M orcidid: 0000-0002-7324-9339 surname: Pinto fullname: Pinto, Bernardine M – sequence: 2 givenname: Ashwin orcidid: 0009-0007-1891-3392 surname: Patel fullname: Patel, Ashwin – sequence: 3 givenname: Danielle M orcidid: 0000-0002-3923-5726 surname: Ostendorf fullname: Ostendorf, Danielle M – sequence: 4 givenname: Amy G orcidid: 0000-0002-9329-3142 surname: Huebschmann fullname: Huebschmann, Amy G – sequence: 5 givenname: Shira I orcidid: 0000-0001-5636-0601 surname: Dunsiger fullname: Dunsiger, Shira I – sequence: 6 givenname: Madison M orcidid: 0000-0002-4383-553X surname: Kindred fullname: Kindred, Madison M |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38896452$$D View this record in MEDLINE/PubMed |
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| Copyright | Bernardine M Pinto, Ashwin Patel, Danielle M Ostendorf, Amy G Huebschmann, Shira I Dunsiger, Madison M Kindred. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 19.06.2024. 2024. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Bernardine M Pinto, Ashwin Patel, Danielle M Ostendorf, Amy G Huebschmann, Shira I Dunsiger, Madison M Kindred. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 19.06.2024. 2024 |
| Copyright_xml | – notice: Bernardine M Pinto, Ashwin Patel, Danielle M Ostendorf, Amy G Huebschmann, Shira I Dunsiger, Madison M Kindred. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 19.06.2024. – notice: 2024. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: Bernardine M Pinto, Ashwin Patel, Danielle M Ostendorf, Amy G Huebschmann, Shira I Dunsiger, Madison M Kindred. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 19.06.2024. 2024 |
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| Keywords | cost-effectiveness physical activity adoption mobile phone design implementation web platform breast cancer survivors |
| Language | English |
| License | Bernardine M Pinto, Ashwin Patel, Danielle M Ostendorf, Amy G Huebschmann, Shira I Dunsiger, Madison M Kindred. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 19.06.2024. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on https://www.researchprotocols.org, as well as this copyright and license information must be included. |
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| References_xml | – ident: ref1 – year: 2003 ident: ref44 publication-title: Diffusions Of Innovations. 5th edition – year: 1971 ident: ref34 publication-title: Profile of Mood States: Manual – ident: ref6 doi: 10.1016/j.pmrj.2017.07.074 – ident: ref45 doi: 10.1186/1748-5908-9-7 – ident: ref17 doi: 10.1016/s1553-7250(08)34030-6 – ident: ref18 doi: 10.3389/fpubh.2019.00064 – year: 1993 ident: ref22 publication-title: Usability Engineering – ident: ref39 doi: 10.1186/s13012-017-0635-3 – ident: ref42 doi: 10.1186/s13012-019-0898-y – ident: ref7 doi: 10.1249/MSS.0b013e3181e0c112 – volume: 81 start-page: 46 issue: 12 year: 2003 ident: ref41 publication-title: Harv Bus Rev – ident: ref29 doi: 10.1200/JCO.2005.03.080 – ident: ref31 doi: 10.1200/JCO.1997.15.3.974 – volume: 30 start-page: 473 issue: 6 year: 1992 ident: ref32 publication-title: Med Care doi: 10.1097/00005650-199206000-00002 – ident: ref46 doi: 10.1097/MLR.0000000000001664 – ident: ref40 doi: 10.1111/hex.13577 – ident: ref37 doi: 10.1016/j.amepre.2018.04.044 – ident: ref28 doi: 10.2196/mhealth.4229 – year: 2006 ident: ref49 publication-title: From Cancer Patient to Cancer Survivor: Lost in Transition – ident: ref50 doi: 10.1002/pon.3272 – ident: ref2 doi: 10.5306/wjco.v5.i2.177 – ident: ref10 doi: 10.1037//0022-0167.27.4.395 – ident: ref20 doi: 10.1186/s13643-015-0141-0 – ident: ref9 doi: 10.1007/s13142-013-0215-2 – ident: ref14 doi: 10.1037//0022-006x.59.2.295 – ident: ref36 doi: 10.1080/02701367.1992.10607557 – year: 1986 ident: ref16 publication-title: Social Foundations of Thought and Action: A Social Cognitive Theory – ident: ref26 doi: 10.1016/j.jbi.2008.08.010 – ident: ref48 doi: 10.1093/tbm/ibx003 – ident: ref4 doi: 10.1016/j.soncn.2007.08.006 – ident: ref33 doi: 10.1016/s0885-3924(96)00274-6 – ident: ref15 doi: 10.1037//0022-006x.51.3.390 – ident: ref3 doi: 10.1136/bmj.e70 – ident: ref52 doi: 10.1002/cncr.33245 – ident: ref53 doi: 10.3322/caac.21719 – ident: ref13 doi: 10.1093/abm/kaab078 – ident: ref12 doi: 10.1037/hea0000120 – ident: ref19 – ident: ref43 doi: 10.1186/s43058-022-00292-4 – ident: ref8 doi: 10.1123/jpah.2014-0003 – ident: ref27 doi: 10.1007/s12529-014-9395-5 – ident: ref23 doi: 10.1016/s0749-3797(98)00104-4 – ident: ref38 doi: 10.1016/s0749-3797(98)00043-9 – ident: ref51 doi: 10.1249/MSS.0000000000002116 – ident: ref21 – ident: ref25 doi: 10.1016/j.jbi.2019.103208 – ident: ref47 doi: 10.1191/1478088706qp063oa – ident: ref5 doi: 10.1007/s11764-009-0110-5 – ident: ref11 doi: 10.1002/pon.1268 – ident: ref24 doi: 10.1145/3166.3170 – ident: ref30 doi: 10.1097/00005768-199805000-00021 – ident: ref35 doi: 10.1037//0278-6133.11.6.386 |
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| Snippet | Interventions promoting physical activity (PA) among survivors of cancer improve their functioning, reduce fatigue, and offer other benefits in cancer recovery... Background:Interventions promoting physical activity (PA) among survivors of cancer improve their functioning, reduce fatigue, and offer other benefits in... BackgroundInterventions promoting physical activity (PA) among survivors of cancer improve their functioning, reduce fatigue, and offer other benefits in... |
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| SubjectTerms | Adaptation Adult Aerobics Breast cancer Breast Neoplasms - psychology Cancer Survivors - psychology Counseling Exercise Feedback Female Humans Internet Intervention Interviews Mentoring - methods Mentors Middle Aged Peer Group Peer tutoring Physical fitness Protocol Randomized Controlled Trials as Topic Survivor Usability User-centered design |
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| Title | Adapting an Efficacious Peer-Delivered Physical Activity Program for Survivors of Breast Cancer for Web Platform Delivery: Protocol for a 2-Phase Study |
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