Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors

Research has shown that recent post-treatment breast cancer survivors face significant challenges around physical activity as they transition to recovery. This review examined randomized controlled trials targeting physical activity behavior change in breast cancer survivors <5 years post-treatme...

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Published in:Breast cancer research and treatment Vol. 149; no. 2; pp. 331 - 342
Main Authors: Bluethmann, Shirley M., Vernon, Sally W., Gabriel, Kelley Pettee, Murphy, Caitlin C., Bartholomew, L. Kay
Format: Journal Article
Language:English
Published: Boston Springer US 01.01.2015
Springer
Springer Nature B.V
Subjects:
Analysis
Behavior
Behavior modification
Behavior Therapy
Breast cancer
Breast Neoplasms - rehabilitation
Breast Neoplasms - therapy
Cancer
Cancer research
Cancer survivors
Cancer therapies
Care and treatment
Drug therapy
Female
Humans
Intervention
Medicine
Medicine & Public Health
Meta-analysis
Motor Activity
Oncology
Physical fitness
Randomized Controlled Trials as Topic
Review
Survivors
Behavior change
Breast cancer
Physical activity
Cancer rehabilitation
Survivorship
ISSN:0167-6806, 1573-7217, 1573-7217
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Abstract Research has shown that recent post-treatment breast cancer survivors face significant challenges around physical activity as they transition to recovery. This review examined randomized controlled trials targeting physical activity behavior change in breast cancer survivors <5 years post-treatment and described (1) characteristics of interventions for breast cancer survivors as well as (2) effect size estimates for these studies. A systematic search was conducted following PRISMA guidelines with Medline, PubMed, PsycINFO, CINAHL, and Scopus databases. Data were abstracted for primary intervention strategies and other details (e.g., setting, duration, theory use). A subgroup analysis was conducted to assess intensity of exercise supervision/monitoring and intervention effectiveness. The search produced 14 unique behavior intervention trials from the US and abroad published 2005–2013. The mean sample size was 153 participants per study. All interventions included moderate-intensity activities plus various behavioral change strategies. Most interventions were partially or entirely home based. The overall standardized mean difference was 0.47 (0.23, 0.67) with p  < 0.001. Most interventions were effective in producing short-term behavior changes in physical activity, but varied greatly relative to intervention strategies and intensity of supervision/monitoring. Highly structured interventions tended to produce larger behavior change effects overall, but many larger effect sizes came from interventions supported by phone counseling or e-mail. We observed that ‘more’ may not be better in terms of direct supervision/monitoring in physical activity behavior interventions. This may be important in exploring less resource-intensive options for effective behavior change strategies for recent post-treatment survivors.
AbstractList Research has shown that recent post-treatment breast cancer survivors face significant challenges around physical activity as they transition to recovery. This review examined randomized controlled trials targeting physical activity behavior change in breast cancer survivors <5 years post-treatment and described (1) characteristics of interventions for breast cancer survivors as well as (2) effect size estimates for these studies. A systematic search was conducted following PRISMA guidelines with Medline, PubMed, PsycINFO, CINAHL, and Scopus databases. Data were abstracted for primary intervention strategies and other details (e.g., setting, duration, theory use). A subgroup analysis was conducted to assess intensity of exercise supervision/monitoring and intervention effectiveness. The search produced 14 unique behavior intervention trials from the US and abroad published 2005-2013. The mean sample size was 153 participants per study. All interventions included moderate-intensity activities plus various behavioral change strategies. Most interventions were partially or entirely home based. The overall standardized mean difference was 0.47 (0.23, 0.67) with p < 0.001. Most interventions were effective in producing short-term behavior changes in physical activity, but varied greatly relative to intervention strategies and intensity of supervision/monitoring. Highly structured interventions tended to produce larger behavior change effects overall, but many larger effect sizes came from interventions supported by phone counseling or e-mail. We observed that 'more' may not be better in terms of direct supervision/monitoring in physical activity behavior interventions. This may be important in exploring less resource-intensive options for effective behavior change strategies for recent post-treatment survivors.
Research has shown that recent post-treatment breast cancer survivors face significant challenges around physical activity as they transition to recovery. This review examined randomized controlled trials targeting physical activity behavior change in breast cancer survivors <5 years post-treatment and described (1) characteristics of interventions for breast cancer survivors as well as (2) effect size estimates for these studies. A systematic search was conducted following PRISMA guidelines with Medline, PubMed, PsycINFO, CINAHL, and Scopus databases. Data were abstracted for primary intervention strategies and other details (e.g., setting, duration, theory use). A subgroup analysis was conducted to assess intensity of exercise supervision/monitoring and intervention effectiveness. The search produced 14 unique behavior intervention trials from the US and abroad published 2005-2013. The mean sample size was 153 participants per study. All interventions included moderate-intensity activities plus various behavioral change strategies. Most interventions were partially or entirely home based. The overall standardized mean difference was 0.47 (0.23, 0.67) with p < 0.001. Most interventions were effective in producing short-term behavior changes in physical activity, but varied greatly relative to intervention strategies and intensity of supervision/monitoring. Highly structured interventions tended to produce larger behavior change effects overall, but many larger effect sizes came from interventions supported by phone counseling or e-mail. We observed that 'more' may not be better in terms of direct supervision/monitoring in physical activity behavior interventions. This may be important in exploring less resource-intensive options for effective behavior change strategies for recent post-treatment survivors.Research has shown that recent post-treatment breast cancer survivors face significant challenges around physical activity as they transition to recovery. This review examined randomized controlled trials targeting physical activity behavior change in breast cancer survivors <5 years post-treatment and described (1) characteristics of interventions for breast cancer survivors as well as (2) effect size estimates for these studies. A systematic search was conducted following PRISMA guidelines with Medline, PubMed, PsycINFO, CINAHL, and Scopus databases. Data were abstracted for primary intervention strategies and other details (e.g., setting, duration, theory use). A subgroup analysis was conducted to assess intensity of exercise supervision/monitoring and intervention effectiveness. The search produced 14 unique behavior intervention trials from the US and abroad published 2005-2013. The mean sample size was 153 participants per study. All interventions included moderate-intensity activities plus various behavioral change strategies. Most interventions were partially or entirely home based. The overall standardized mean difference was 0.47 (0.23, 0.67) with p < 0.001. Most interventions were effective in producing short-term behavior changes in physical activity, but varied greatly relative to intervention strategies and intensity of supervision/monitoring. Highly structured interventions tended to produce larger behavior change effects overall, but many larger effect sizes came from interventions supported by phone counseling or e-mail. We observed that 'more' may not be better in terms of direct supervision/monitoring in physical activity behavior interventions. This may be important in exploring less resource-intensive options for effective behavior change strategies for recent post-treatment survivors.
Research has shown that recent post-treatment breast cancer survivors face significant challenges around physical activity as they transition to recovery. This review examined randomized controlled trials targeting physical activity behavior change in breast cancer survivors <5 years post-treatment and described (1) characteristics of interventions for breast cancer survivors as well as (2) effect size estimates for these studies. A systematic search was conducted following PRISMA guidelines with Medline, PubMed, PsycINFO, CINAHL, and Scopus databases. Data were abstracted for primary intervention strategies and other details (e.g., setting, duration, theory use). A subgroup analysis was conducted to assess intensity of exercise supervision/monitoring and intervention effectiveness. The search produced 14 unique behavior intervention trials from the US and abroad published 2005-2013. The mean sample size was 153 participants per study. All interventions included moderate-intensity activities plus various behavioral change strategies. Most interventions were partially or entirely home based. The overall standardized mean difference was 0.47 (0.23, 0.67) with p < 0.001. Most interventions were effective in producing short-term behavior changes in physical activity, but varied greatly relative to intervention strategies and intensity of supervision/monitoring. Highly structured interventions tended to produce larger behavior change effects overall, but many larger effect sizes came from interventions supported by phone counseling or e-mail. We observed that 'more' may not be better in terms of direct supervision/monitoring in physical activity behavior interventions. This may be important in exploring less resource-intensive options for effective behavior change strategies for recent post-treatment survivors. Keywords Breast cancer * Survivorship * Physical activity * Behavior change * Cancer rehabilitation
Research has shown that recent post-treatment breast cancer survivors face significant challenges around physical activity as they transition to recovery. This review examined randomized controlled trials targeting physical activity behavior change in breast cancer survivors <5 years post-treatment and described (1) characteristics of interventions for breast cancer survivors as well as (2) effect size estimates for these studies. A systematic search was conducted following PRISMA guidelines with Medline, PubMed, PsycINFO, CINAHL, and Scopus databases. Data were abstracted for primary intervention strategies and other details (e.g., setting, duration, theory use). A subgroup analysis was conducted to assess intensity of exercise supervision/monitoring and intervention effectiveness. The search produced 14 unique behavior intervention trials from the US and abroad published 2005–2013. The mean sample size was 153 participants per study. All interventions included moderate-intensity activities plus various behavioral change strategies. Most interventions were partially or entirely home based. The overall standardized mean difference was 0.47 (0.23, 0.67) with p  < 0.001. Most interventions were effective in producing short-term behavior changes in physical activity, but varied greatly relative to intervention strategies and intensity of supervision/monitoring. Highly structured interventions tended to produce larger behavior change effects overall, but many larger effect sizes came from interventions supported by phone counseling or e-mail. We observed that ‘more’ may not be better in terms of direct supervision/monitoring in physical activity behavior interventions. This may be important in exploring less resource-intensive options for effective behavior change strategies for recent post-treatment survivors.
Audience Academic
Author Bluethmann, Shirley M.
Murphy, Caitlin C.
Gabriel, Kelley Pettee
Bartholomew, L. Kay
Vernon, Sally W.
AuthorAffiliation 2 The University of North Carolina, Gillings School of Public Health, Chapel Hill, NC
1 The University of Texas School of Public Health, Houston, TX
AuthorAffiliation_xml – name: 2 The University of North Carolina, Gillings School of Public Health, Chapel Hill, NC
– name: 1 The University of Texas School of Public Health, Houston, TX
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  givenname: Shirley M.
  surname: Bluethmann
  fullname: Bluethmann, Shirley M.
  email: shelley.bluethmann@nih.gov, shirley.m.bluethmann@uth.tmc.edu
  organization: Center for Health Promotion and Prevention Research, University of Texas School of Public Health
– sequence: 2
  givenname: Sally W.
  surname: Vernon
  fullname: Vernon, Sally W.
  organization: Center for Health Promotion and Prevention Research, University of Texas School of Public Health
– sequence: 3
  givenname: Kelley Pettee
  surname: Gabriel
  fullname: Gabriel, Kelley Pettee
  organization: Center for Health Promotion and Prevention Research, University of Texas School of Public Health
– sequence: 4
  givenname: Caitlin C.
  surname: Murphy
  fullname: Murphy, Caitlin C.
  organization: Gillings School of Public Health, The University of North Carolina
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  givenname: L. Kay
  surname: Bartholomew
  fullname: Bartholomew, L. Kay
  organization: Center for Health Promotion and Prevention Research, University of Texas School of Public Health
BackLink https://www.ncbi.nlm.nih.gov/pubmed/25555831$$D View this record in MEDLINE/PubMed
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ISSN 0167-6806
1573-7217
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Issue 2
Keywords Behavior change
Breast cancer
Physical activity
Cancer rehabilitation
Survivorship
Language English
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Dr. Bluethmann is now a Cancer Prevention Fellow at the National Cancer Institute
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PublicationTitle Breast cancer research and treatment
PublicationTitleAbbrev Breast Cancer Res Treat
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Snippet Research has shown that recent post-treatment breast cancer survivors face significant challenges around physical activity as they transition to recovery. This...
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Enrichment Source
Publisher
StartPage 331
SubjectTerms Analysis
Behavior
Behavior modification
Behavior Therapy
Breast cancer
Breast Neoplasms - rehabilitation
Breast Neoplasms - therapy
Cancer
Cancer research
Cancer survivors
Cancer therapies
Care and treatment
Drug therapy
Female
Humans
Intervention
Medicine
Medicine & Public Health
Meta-analysis
Motor Activity
Oncology
Physical fitness
Randomized Controlled Trials as Topic
Review
Survivors
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Title Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors
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