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Development of an exercise adherence program for breast cancer survivors with cancer-related fatigue-an intervention mapping approach

Authors
 Sue Kim  ;  Yun Hee Ko  ;  Yoonkyung Song  ;  Min Jae Kang  ;  Hyojin Lee  ;  Sung Hae Kim  ;  Justin Y. Jeon  ;  Young Up Cho  ;  Gihong Yi  ;  Jeehee Han 
Citation
 SUPPORTIVE CARE IN CANCER, Vol.27(12) : 4745-4752, 2019 
Journal Title
 SUPPORTIVE CARE IN CANCER 
ISSN
 0941-4355 
Issue Date
2019
MeSH
Adaptation, Psychological ; Adult ; Antineoplastic Protocols* ; Breast Neoplasms/physiopathology ; Breast Neoplasms/psychology ; Breast Neoplasms/rehabilitation* ; Cancer Survivors* ; Exercise ; Fatigue/etiology ; Fatigue/psychology ; Fatigue/therapy* ; Female ; Focus Groups ; Humans ; Middle Aged ; Quality of Life ; Randomized Controlled Trials as Topic/methods* ; Young Adult
Keywords
Breast cancer survivor ; Cancer-related fatigue ; Exercise adherence ; Intervention mapping protocol ; Social capital
Abstract
PURPOSE: Cancer-related fatigue (CRF) is the most common and distressing symptom in breast cancer survivors (BCS), with severe impact on quality of life. CRF can be reduced through exercise, but conversely, is also a barrier to exercising. The aim of this article was to apply the intervention mapping protocol (IMP) to develop an exercise adherence intervention for BCS with CRF. METHOD: The program was developed using the IMP, which consists of six steps. Based on the data from focus group interviews and literature review, we produced a logic model of change. RESULTS: Two performance objectives (survivors adopt and maintain exercise and survivors cope with fatigue) and 17 change objectives were generated. Also, we designed theory-based methods of change, and strategies for practical application. A structured program plan that includes intervention content and methods, ranges, and program data was proposed. Finally, an implementation and evaluation plan was developed. CONCLUSION: The IMP provided a useful framework to systematically plan an exercise adherence program. This study resulted in a theory and practice-based exercise adherence program, based on behavioral change theories, and practice-based knowledge that fits the needs of BCS with CRF.
Full Text
https://link.springer.com/article/10.1007%2Fs00520-019-04785-2
DOI
10.1007/s00520-019-04785-2
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Ko, Yun Hee(고윤희)
Kim, Sue(김수) ORCID logo https://orcid.org/0000-0003-3785-2445
Cho, Young Up(조영업) ORCID logo https://orcid.org/0000-0003-2936-410X
Han, Jee Hee(한지희)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174744
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