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Pre-post analysis of a social capital-based exercise adherence intervention for breast cancer survivors with moderate fatigue: a randomized controlled trial

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.28(11) : 5281-5289, 2020-11 
Journal Title
 SUPPORTIVE CARE IN CANCER 
ISSN
 0941-4355 
Issue Date
2020-11
MeSH
Adult ; Anxiety / epidemiology ; Anxiety / etiology ; Anxiety / therapy ; Breast Neoplasms / epidemiology ; Breast Neoplasms / psychology ; Breast Neoplasms / rehabilitation* ; Cancer Survivors* / psychology ; Cancer Survivors* / statistics & numerical data ; Exercise / physiology ; Exercise Therapy / methods* ; Exercise Therapy / organization & administration ; Fatigue / epidemiology ; Fatigue / etiology ; Fatigue / therapy* ; Female ; Humans ; Middle Aged ; Patient Compliance* / statistics & numerical data ; Program Evaluation ; Quality of Life ; Republic of Korea / epidemiology ; Social Capital ; Surveys and Questionnaires ; Young Adult
Keywords
Breast cancer survivor ; Cancer-related fatigue ; Exercise adherence ; Social capital
Abstract
Purpose: This study assessed the effectiveness of the Better Life After Cancer: Energy, Strength, and Support (BLESS) program, a 12-week social capital-based exercise adherence program for breast cancer survivors (BCS), regarding cancer-related fatigue (CRF), quality of life (QOL), physical activity, and psychosocial characteristics. Methods: Forty-eight BCS with moderate or high (≥ 4) CRF participated in this randomized control trial (intervention group n = 23, control group n = 25). The intervention group participated in small group sessions to activate social capital while targeting CRF in supervised physical exercises supplemented by home-based physical exercises. The control group was only given written information on exercise. A questionnaire was used to assess CRF, QOL, physical activity, depression, anxiety, sleep quality, and social capital. Results: The majority of participants had undergone surgery less than 2 years ago. After participating in BLESS, the CRF behavioral/severity domain significantly decreased (t = 2.642, p = 0.011) and physical activity significantly increased (t = - 2.049, p = 0.046) in the intervention group, in comparison with the control group; there were no significant post-intervention differences in the control group. Both groups showed improvements in sleep quality, depression, anxiety, and QOL. Conclusion: The BLESS program decreased behavioral/severity in the CRF and increased physical activity after 12 weeks among BCS. Future research needs to evaluate whether the promising results on physical activity and behavioral fatigue observed in the short term will persist over time. Also, longer-term effects should be examined.
Full Text
https://link.springer.com/article/10.1007%2Fs00520-020-05363-7
DOI
10.1007/s00520-020-05363-7
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sue(김수) ORCID logo https://orcid.org/0000-0003-3785-2445
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180525
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