This Article Full Text Full Text (PDF) Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Save to my personal folders Download to citation manager Rights & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Pinto, B. M. Articles by Marcus, B. H. Search for Related Content PubMed PubMed Citation Articles by Pinto, B. M. Articles by Marcus, B. H. Social Bookmarking                            What's this?

Home-Based Physical Activity Intervention for Breast Cancer Patients

From the Centers for Behavioral and Preventive Medicine, Miriam Hospital and Brown Medical School, Providence; and Bryant College, Smithfield, RI

Address reprint requests to Bernardine M. Pinto, PhD, The Miriam Hospital, Coro Bldg, Ste 500, One Hoppin St, Providence, RI 02903; e-mail: bpinto{at}lifespan.org

PURPOSE: The efficacy of a home-based physical activity (PA) intervention for early-stage breast cancer patients was evaluated in a randomized controlled trial.

PATIENTS AND METHODS: Eighty-six sedentary women (mean age, 53.14 years; standard deviation, 9.70 years) who had completed treatment for stage 0 to II breast cancer were randomly assigned to a PA or contact control group. Participants in the PA group received 12 weeks of PA counseling (based on the Transtheoretical Model) delivered via telephone, as well as weekly exercise tip sheets. Assessments were conducted at baseline, after treatment (12 weeks), and 6 and 9 month after baseline follow-ups. The post-treatment outcomes are reported here.

RESULTS: Analyses showed that, after treatment, the PA group reported significantly more total minutes of PA, more minutes of moderate-intensity PA, and higher energy expenditure per week than controls. The PA group also out-performed controls on a field test of fitness. Changes in PA were not reflected in objective activity monitoring. The PA group was more likely than controls to progress in motivational readiness for PA and to meet PA guidelines. No significant group differences were found in body mass index and percent body fat. Post-treatment group comparisons revealed significant improvements in vigor and a reduction in fatigue in the PA group. There was a positive trend in intervention effects on overall mood and body esteem.

CONCLUSION: The intervention successfully increased PA and improved fitness and specific aspects of psychological well-being among early-stage breast cancer patients. The success of a home-based PA intervention has important implications for promoting recovery in this population.

Supported by National Cancer Institute grant No. CA 75452 (B.M.P.).

Portions of this paper were presented at the 24th Annual Meeting of the Society of Behavioral Medicine, Salt Lake City, UT, March 19-22, 2003.

Authors' disclosures of potential conflicts of interest are found at the end of this article.

CiteULike    Complore    Connotea    Del.icio.us    Digg    Facebook    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				A. J. Hutchison, J. D. Breckon, and L. H. Johnston Physical Activity Behavior Change Interventions Based on the Transtheoretical Model: A Systematic Review Health Educ Behav, October 1, 2009; 36(5): 829 - 845. [Abstract] [PDF]

				A. Campbell and H. A. Hausenblas Effects of Exercise Interventions on Body Image: A Meta-analysis J Health Psychol, September 1, 2009; 14(6): 780 - 793. [Abstract] [PDF]

				C. Rabin Promoting Lifestyle Change Among Cancer Survivors: When Is the Teachable Moment? American Journal of Lifestyle Medicine, September 1, 2009; 3(5): 369 - 378. [Abstract] [PDF]

				C.-J. Kim, D.-H. Kang, and J.-W. Park A Meta-Analysis of Aerobic Exercise Interventions for Women With Breast Cancer West J Nurs Res, June 1, 2009; 31(4): 437 - 461. [Abstract] [PDF]

				L. K. Zeltzer, C. Recklitis, D. Buchbinder, B. Zebrack, J. Casillas, J. C.I. Tsao, Q. Lu, and K. Krull Psychological Status in Childhood Cancer Survivors: A Report From the Childhood Cancer Survivor Study J. Clin. Oncol., May 10, 2009; 27(14): 2396 - 2404. [Abstract] [Full Text] [PDF]

				L. Q. Rogers, P. Hopkins-Price, S. Vicari, S. Markwell, R. Pamenter, K. S. Courneya, K. Hoelzer, C. Naritoku, B. Edson, L. Jones, et al. Physical Activity and Health Outcomes Three Months After Completing a Physical Activity Behavior Change Intervention: Persistent and Delayed Effects Cancer Epidemiol. Biomarkers Prev., May 1, 2009; 18(5): 1410 - 1418. [Abstract] [Full Text] [PDF]

				S. Al-Majid and D. P. Gray A Biobehavioral Model for the Study of Exercise Interventions in Cancer-related Fatigue Biol Res Nurs, April 1, 2009; 10(4): 381 - 391. [Abstract] [PDF]

				K. M. Bellizzi, J. H. Rowland, N. K. Arora, A. S. Hamilton, M. F. Miller, and N. M. Aziz Physical Activity and Quality of Life in Adult Survivors of Non-Hodgkin's Lymphoma J. Clin. Oncol., February 20, 2009; 27(6): 960 - 966. [Abstract] [Full Text] [PDF]

				J. A. Ligibel, N. Campbell, A. Partridge, W. Y. Chen, T. Salinardi, H. Chen, K. Adloff, A. Keshaviah, and E. P. Winer Impact of a Mixed Strength and Endurance Exercise Intervention on Insulin Levels in Breast Cancer Survivors J. Clin. Oncol., February 20, 2008; 26(6): 907 - 912. [Abstract] [Full Text] [PDF]

				A. H. Miller, S. Ancoli-Israel, J. E. Bower, L. Capuron, and M. R. Irwin Neuroendocrine-Immune Mechanisms of Behavioral Comorbidities in Patients With Cancer J. Clin. Oncol., February 20, 2008; 26(6): 971 - 982. [Abstract] [Full Text] [PDF]

				J. E. Bower Behavioral Symptoms in Patients With Breast Cancer and Survivors J. Clin. Oncol., February 10, 2008; 26(5): 768 - 777. [Abstract] [Full Text] [PDF]

				J. K.H. Vallance, K. S. Courneya, R. C. Plotnikoff, Y. Yasui, and J. R. Mackey Randomized Controlled Trial of the Effects of Print Materials and Step Pedometers on Physical Activity and Quality of Life in Breast Cancer Survivors J. Clin. Oncol., June 10, 2007; 25(17): 2352 - 2359. [Abstract] [Full Text] [PDF]

				S. Ahn, B. Park, D. Noh, S. Nam, E. Lee, M. Lee, S. Kim, K. Lee, S. Park, and Y. Yun Health-related quality of life in disease-free survivors of breast cancer with the general population Ann. Onc., January 1, 2007; 18(1): 173 - 182. [Abstract] [Full Text] [PDF]

				V. B. Stull, D. C. Snyder, and W. Demark-Wahnefried Lifestyle Interventions in Cancer Survivors: Designing Programs That Meet the Needs of This Vulnerable and Growing Population J. Nutr., January 1, 2007; 137(1): 243S - 248S. [Abstract] [Full Text] [PDF]

				W. Demark-Wahnefried, B. M. Pinto, and E. R. Gritz Promoting Health and Physical Function Among Cancer Survivors: Potential for Prevention and Questions That Remain J. Clin. Oncol., November 10, 2006; 24(32): 5125 - 5131. [Abstract] [Full Text] [PDF]

				C. Doyle, L. H. Kushi, T. Byers, K. S. Courneya, W. Demark-Wahnefried, B. Grant, A. McTiernan, C. L. Rock, C. Thompson, T. Gansler, et al. Nutrition and Physical Activity During and After Cancer Treatment: An American Cancer Society Guide for Informed Choices CA Cancer J Clin, November 1, 2006; 56(6): 323 - 353. [Abstract] [Full Text] [PDF]

				M. L. McNeely, K. L. Campbell, B. H. Rowe, T. P. Klassen, J. R. Mackey, and K. S. Courneya Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. Can. Med. Assoc. J., July 4, 2006; 175(1): 34 - 41. [Abstract] [Full Text] [PDF]

				C. Ingram A home based, physical activity intervention increased physical activity, fitness, and vigour and reduced fatigue in sedentary women with early stage breast cancer Evid. Based Nurs., January 1, 2006; 9(1): 19 - 19. [Full Text] [PDF]

				W. Demark-Wahnefried, N. M. Aziz, J. H. Rowland, and B. M. Pinto Riding the Crest of the Teachable Moment: Promoting Long-Term Health After the Diagnosis of Cancer J. Clin. Oncol., August 20, 2005; 23(24): 5814 - 5830. [Abstract] [Full Text] [PDF]