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Erschienen in: Journal of Cancer Survivorship 5/2022

07.09.2021 | Meta Analyses

Physical activity interventions using behaviour change theories for women with breast cancer: a systematic review and meta-analysis

verfasst von: Mark Guosheng Liu, Glen M. Davis, Sharon L. Kilbreath, Jasmine Yee

Erschienen in: Journal of Cancer Survivorship | Ausgabe 5/2022

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Abstract

Purpose

Physical activity is a well-established strategy to alleviate breast cancer-related adverse outcomes. To optimise health benefits, behaviour change theories provide frameworks to support women in improving their physical activity. This review aimed to evaluate (i) the effects of behaviour change theory-based physical activity interventions for women with breast cancer and (ii) the application of these theories.

Methods

Seven online databases were searched. Trials were included if randomised and controlled, involved physical activity interventions ≥ 12 weeks duration, used a behaviour change theory, and participants were < 3 years post-cancer treatment. Risk of bias and theory use were assessed. Data were synthesised narratively and meta-analysed.

Results

Forty articles describing 19 trials were included. Overall risk of bias was moderately high. Post-intervention pooled effect estimates were medium for self-reported (SMD = 0.57) and objectively measured physical activity (SMD = 0.52). Most trials cited the social cognitive theory (n = 10) and transtheoretical model (n = 9). Trials rarely applied theories in their entirety, expounded on behavioural mechanisms, or tailored interventions according to behavioural constructs. The most commonly used types of behavioural techniques were goals and planning (n = 18), shaping of knowledge (n = 18), feedback and monitoring (n = 17), and comparisons of outcomes (n = 17).

Conclusions

The included trials were effective for increasing physical activity in women with breast cancer. Theories were applied using a wide range of approaches and levels of rigour, although shared the use of common behavioural techniques.

Implications for Cancer Survivors

Future research may benefit breast cancer survivors by more comprehensively applying behaviour change theories, emphasising individual patient needs and goals.
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Metadaten
Titel
Physical activity interventions using behaviour change theories for women with breast cancer: a systematic review and meta-analysis
verfasst von
Mark Guosheng Liu
Glen M. Davis
Sharon L. Kilbreath
Jasmine Yee
Publikationsdatum
07.09.2021
Verlag
Springer US
Erschienen in
Journal of Cancer Survivorship / Ausgabe 5/2022
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-021-01104-9

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