nach oben

Erschienen in:

26.02.2020 | Original Article

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

verfasst von: 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

Erschienen in: Supportive Care in Cancer | Ausgabe 11/2020

Einloggen, um Zugang zu erhalten

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.

Cancer statistics. National Cancer Information Center: Ministry of Health and Welfare; 2019 [Available from: https://www.cancer.go.kr/

Mock V, Abernethy AP, Atkinson A, Barsevick AM, Berger AM, Cella D et al (2007) Cancer-related fatigue clinical practice guidelines in oncology. J Natl Compr Cancer Netw 5(10):1054–1078

Mallinson T, Cella D, Cashy J, Holzner B (2006) Giving meaning to measure: linking self-reported fatigue and function to performance of everyday activities. J Pain Symptom Manag 31(3):229–241

Bower JE (2014) Cancer-related fatigue—mechanisms, risk factors, and treatments. Nat Rev Clin Oncol 11(10):597–609PubMedPubMedCentral

Oh CH, Park H, Lee JS, Choi JY (2016) A test for psychobiologic entropy model on cancer related fatigue among patients with solid tumors. Korean J Adult Nurs 28(1):1–12

Jaremka LM, Andridge RR, Fagundes CP, Alfano CM, Povoski SP, Lipari AM, Agnese DM, Arnold MW, Farrar WB, Yee LD, Carson WE 3rd, Bekaii-Saab T, Martin EW Jr, Schmidt CR, Kiecolt-Glaser JK (2014) Pain, depression, and fatigue: loneliness as a longitudinal risk factor. Health Psychol 33(9):948–957PubMed

Neil SE, Klika RJ, Garland SJ, McKenzie DC, Campbell KL (2013) Cardiorespiratory and neuromuscular deconditioning in fatigued and non-fatigued breast cancer survivors. Support Care Cancer 21(3):873–881PubMed

Windsor P, Potter J, McAdam K, McCowan C (2009) Evaluation of a fatigue initiative: information on exercise for patients receiving cancer treatment. Clin Oncol 21(6):473–482

Kim T-S, Park I-S (2018) The roles of exercise in cancer prevention and improvement of health for cancer survivors. J Korea Entertain Ind Assoc 12(1):165–173

10.

Allgayer H, Owen RW, Nair J, Allgayer H, Owen RW, Nair J et al (2008) Short-term moderate exercise programs reduce oxidative DNA damage as determined by high-performance liquid chromatography-electrospray ionization-mass spectrometry in patients with colorectal carcinoma following primary treatment. Scand J Gastroenterol 43(8):971–978PubMed

11.

Fong DY, Ho JW, Hui BP, Lee AM, Macfarlane DJ, Leung SS et al (2012) Physical activity for cancer survivors: meta-analysis of randomised controlled trials. Bmj. 344:e70PubMedPubMedCentral

12.

Hutnick NA, Williams NI, Kraemer WJ, Orsega-Smith E, Dixon RH, Bleznak AD, Mastro AM (2005) Exercise and lymphocyte activation following chemotherapy for breast cancer. Med Sci Sports Exerc 37(11):1827–1835PubMed

13.

Kroenke CH, Chen WY, Rosner B, Holmes MD (2005) Weight, weight gain, and survival after breast cancer diagnosis. J Clin Oncol 23(7):1370–1378PubMed

14.

Kim I (2014) Literature review of exercise therapy effects in patients with breast cancer. J Korean Soc Integr Med 2(2):49–58

15.

Chae Y-R, Choe M-A (2001) Effects of exercise on cardiopulmonary functions and shoulder joint functioning in breast cancer patients undergoing radiation therapy after breast surgery. J Korean Acad Nurs 31(3):454–466

16.

Burnham TR, Wilcox A (2002) Effects of exercise on physiological and psychological variables in cancer survivors. Med Sci Sports Exerc 34(12):1863–1867PubMed

17.

Eom AY, Lee E (2004) Shoulder range of motion in postmastectomy patients. Asian Oncol Nurs 4(1):62–70

18.

Young B (2003) Typology of social capital through the empirical analysis on cyber communities. Korean J Sociol 37(5):161–186

19.

Putnam R. The prosperous community: social capital and public life. The american prospect. 1993;13(Spring), Vol. 4. Available online: http://www.prospect.org/print/vol/13 (accessed 7 April 2003)

20.

Jang Y-M (2011) A study on the effects to the change of social capital from participation in elderly employment programs. Korean J Soc Welf 63(2):261–289

21.

Lee S, Lee S (2018) A study on the relationship between lifelong education and social capital formation. J Lifelong Learn Soc 14(1):71–100

22.

Yoon S-J 2013 A network approach to the effects of social capital: bonding vs. bridging The e-Business Studies 14(1):203–24

23.

Putnam RD 2000 Bowling alone: America’s declining social capital. Culture and politics: Springer. p. 223–34

24.

Leonard M (2004) Bonding and bridging social capital: reflections from Belfast. Sociology. 38(5):927–944

25.

Michael YL, Berkman LF, Colditz GA, Holmes MD, Kawachi I (2002) Social networks and health-related quality of life in breast cancer survivors: a prospective study. J Psychosom Res 52(5):285–293PubMed

26.

Bender JL, Jimenez-Marroquin MC, Ferris LE, Katz J, Jadad AR (2013) Online communities for breast cancer survivors: a review and analysis of their characteristics and levels of use. Support Care Cancer 21(5):1253–1263PubMed

27.

Giese-Davis J, Bliss-Isberg C, Carson K, Star P, Donaghy J, Cordova MJ et al (2006) The effect of peer counseling on quality of life following diagnosis of breast cancer: an observational study. Psychooncology 15(11):1014–1022PubMed

28.

Schover LR, Jenkins R, Sui D, Adams JH, Marion MS, Jackson KE (2006) Randomized trial of peer counseling on reproductive health in African American breast cancer survivors. J Clin Oncol 24(10):1620–1626PubMed

29.

Wen M, Browning CR, Cagney KA (2007) Neighbourhood deprivation, social capital and regular exercise during adulthood: a multilevel study in Chicago. Urban Stud 44(13):2651–2671

30.

Stang I, Mittelmark MB (2010) Intervention to enhance empowerment in breast cancer self-help groups. Nurs Inq 17(1):47–57PubMed

31.

Kim GY, Kim EM, Bae SS (2009) Social capital and stage of change for physical activity in a community sample of adults. J Korean Soc Health Educ Promot 26(1):63–80

32.

Kim S, Ko YH, Song Y, Kang MJ, Lee H, Kim SH et al (2019) Development of an exercise adherence program for breast cancer survivors with cancer-related fatigue—an intervention mapping approach. Support Care Cancer:1–8

33.

Sandel SL, Judge JO, Landry N, Faria L, Ouellette R, Majczak M (2005) Dance and movement program improves quality-of-life measures in breast cancer survivors. Cancer Nurs 28(4):301–309PubMed

34.

Villalonga-Olives E, Kawachi I (2015) The measurement of social capital. Gac Sanit 29:62–64PubMed

35.

Armstrong T, Bull F (2006) Development of the world health organization global physical activity questionnaire (GPAQ). J Public Health 14(2):66–70

36.

Jeon Y 2013 Development of the Korean version of global physical activity questionnaire and assessment of reliability and validity. Academic research on task, Final Report, Korea Center for Disease Control and Prevention

37.

Lee EH (1999) Construct validity of the revised Piper Fatigue Scale in Korean women with breast cancer. J Korean Acad Nurs 29(2):485–493

38.

Brady MJ, Cella DF, Mo F, Bonomi AE, Tulsky DS, Lloyd SR, Deasy S, Cobleigh M, Shiomoto G (1997) Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. J Clin Oncol 15(3):974–986PubMed

39.

Oh SM, Min KJ, Park DB (1999) A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups. J Korean Neurol Assoc 38(2):289–296

40.

Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370PubMed

41.

Buysse DJ, Reynolds Iii CF, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28(2):193–213PubMed

42.

Sohn SI, Kim DH, Lee MY, Cho YW (2012) The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep Breath 16(3):803–812PubMed

43.

Carpenter JS, Andrykowski MA (1998) Psychometric evaluation of the Pittsburgh Sleep Quality Index. J Psychosom Res 45(1):5–13PubMed

44.

Wang P, Chen X, Gong J, Jacques-Tiura AJ (2014) Reliability and validity of the personal social capital scale 16 and personal social capital scale 8: two short instruments for survey studies. Soc Indic Res 119(2):1133–1148

45.

Chen X, Stanton B, Gong J, Fang X, Li X (2008) Personal Social Capital Scale: an instrument for health and behavioral research. Health Educ Res 24(2):306–317PubMed

46.

Gerritsen JK, Vincent AJ (2016) Exercise improves quality of life in patients with cancer: a systematic review and meta-analysis of randomised controlled trials. Br J Sports Med 50(13):796–803PubMed

47.

Lipsett A, Barrett S, Haruna F, Mustian K, O’Donovan A (2017) The impact of exercise during adjuvant radiotherapy for breast cancer on fatigue and quality of life: a systematic review and meta-analysis. Breast 32:144–155PubMed

48.

American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. 6th ed. Lippincott Williams & Wilkins; Philadelphia, PA: 2009

Titel: Pre-post analysis of a social capital-based exercise adherence intervention for breast cancer survivors with moderate fatigue: a randomized controlled trial
verfasst von: 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
Publikationsdatum: 26.02.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 11/2020
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-020-05363-7

Neu im Fachgebiet Onkologie

Nodal-negativ nach neoadjuvanter Chemo: Axilladissektion verzichtbar?

03.05.2024 Mammakarzinom Nachrichten

Wenn bei Mammakarzinomen durch eine neoadjuvante Chemotherapie ein Downstaging von nodal-positiv zu nodal-negativ gelingt, scheint es auch ohne Axilladissektion nur selten zu axillären Rezidiven zu kommen.

Wo hapert es noch bei der Umsetzung der POMGAT-Leitlinie?

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Bestrahlung nach Prostatektomie: mehr Schaden als Nutzen?

02.05.2024 Prostatakarzinom Nachrichten

Eine adjuvante Radiotherapie nach radikaler Prostata-Op. bringt den Betroffenen wahrscheinlich keinen Vorteil. Im Gegenteil: Durch die Bestrahlung steigt offenbar das Risiko für Harn- und Stuhlinkontinenz.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

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