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01.08.2012 | Original Article

The comparative effectiveness of a team-based versus group-based physical activity intervention for cancer survivors

verfasst von: Cindy L. Carter, Georgiana Onicescu, Kathleen B. Cartmell, Katherine R. Sterba, James Tomsic, Anthony J. Alberg

Erschienen in: Supportive Care in Cancer | Ausgabe 8/2012

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Abstract

Purpose

Physical activity benefits cancer survivors, but the comparative effectiveness of a team-based delivery approach remains unexplored. The hypothesis tested was that a team-based physical activity intervention delivery approach has added physical and psychological benefits compared to a group-based approach. A team-based sport accessible to survivors is dragon boating, which requires no previous experience and allows for diverse skill levels.

Methods

In a non-randomized trial, cancer survivors chose between two similarly structured 8-week programs, a dragon boat paddling team (n = 68) or group-based walking program (n = 52). Three separate intervention rounds were carried out in 2007–2008. Pre–post testing measured physical and psychosocial outcomes.

Results

Compared to walkers, paddlers had significantly greater (all p < 0.01) team cohesion, program adherence/attendance, and increased upper-body strength. For quality-of-life outcomes, both interventions were associated with pre–post improvements, but with no clear-cut pattern of between-intervention differences.

Conclusions

These hypothesis-generating findings suggest that a short-term, team-based physical activity program (dragon boat paddling) was associated with increased cohesion and adherence/attendance. Improvements in physical fitness and psychosocial benefits were comparable to a traditional, group-based walking program. Compared to a group-based intervention delivery format, the team-based intervention delivery format holds promise for promoting physical activity program adherence/attendance in cancer survivors.

Altekruse SF, Kosary CL, Krapcho M, Neyman N, Aminou R, Waldron W, Ruhl J, Howlader N, Tatalovich Z, Cho H, Mariotto A, Eisner MP, Lewis DR, Cronin K, Chen HS, Feuer EJ, Stinchcomb DG, Edwards BK (2010) SEER cancer statistics review, 1975–2007. National Cancer Institute, Bethesda

Speck RM, Courneya KS, Masse LC, Duval S, Schmitz KH (2010) An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv 4:87–100PubMedCrossRef

Mustian KM, Sprod LK, Palesh OG, Peppone LJ, Janelsins MC, Mohile SG, Carroll J (2009) Exercise for the management of side effects and quality of life among cancer survivors. Curr Sports Med Rep 8:325–330PubMed

Cramp F, Daniel J (2008) Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev CD006145

Schmitz KH, Holtzman J, Courneya KS, Masse LC, Duval S, Kane R (2005) Controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev 14:1588–1595PubMedCrossRef

Courneya KS (2003) Exercise in cancer survivors: an overview of research. Med Sci Sports Exerc 35:1846–1852PubMedCrossRef

Courneya KS, Blanchard CM, Laing DM (2001) Exercise adherence in breast cancer survivors training for a dragon boat race competition: a preliminary investigation. Psychooncology 10:444–452PubMedCrossRef

Fraser SN, Spink KS (2002) Examining the role of social support and group cohesion in exercise compliance. J Behav Med 25:233–249PubMedCrossRef

Beal DJ, Cohen RR, Burke MJ, McLendon CL (2003) Cohesion and performance in groups: a meta-analytic clarification of construct relations. J Appl Psychol 88:989–1004PubMedCrossRef

10.

Culos-Reed SN, Shields C, Brawley LR (2005) Breast cancer survivors involved in vigorous team physical activity: psychosocial correlates of maintenance participation. Psychooncology 14:594–605PubMedCrossRef

11.

May AM, Duivenvoorden HJ, Korstjens I, van Weert E, Hoekstra-Weebers JE, van den Borne B, Mesters I, van der Schans CP, Ros WJ (2008) The effect of group cohesion on rehabilitation outcome in cancer survivors. Psychooncology 17:917–925PubMedCrossRef

12.

Sabiston CM, McDonough MH, Crocker PR (2007) Psychosocial experiences of breast cancer survivors involved in a dragon boat program: exploring links to positive psychological growth. J Sport Exerc Psychol 29:419–438PubMed

13.

Mitchell TL, Yakiwchuk CV, Griffin KL, Gray RE, Fitch MI (2007) Survivor dragon boating: a vehicle to reclaim and enhance life after treatment for breast cancer. Health Care Women Int 28:122–140PubMedCrossRef

14.

Unruh AM, Elvin N (2004) In the eye of the dragon: women’s experience of breast cancer and the occupation of dragon boat racing. Can J Occup Ther 71:138–149PubMed

15.

Carter CL, Onicescu G, Cartmell KB, Sterba KR, Tomsic J, Fox T, Dunmeyer E, Alberg AJ (2010) Factors associated with cancer survivors’ selection between two group physical activity programs. J Cancer Surviv 4:388–398PubMedCrossRef

16.

Mock V, Dow KH, Meares CJ, Grimm PM, Dienemann JA, Haisfield-Wolfe ME, Quitasol W, Mitchell S, Chakravarthy A, Gage I (1997) Effects of exercise on fatigue, physical functioning, and emotional distress during radiation therapy for breast cancer. Oncol Nurs Forum 24:991–1000PubMed

17.

Mock V, Pickett M, Ropka ME, Muscari Lin E, Stewart KJ, Rhodes VA, McDaniel R, Grimm PM, Krumm S, McCorkle R (2001) Fatigue and quality of life outcomes of exercise during cancer treatment. Cancer Pract 9:119–127PubMedCrossRef

18.

Griffith K, Wenzel J, Shang J, Thompson C, Stewart K, Mock V (2009) Impact of a walking intervention on cardiorespiratory fitness, self-reported physical function, and pain in patients undergoing treatment for solid tumors. Cancer 115:4874–4884PubMedCrossRef

19.

Payne JK, Held J, Thorpe J, Shaw H (2008) Effect of exercise on biomarkers, fatigue, sleep disturbances, and depressive symptoms in older women with breast cancer receiving hormonal therapy. Oncol Nurs Forum 35:635–642PubMedCrossRef

20.

Matthews CE, Wilcox S, Hanby CL, Der Ananian C, Heiney SP, Gebretsadik T, Shintani A (2007) Evaluation of a 12-week home-based walking intervention for breast cancer survivors. Support Care Cancer 15:203–211PubMedCrossRef

21.

Jones LW, Courneya KS (2002) Exercise counseling and programming preferences of cancer survivors. Cancer Pract 10:208–215PubMedCrossRef

22.

Karvinen KH, Courneya KS, Campbell KL, Pearcey RG, Dundas G, Capstick V, Tonkin KS (2006) Exercise preferences of endometrial cancer survivors: a population-based study. Cancer Nurs 29:259–265PubMedCrossRef

23.

Karvinen KH, Courneya KS, Venner P, North S (2007) Exercise programming and counseling preferences in bladder cancer survivors: a population-based study. J Cancer Surviv 1:27–34PubMedCrossRef

24.

Stevinson C, Capstick V, Schepansky A, Tonkin K, Vallance JK, Ladha AB, Steed H, Faught W, Courneya KS (2009) Physical activity preferences of ovarian cancer survivors. Psychooncology 18:422–428PubMedCrossRef

25.

Vallance JK, Courneya KS, Jones LW, Reiman T (2006) Exercise preferences among a population-based sample of non-Hodgkin's lymphoma survivors. Eur J Cancer Care (Engl) 15:34–43CrossRef

26.

Rogers LQ, Markwell SJ, Verhulst S, McAuley E, Courneya KS (2009) Rural breast cancer survivors: exercise preferences and their determinants. Psychooncology 18:412–421PubMedCrossRef

27.

Rogers LQ, Malone J, Rao K, Courneya KS, Fogleman A, Tippey A, Markwell SJ, Robbins KT (2009) Exercise preferences among patients with head and neck cancer: prevalence and associations with quality of life, symptom severity, depression, and rural residence. Head Neck 31:994–1005PubMedCrossRef

28.

Ware JEJ, Kosinski M, Gandek B (2000) SF-36 health survey: manual and interpretation guide. Quality Metric, Lincoln

29.

Ware JEJ, Kosinski M (2001) SF-36 physical & mental health summary scales: a manual for users of version 1, 2nd edn. Quality Metric, Lincoln

30.

Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, Silberman M, Yellen SB, Winicour P, Brannon J et al (1993) The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol 11:570–579PubMed

31.

Carron A, Brawley L, Widmeyer W (2002) The group environment questionnaire test manual. Fitness Technology Information, Morgantown

32.

American College of Sports Medicine (2007) ACSM's health-related physical fitness assessment manual, 2nd edn. Lippincott, Williams & Wilkins, Baltimore

33.

Noonan V, Dean E (2000) Submaximal exercise testing: clinical application and interpretation. Phys Ther 80:782–807PubMed

34.

Piper B, Lindsey A, Dodd M, Ferketich S, Paul S, Weller S (1989) The development of an instrument to measure the subjective dimension of fatigue. In: Funk ETS, Champagne M, Wiese R (eds) Key aspects of comfort: management of pain, fatigue, and nausea. Springer, New York, p 199

35.

Radloff LS (1977) The CES-D Scale. Appl Psychol Meas 1:385–401CrossRef

36.

Antoni MH, Lehman JM, Kilbourn KM, Boyers AE, Culver JL, Alferi SM, Yount SE, McGregor BA, Arena PL, Harris SD, Price AA, Carver CS (2001) Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychol 20:20–32PubMedCrossRef

37.

Delaney C (2005) The spirituality scale: development and psychometric testing of a holistic instrument to assess the human spiritual dimension. J Holist Nurs 23:145–167, discussion 168–171PubMedCrossRef

38.

Lane K, Jespersen D, McKenzie DC (2005) The effect of a whole body exercise programme and dragon boat training on arm volume and arm circumference in women treated for breast cancer. Eur J Cancer Care (Engl) 14:353–358CrossRef

39.

Warburton DE, Sheel AW, Hodges AN, Stewart IB, Yoshida EM, Levy RD, McKenzie DC (2004) Effects of upper extremity exercise training on peak aerobic and anaerobic fitness in patients after transplantation. Am J Cardiol 93:939–943PubMedCrossRef

Titel: The comparative effectiveness of a team-based versus group-based physical activity intervention for cancer survivors
verfasst von: Cindy L. Carter
Georgiana Onicescu
Kathleen B. Cartmell
Katherine R. Sterba
James Tomsic
Anthony J. Alberg
Publikationsdatum: 01.08.2012
Verlag: Springer-Verlag
Erschienen in: Supportive Care in Cancer / Ausgabe 8/2012
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-011-1263-0

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The comparative effectiveness of a team-based versus group-based physical activity intervention for cancer survivors