Rabin Carolyn S, Pinto Bernardine M, Trunzo Joseph J, Frierson Georita M, Bucknam Lynn M
Centers for Behavioral and Preventive Medicine, Miriam Hospital, Providence, RI 02903, USA.
Psychooncology. 2006 Apr;15(4):344-54. doi: 10.1002/pon.961.
Secondary prevention is of great importance in the cancer survivor population, given the substantial medical risks survivors face. Consequently, researchers have begun developing interventions that target behavioral risk factors, such as sedentary lifestyle, among survivors. This study represents a novel approach for evaluating the efficacy of a physical activity intervention for breast cancer survivors.
Repeated measures analyses were used to compare a group of previously sedentary breast cancer survivors offered a physical activity intervention (n=43) with a group of regularly active survivors (n=40). These two groups were compared on select behavioral and psychosocial measures associated with physical activity.
Results indicated significant time x group effects on the following: behavioral processes of change, minutes of moderate-intensity activity/week, and time to complete the one-mile walk test (a measure of fitness). There was also a borderline significant interaction for self-efficacy. Contrasts indicated that, for each interaction, previously sedentary and regularly active survivors differed at baseline, but were not significantly different postintervention.
Thus, after completing a 12-week physical activity intervention, previously sedentary breast cancer survivors became similar to regularly active survivors on select behavioral and psychosocial measures associated with physical activity.
鉴于癌症幸存者面临巨大的医疗风险,二级预防在癌症幸存者群体中至关重要。因此,研究人员已开始开发针对行为风险因素(如久坐不动的生活方式)的干预措施,干预对象为癌症幸存者。本研究代表了一种评估体育活动干预对乳腺癌幸存者疗效的新方法。
采用重复测量分析,将一组接受体育活动干预的既往久坐不动的乳腺癌幸存者(n = 43)与一组经常运动的幸存者(n = 40)进行比较。对这两组在与体育活动相关的特定行为和心理社会指标上进行比较。
结果表明,在以下方面存在显著的时间×组效应:行为改变过程、每周中等强度活动分钟数以及完成一英里步行测试的时间(一项体能指标)。自我效能感方面也存在边缘显著的交互作用。对比表明,对于每种交互作用,既往久坐不动和经常运动的幸存者在基线时存在差异,但干预后差异不显著。
因此,在完成为期12周的体育活动干预后,既往久坐不动的乳腺癌幸存者在与体育活动相关的特定行为和心理社会指标上变得与经常运动的幸存者相似。