Centre for Nursing and Health Studies, Faculty of Health Disciplines, Athabasca University, 1 University Drive, Athabasca, Alberta, T9S-3A3, Canada,
Int J Behav Med. 2013 Dec;20(4):522-8. doi: 10.1007/s12529-012-9264-z.
Recent data suggests that only 35 % of rural and small town breast cancer survivors are achieving physical activity (PA) guidelines after treatment.
The purpose of this study was to determine preferences for PA counseling and programming and barriers to program participation in a sample of rural and small town breast cancer survivors.
Survivors (n = 524) residing in rural and small town areas of Alberta, Canada completed a mailed self-report survey that assessed demographic variables, PA, and PA counseling and programming preferences.
Seventy-eight percent of survivors indicated they would have possibly (i.e., yes or maybe) been interested in being counseled about PA at the time of diagnosis, while 70 % would possibly be interested in being counseled about PA at this current time. Overall, 85 % felt they would possibly be able to participate in a PA program. Receiving chemotherapy was negatively associated with wanting to receive PA counseling (odds ratio [OR] = 0.58; 95 % confidence interval [CI], 0.39 to 0.86), PA program interest (OR = 0.43; 95 % CI, 0.28 to 0.67), and PA program ability (OR = 0.44; 95 % CI, 0.26 to 0.75). Preferred activities involved walking (51 %), flexibility and related activities (e.g., yoga, stretching) (36 %), and strength training (27 %).
Rural and small town survivors appear to be interested in and able to participate in PA counseling and programs. PA initiatives targeted to the preferences of breast cancer survivors living in nonurban areas may be more likely to facilitate and maintain PA behavior.
最近的数据表明，只有 35%的农村和小镇乳腺癌幸存者在治疗后达到了身体活动（PA）指南。
本研究旨在确定农村和小镇乳腺癌幸存者样本中对 PA 咨询和项目的偏好以及参与项目的障碍。
居住在加拿大阿尔伯塔省农村和小镇地区的幸存者（n=524）完成了一份邮寄的自我报告调查，该调查评估了人口统计学变量、PA 以及 PA 咨询和项目偏好。
78%的幸存者表示，在诊断时他们可能（即，是或可能）有兴趣接受 PA 咨询，而 70%的幸存者目前可能有兴趣接受 PA 咨询。总体而言，85%的人认为他们可能能够参加 PA 项目。接受化疗与想要接受 PA 咨询（优势比 [OR] = 0.58；95%置信区间 [CI]，0.39 至 0.86）、PA 项目兴趣（OR = 0.43；95%CI，0.28 至 0.67）和 PA 项目能力（OR = 0.44；95%CI，0.26 至 0.75）呈负相关。首选活动包括步行（51%）、柔韧性和相关活动（如瑜伽、伸展）（36%）和力量训练（27%）。
农村和小镇的幸存者似乎对 PA 咨询和项目感兴趣且能够参与。针对居住在非城市地区的乳腺癌幸存者的偏好制定的 PA 计划更有可能促进和维持 PA 行为。
