The University of Texas MD Anderson Cancer Center, Houston, Texas.
The University of Texas Health Science Center at Houston, Houston, Texas.
Cancer. 2022 Jan 15;128(2):353-363. doi: 10.1002/cncr.33904. Epub 2021 Sep 23.
An expanding body of research documents the benefits of physical activity for cancer survivors' physical functioning and quality of life, but few successful models provide community-based physical activity programs to cancer survivors. This report presents an evaluation of Active Living After Cancer, an evidence-based physical activity program for breast cancer survivors, adapted for community delivery to minority and medically underserved survivors.
Survivors were recruited from health care and community settings. The program consisted of 12 weekly group sessions providing training in cognitive and behavioral skills for behavior change, brief physical activity, and cancer survivorship-related content. At the baseline and follow-up, participants completed assessments of their physical activity, quality of life, and physical functioning (6-minute walk and 30-second sit-to-stand test). At follow-up, they also completed questionnaires to measure program content mastery and satisfaction.
The outcome analysis included 127 participants. Physical activity and quality of life (mental and physical) improved from the baseline to follow-up (all P < .01). Physical functioning improved, with increases in sit-to-stand repetitions (mean, 12.5 at the baseline vs 14.9 at the follow-up; P < .01) and 6-minute walk distances (mean, 428 m at the baseline vs 470 m at the follow-up; P < .01).
The results highlight the effectiveness of an evidence-based program adapted for community-based delivery to minority and medically underserved breast cancer survivors. The program could be delivered to improve outcomes in diverse survivor populations.
Physical activity in breast cancer survivors is related to better quality of life and longer cancer-free survival. However, there are few community-based programs to help breast cancer survivors to become more physically active. The Active Living After Cancer program was adapted from an evidence-based program and delivered in community-based settings to minority and medically underserved breast cancer survivors. It consisted of 12 weekly group sessions in which participants learned skills to increase their physical activity. The program participants increased their physical activity and improved their mental and physical well-being and physical functioning.
越来越多的研究文献证明了身体活动对癌症幸存者身体机能和生活质量的益处，但很少有成功的模式为癌症幸存者提供基于社区的身体活动项目。本报告介绍了一项针对乳腺癌幸存者的基于证据的身体活动项目——积极生活癌症后（Active Living After Cancer）的评估，该项目经过改编，可在社区环境中提供给少数族裔和医疗服务不足的癌症幸存者。
从医疗保健和社区环境中招募幸存者。该计划包括 12 周的每周小组会议，提供行为改变的认知和行为技能培训、简短的身体活动以及与癌症生存相关的内容。在基线和随访时，参与者完成了身体活动、生活质量和身体机能（6 分钟步行和 30 秒坐站测试）的评估。在随访时，他们还完成了调查问卷，以衡量计划内容掌握和满意度。
结果分析包括 127 名参与者。身体活动和生活质量（心理和生理）从基线到随访都有所改善（均 P <.01）。身体机能也有所改善，坐站重复次数增加（平均值，基线时为 12.5 次，随访时为 14.9 次；P <.01），6 分钟步行距离增加（平均值，基线时为 428 米，随访时为 470 米；P <.01）。
结果突出了为少数族裔和医疗服务不足的乳腺癌幸存者量身定制的基于社区的身体活动项目的有效性。该计划可以提供，以改善不同幸存者群体的结果。
乳腺癌幸存者的身体活动与更好的生活质量和更长的无癌生存时间有关。然而，很少有基于社区的项目来帮助乳腺癌幸存者变得更加活跃。积极生活癌症后（Active Living After Cancer）项目是从一个基于证据的项目改编而来的，并在社区环境中提供给少数民族和医疗服务不足的乳腺癌幸存者。它由 12 周的每周小组会议组成，参与者在这些会议中学习增加身体活动的技能。该项目的参与者增加了他们的身体活动，改善了他们的心理和生理健康以及身体机能。
