Department of Public Health Sciences, The Pennsylvania State University College of Medicine, Hershey, PA,USA.
Milton S. Hershey Medical Center, Cancer Institute, The Pennsylvania State University, Hershey, PA,USA.
J Aging Phys Act. 2022 Jun 14;31(1):59-67. doi: 10.1123/japa.2022-0013. Print 2023 Feb 1.
Physical activity (PA) promotes survival and mitigates symptoms in older breast cancer survivors (BCS), especially to reduce joint pain associated with adjuvant hormonal treatment. The purpose is to describe the adaptation process for an evidence-based exercise and education curriculum (i.e., Fit & Strong!) to support older BCS participating in the Using Exercise to Relieve Joint Pain and Improve Aromatase Inhibitor Adherence in Older Breast Cancer Survivors trial. We reviewed all educational materials with scientific/clinical experts to identify necessary content changes. Next, we conducted semistructured phone interviews with BCS to review all educational materials and conducted a real-time pretest for the trial. Overall, BCS found the adapted materials and experience acceptable (mean score of 9.2/10 for satisfaction). Content changes included simplifying exercise instructions, prioritizing content related to the trial goals, and updating photographs. Because of COVID, the pretest was conducted via Zoom. Our multistep adaptation process provided an acceptable intervention to meet the needs of older BCS. Lessons learned will be applied to the forthcoming pilot trial.
身体活动（PA）可促进老年乳腺癌幸存者（BCS）的生存并减轻其症状，尤其是有助于减轻与辅助激素治疗相关的关节疼痛。本研究旨在描述一个循证锻炼和教育课程（即 Fit & Strong！）的适应过程，以支持参与“使用锻炼减轻关节疼痛和提高老年乳腺癌幸存者对芳香酶抑制剂的依从性”试验的老年 BCS。我们与科学/临床专家一起审查了所有教育材料，以确定需要进行的内容更改。接下来，我们对 BCS 进行了半结构化电话访谈，以审查所有教育材料，并对试验进行了实时预测试。总体而言，BCS 对改编后的材料和体验表示满意（满意度评分为 9.2/10）。内容更改包括简化运动说明、优先考虑与试验目标相关的内容以及更新照片。由于 COVID-19，预测试是通过 Zoom 进行的。我们的多步骤适应过程提供了一种可接受的干预措施，可满足老年 BCS 的需求。我们将吸取的经验教训应用于即将进行的试点试验。
