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将被诊断患有乳腺癌并接受治疗的女性与体育活动联系起来:一项双臂随机对照试验。

Connecting women who are diagnosed and treated for breast cancer to engage in physical activity: a two-arm randomized controlled trial.

作者信息

Murray Ross M, O'Loughlin Erin, Smith-Turchyn Jenna, Fong Angela J, McDonough Meghan H, Mina Daniel Santa, Arbour-Nicitopoulos Kelly P, Trinh Linda, Jones Jennifer M, Bender Jackie L, Culos-Reed S Nicole, Tomasone Jennifer R, Vani Madison F, Sabiston Catherine M

机构信息

University of Toronto, 55 Harbord Street, Toronto, ON, M5S 2W6, Canada.

Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Canada.

出版信息

BMC Sports Sci Med Rehabil. 2025 Apr 25;17(1):96. doi: 10.1186/s13102-025-01131-4.

Abstract

BACKGROUND

Women who are diagnosed and treated for breast cancer (WBC) encounter barriers engaging in adequate physical activity (PA). Pairing WBC with PA partners is a feasible approach to promote social support, potentially increasing PA levels. However, WBC may not perceive to have the expertise required to facilitate PA behavior. As such, providing access to a Qualified Exercise Professional (QEP) may help facilitate PA within dyads. To date, the impact of including a QEP in peer-based interventions remains unclear.

METHODS

A two-arm randomized controlled trial (n = 108) was designed to compare a virtual peer and QEP-supported intervention group (MatchQEP: n = 54) to a control group matched only with a peer (Match: n = 54) on moderate-to-vigorous PA (MVPA). The association between social support within peer dyads and MVPA, and the impact of partners' level of MVPA on individual MVPA were also examined. Participants in the MatchQEP condition met with the QEP and their partner on Zoom once per week for 10 weeks. Those in the Match condition were encouraged to independently communicate with and support their assigned partner over 10 weeks. Analyses involved descriptive statistics, regression analyses, and Actor Partner Interdependence models.

RESULTS

Social support significantly related to MVPA, irrespective of intervention group. The addition of a QEP did not yield additional benefits in increasing MVPA levels. Actor-Partner Interdependence Models reveal that partners' PA behaviors did not significantly impact individual MVPA levels.

CONCLUSION

These findings underscore the significance of social support from partners in promoting MVPA among WBC, emphasizing the need for interventions focusing on supportive partner relationships. By leveraging social support between partners, interventions can better address the unique needs of WBC, ultimately improving their health and well-being.

TRIAL REGISTRATION

Connecting Breast Cancer Survivors for Exercise (C4E), Trial Registration Number: NCT04771975, 28/02/2020.

摘要

背景

被诊断患有乳腺癌并接受治疗的女性(WBC)在进行充足的体育活动(PA)时会遇到障碍。将WBC与体育活动伙伴配对是促进社会支持的一种可行方法,有可能提高体育活动水平。然而,WBC可能认为自己没有促进体育活动行为所需的专业知识。因此,提供接触合格运动专业人员(QEP)的机会可能有助于促进二人组内的体育活动。迄今为止,在基于同伴的干预措施中纳入QEP的影响仍不明确。

方法

设计了一项双臂随机对照试验(n = 108),以比较虚拟同伴和QEP支持的干预组(MatchQEP:n = 54)与仅与同伴匹配的对照组(Match:n = 54)在中度至剧烈体育活动(MVPA)方面的情况。还研究了同伴二人组内的社会支持与MVPA之间的关联,以及伙伴的MVPA水平对个体MVPA的影响。MatchQEP组的参与者每周在Zoom上与QEP及其伙伴会面一次,共10周。Match组的参与者被鼓励在10周内独立与指定的伙伴沟通并提供支持。分析包括描述性统计、回归分析和行为者伙伴相互依赖模型。

结果

无论干预组如何,社会支持都与MVPA显著相关。增加QEP在提高MVPA水平方面没有产生额外的益处。行为者 - 伙伴相互依赖模型表明,伙伴的体育活动行为对个体MVPA水平没有显著影响。

结论

这些发现强调了伙伴的社会支持在促进WBC的MVPA方面的重要性,强调了需要开展侧重于支持性伙伴关系的干预措施。通过利用伙伴之间的社会支持,干预措施可以更好地满足WBC的独特需求,最终改善他们的健康和福祉。

试验注册

连接乳腺癌幸存者进行锻炼(C4E),试验注册号:NCT04771975,2020年2月28日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf4/12023542/d6ca6e5c9f5a/13102_2025_1131_Fig1_HTML.jpg

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