Sue Kim1, Yun Hee Ko2, Yoonkyung Song3, Min Jae Kang3, Hyojin Lee2, Sung Hae Kim4, Justin Y Jeon3,5, Young Up Cho6, Gihong Yi7, Jeehee Han8. 1. Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea. 2. College of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea. 3. Department of Sports Industry Studies, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea. 4. Department of Nursing, College of Health. Welfare and Education, Tongmyong University, Busan, Korea. 5. Exercise Medicine Center for Diabetes and Cancer Patients, ICONS, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea. 6. Formerly affiliated with Yonsei University Health System, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea. 7. Department of Sociology, Hallym University, 1, Hallymdaehak-gil, Chuncheon-si, Gangwon-do, 24252, Korea. 8. College of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea. hjihee1225@hanmail.net.
Abstract
PURPOSE: This study assessed the effectiveness of the Better Life After Cancer: Energy, Strength, and Support (BLESS) program, a 12-week social capital-based exercise adherence program for breast cancer survivors (BCS), regarding cancer-related fatigue (CRF), quality of life (QOL), physical activity, and psychosocial characteristics. METHODS:Forty-eight BCS with moderate or high (≥ 4) CRF participated in this randomized control trial (intervention group n = 23, control group n = 25). The intervention group participated in small group sessions to activate social capital while targeting CRF in supervised physical exercises supplemented by home-based physical exercises. The control group was only given written information on exercise. A questionnaire was used to assess CRF, QOL, physical activity, depression, anxiety, sleep quality, and social capital. RESULTS: The majority of participants had undergone surgery less than 2 years ago. After participating in BLESS, the CRF behavioral/severity domain significantly decreased (t = 2.642, p = 0.011) and physical activity significantly increased (t = - 2.049, p = 0.046) in the intervention group, in comparison with the control group; there were no significant post-intervention differences in the control group. Both groups showed improvements in sleep quality, depression, anxiety, and QOL. CONCLUSION: The BLESS program decreased behavioral/severity in the CRF and increased physical activity after 12 weeks among BCS. Future research needs to evaluate whether the promising results on physical activity and behavioral fatigue observed in the short term will persist over time. Also, longer-term effects should be examined.
RCT Entities:
PURPOSE: This study assessed the effectiveness of the Better Life After Cancer: Energy, Strength, and Support (BLESS) program, a 12-week social capital-based exercise adherence program for breast cancer survivors (BCS), regarding cancer-related fatigue (CRF), quality of life (QOL), physical activity, and psychosocial characteristics. METHODS: Forty-eight BCS with moderate or high (≥ 4) CRF participated in this randomized control trial (intervention group n = 23, control group n = 25). The intervention group participated in small group sessions to activate social capital while targeting CRF in supervised physical exercises supplemented by home-based physical exercises. The control group was only given written information on exercise. A questionnaire was used to assess CRF, QOL, physical activity, depression, anxiety, sleep quality, and social capital. RESULTS: The majority of participants had undergone surgery less than 2 years ago. After participating in BLESS, the CRF behavioral/severity domain significantly decreased (t = 2.642, p = 0.011) and physical activity significantly increased (t = - 2.049, p = 0.046) in the intervention group, in comparison with the control group; there were no significant post-intervention differences in the control group. Both groups showed improvements in sleep quality, depression, anxiety, and QOL. CONCLUSION: The BLESS program decreased behavioral/severity in the CRF and increased physical activity after 12 weeks among BCS. Future research needs to evaluate whether the promising results on physical activity and behavioral fatigue observed in the short term will persist over time. Also, longer-term effects should be examined.
Entities:
Keywords:
Breast cancer survivor; Cancer-related fatigue; Exercise adherence; Social capital
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