Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors
Open accessAbstract
Research has shown that recent post-treatment breast cancer survivors face significant challenges around physical activity as they transition to recovery. This review examined randomized controlled trials targeting physical activity behavior change in breast cancer survivors <5 years post-treatment and described (1) characteristics of interventions for breast cancer survivors as well as (2) effect size estimates for these studies. A systematic search was conducted following PRISMA guidelines with Medline, PubMed, PsycINFO, CINAHL, and Scopus databases. Data were abstracted for primary intervention strategies and other details (e.g., setting, duration, theory use). A subgroup analysis was conducted to assess intensity of exercise supervision/monitoring and intervention effectiveness. The search produced 14 unique behavior intervention trials from the US and abroad published 2005-2013. The mean sample size was 153 participants per study. All interventions included moderate-intensity activities plus various behavioral change strategies. Most interventions were partially or entirely home based. The overall standardized mean difference was 0.47 (0.23, 0.67) with p < 0.001. Most interventions were effective in producing short-term behavior changes in physical activity, but varied greatly relative to intervention strategies and intensity of supervision/monitoring. Highly structured interventions tended to produce larger behavior change effects overall, but many larger effect sizes came from interventions supported by phone counseling or e-mail. We observed that 'more' may not be better in terms of direct supervision/monitoring in physical activity behavior interventions. This may be important in exploring less resource-intensive options for effective behavior change strategies for recent post-treatment survivors.
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A meta-analysis of 14 randomized controlled trials among breast cancer survivors found that, although large effects on physical activity were reported by programs that provided more supervision, interventions by telephone or email were also effective.
“A meta-analysis of 14 randomized controlled trials among breast cancer survivors found that, although large effects on physical activity were reported by programs that provided more supervision, interventions by telephone or email were also effective.44”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [44]
Current evidence indicates that exercise under supervision yields better outcomes.
“current evidence indicates that exercise under supervision yields better outcomes.10,43-47”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [44]
Across the efficacy studies, techniques such as self-monitoring, goal setting, social support, feedback and problem solving, modeling, and feedback have been shown to be effective behavior change techniques.
“Across the efficacy studies, techniques such as self-monitoring, goal setting, social support, feedback and problem solving, modeling, and feedback have been shown to be effective behavior change techniques.44,63”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [44]
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- Authors
- Bluethmann, S. M., Vernon, S. W., Gabriel, K. P., Murphy, C. C., & Bartholomew, L. K.
- Affiliations
- The University of Texas Health Science Center at Houston (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Bluethmann, Shirley M.
- ORCID
- Venue
- Breast Cancer Research and Treatment
- Published
- 2015-01
- Volume
- 149
- Issue
- 2
- Pages
- 331-342
- ISSN
- 0167-6806 (ISSN-L)
- 1573-7217
- PMC
- PMC4310805
- OpenAlex
- W2002585320
- Cited by
- 180
- References
- 75
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 9 · 2023: 23 · 2022: 18 · 2021: 19 · 2020: 20 · 2019: 16 · 2018: 27 · 2017: 16 · 2016: 11 · 2015: 4
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Breast Cancer Research and Treatment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R25CA057712)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- breast cancer survivors, physical activity, behaviour change interventions, supervised exercise, home-based exercise, telephone counseling, moderate-intensity exercise, post-treatment recovery, intervention effectiveness
- MeSH terms
- Behavior Therapy, Breast Neoplasms, Female, Humans, Motor Activity, Randomized Controlled Trials as Topic, Survivors
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