A randomized trial to promote physical activity among breast cancer patients.
Abstract
OBJECTIVE: Physical activity (PA) has been shown to provide health benefits for breast cancer patients. The effects of augmenting oncology health care provider (HCP) advice for PA with 3 months of telephone counseling versus contact control were evaluated in a randomized trial. METHODS: After receiving brief HCP advice to become physically active, 192 women (age in years: M = 60.0, SD = 9.9) who had completed treatment for Stage 0-IV breast cancer were randomized to telephone counseling to support PA (n = 106) or contact control (n = 86). Their PA, motivational readiness, fatigue, and physical functioning were assessed at baseline (before receiving HCP advice), 3, 6, and 12 months. RESULTS: Telephone counseling produced significant effects on the primary outcome of moderate-intensity PA of about 30 min/week at both 3 months (95% CI = 0.44, 57.32) and 6 months (95% CI = 3.06, 61.26). Intervention participants were also more than twice as likely as control participants to report improvements in achieving PA guidelines of at least 150 min/week at 3 (OR = 2.43, 95% CI = 1.18, 4.98) and 6 months (OR = 2.11, 95% CI = 1.00-4.48). Telephone counseling was significantly more effective than contact control in increasing motivational readiness for PA at all follow-ups (ORs = 3.93-6.28, all ps <.003). No between-groups differences were found for fatigue, while differential improvements in physical functioning did not remain significant past 3 months (p = .01). CONCLUSION: HCP advice plus telephone counseling improved PA among breast cancer patients at 3 and 6 months and also differentially improved patients' motivational readiness at all follow-ups, suggesting the potential for exercise promotion in cancer follow-up care.
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Although there are many competing considerations during oncology visits, particularly for patients undergoing treatment, the steps in recommending exercise do not require much time or skill by the oncology clinician and have been successfully integrated into cancer care follow-up visits.
“Although there are many competing considerations during oncology visits, particularly for patients undergoing treatment, the steps in recommending exercise do not require much time or skill by the oncology clinician and have been successfully integrated into cancer care follow-up visits.67”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [67]
Cites
(1992) · PubMed · Cited by 33,716 · see citing works
Statistical Analysis With Missing Data
Lahiff, M., Little, R. J. A., & Rubin, D. B. (1989) · Journal of the American Statistical Association · doi:10.2307/2289883 · Cited by 17,384 · see citing works
Stages and processes of self-change of smoking: Toward an integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.51.3.390 · Cited by 9,098 · see citing works
MCHORNEY, C. A., JOHNE, W., & ANASTASIAE, R. (1993) · Medical Care · doi:10.1097/00005650-199303000-00006 · Cited by 6,681 · see citing works
Yellen, S. B., Cella, D. F., Webster, K., Blendowski, C., & Kaplan, E. (1997) · Journal of Pain and Symptom Management · doi:10.1016/s0885-3924(96)00274-6 · Cited by 1,964 · see citing works
PHYSICAL ACTIVITY ASSESSMENT METHODOLOGY IN THE FIVE-CITY PROJECT1
SALLIS, J. F., HASKELL, W. L., WOOD, P. D., FORTMANN, S. P., ROGERS, T., BLAIR, S. N., & PAFFENBARGER, R. S. (1985) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113987 · Cited by 1,716 · see citing works
Speck, R. M., Courneya, K. S., Mâsse, L. C., Duval, S., & Schmitz, K. H. (2010) · Journal of Cancer Survivorship · doi:10.1007/s11764-009-0110-5 · Cited by 1,352 · see citing works
Courneya, K. S., SEGAL, R. J., Mackey, J. R., Gelmon, K. A., Reid, R. D., Friedenreich, C. M., Ladha, A. B., Proulx, C., Vallance, J. K., Lane, K. N., et al. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2006.08.2024 · Cited by 1,182 · see citing works
BLAIR, S. N., HASKELL, W. L., HO, P., PAFFENBARGER, R. S., VRANIZAN, K. M., FARQUHAR, J. W., & WOOD, P. D. (1985) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114163 · Cited by 1,104 · see citing works
The stages and processes of exercise adoption and maintenance in a worksite sample.
Marcus, B. H., Rossi, J. S., Selby, V. C., NIAURA, R. S., & Abrams, D. B. (1992) · Health Psychology · doi:10.1037/0278-6133.11.6.386 · Cited by 798 · see citing works
Mock, V., Dow, K. H., Meares, C. J., Grimm, P. M., Dienemann, J. A., Haisfield‐Wolfe, M. E., Quitasol, W., Mitchell, S., Chakravarthy, A. B., & Gage, I. (1997) · PubMed · Cited by 597 · see citing works
Knols, R. H., Aaronson, N. K., Uebelhart, D., Fransen, J., & Aufdemkampe, G. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.02.148 · Cited by 575 · see citing works
Review of Exercise Intervention Studies in Cancer Patients
Galvao, D. A., & Newton, R. U. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.06.085 · Cited by 572 · see citing works
Morey, M. C., Snyder, D. C., Sloane, R. J., Cohen, H. J., Peterson, B. L., Hartman, T. J., Miller, P. E., Mitchell, D. C., & Demark‐Wahnefried, W. (2009) · JAMA · doi:10.1001/jama.2009.643 · Cited by 523 · see citing works
Home-Based Physical Activity Intervention for Breast Cancer Patients
Pinto, B. M., Frierson, G. M., Rabin, C., Trunzo, J. J., & Marcus, B. H. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.03.080 · Cited by 459 · see citing works
Self-citationThe stages of exercise behavior.
Marcus, B. H., & Simkin, L. R. (1993) · PubMed · Cited by 418 · see citing works
Efficacy of an individualized, motivationally-tailored physical activity intervention
Marcus, B. H., Bock, B. C., Pinto, B. M., Forsyth, L. A. H., Roberts, M. B., & Traficante, R. M. (1998) · Annals of Behavioral Medicine · doi:10.1007/bf02884958 · Cited by 407 · see citing works
Self-citationTelephone interventions for physical activity and dietary behavior change: a systematic review.
Eakin, E., Lawler, S., Vandelanotte, C., & Owen, N. (2007) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2007.01.004 · Cited by 363 · see citing works
Jones, L. W., Courneya, K. S., Fairey, A., & Mackey, J. R. (2004) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2802_5 · Cited by 353 · see citing works
de Vries, H., & Brug, J. (1999) · Patient Education and Counseling · doi:10.1016/s0738-3991(98)00127-x · Cited by 327 · see citing works
Vallance, J. K., Courneya, K. S., Plotnikoff, R. C., Yasui, Y., & Mackey, J. R. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2006.07.9988 · Cited by 326 · see citing works
Telephone-Delivered Interventions for Physical Activity and Dietary Behavior Change
Goode, A. D., Reeves, M. M., & Eakin, E. G. (2012) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2011.08.025 · Cited by 253 · see citing works
Demark‐Wahnefried, W., Clipp, E. C., Morey, M. C., Pieper, C. F., Sloane, R. J., Snyder, D. C., & Cohen, H. J. (2006) · Journal of Clinical Oncology · doi:10.1200/jco.2006.05.7224 · Cited by 243 · see citing works
Motivational Interviewing to Increase Physical Activity in Long-Term Cancer Survivors
Bennett, J. A., Lyons, K. S., Winters‐Stone, K. M., Nail, L. M., & Scherer, J. (2006) · Nursing Research · doi:10.1097/00006199-200701000-00003 · Cited by 204 · see citing works
Pinto, B. M., Trunzo, J. J., Reiss, P. T., & Shiu, S. (2002) · Psycho-Oncology · doi:10.1002/pon.594 · Cited by 195 · see citing works
Self-citationDeterminants of participation in physical activity.
Dishman, R. K., Chubb, M., Bouchard, C., Shephard, R. J., Stephens, T., Sutton, J. R., & McPherson, B. D. (1990) · Cited by 187 · see citing works
Evaluation of a 12-week home-based walking intervention for breast cancer survivors
Matthews, C. E., Wilcox, S., Hanby, C. L., Ananian, C. D., Heiney, S. P., Gebretsadik, T. S., & Shintani, A. (2006) · Supportive Care in Cancer · doi:10.1007/s00520-006-0122-x · Cited by 172 · see citing works
Physician-based physical activity counseling for middle-aged and older adults: A randomized trial
Goldstein, M. G., Pinto, B. M., Marcus, B. H., Lynn, H., Jette, A. M., Rakowski, W., McDermott, S., DePue, J. D., Milan, F. B., Dube, C. E., et al. (1999) · Annals of Behavioral Medicine · doi:10.1007/bf02895032 · Cited by 147 · see citing works
Self-citationRandomized Controlled Trial of Physical Activity Counseling for Older Primary Care Patients
PINTO, B., GOLDSTEIN, M., ASHBA, J., SCIAMANNA, C., & JETTE, A. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2005.06.016 · Cited by 146 · see citing works
Self-citationTelephone-Assisted Counseling for Physical Activity
Castro, C. M., & King, A. C. (2002) · Exercise and Sport Sciences Reviews · doi:10.1097/00003677-200204000-00004 · Cited by 133 · see citing works
Provider Counseling About Health Behaviors Among Cancer Survivors in the United States
Sabatino, S. A., Coates, R. J., Uhler, R. J., Pollack, L. A., Alley, L. G., & Zauderer, L. J. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2006.06.6340 · Cited by 124 · see citing works
Missing Data in Longitudinal Studies
Donald, H., & Gibbons Robert, D. (2006) · Wiley series in probability and statistics · doi:10.1002/0470036486.ch14 · Cited by 102 · see citing works
Counseling for Home-Based Walking and Strength Exercise in Older Primary Care Patients
Dubbert, P. M., Morey, M. C., Kirchner, K. A., Meydrech, E. F., & Grothe, K. B. (2008) · Archives of Internal Medicine · doi:10.1001/archinte.168.9.979 · Cited by 43 · see citing works
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Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer
Schmitz, K. H., Campbell, A. M., Stuiver, M. M., Pinto, B. M., Schwartz, A. L., Morris, G. S., Ligibel, J. A., Cheville, A., Galvão, D. A., Alfano, C. M., et al. (2019) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21579 · Cited by 789 · see citing works
Self-citationGrimmett, C., Corbett, T., Brunet, J., Shepherd, J., Pinto, B. M., May, C. R., & Foster, C. (2019) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-019-0787-4 · Cited by 234 · see citing works
Self-citationPractical clinical interventions for diet, physical activity, and weight control in cancer survivors
Demark‐Wahnefried, W., Rogers, L. Q., Alfano, C. M., Thomson, C. A., Courneya, K. S., Meyerhardt, J. A., Stout, N. L., Kvale, E., Ganzer, H., & Ligibel, J. A. (2015) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21265 · Cited by 251 · see citing works
Bluethmann, S. M., Vernon, S. W., Gabriel, K. P., Murphy, C. C., & Bartholomew, L. K. (2015) · Breast Cancer Research and Treatment · doi:10.1007/s10549-014-3255-5 · Cited by 180 · see citing works
Weight management and physical activity throughout the cancer care continuum
Demark‐Wahnefried, W., Schmitz, K. H., Alfano, C. M., Bail, J. R., Goodwin, P. J., Thomson, C. A., Bradley, D. W., Courneya, K. S., Befort, C. A., Denlinger, C. S., et al. (2018) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21441 · Cited by 172 · see citing works
Self-citationBluethmann, S. M., Bartholomew, L. K., Murphy, C. C., & Vernon, S. W. (2017) · Health Education & Behavior · doi:10.1177/1090198116647712 · Cited by 148 · see citing works
van Egmond, M. A., van der Schaaf, M., Vredeveld, T., Vollenbroek-Hutten, M. M. R., van Berge Henegouwen, M. I., Klinkenbijl, J. H. G., & Engelbert, R. H. H. (2018) · Physiotherapy · doi:10.1016/j.physio.2018.04.004 · Cited by 149 · see citing works
Singh, B., Spence, R. R., Steele, M. L., Sandler, C. X., Peake, J. M., & Hayes, S. C. (2018) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2018.03.026 · Cited by 146 · see citing works
Swartz, M. C., Lewis, Z. H., Lyons, E. J., Jennings, K., Middleton, A., Deer, R. R., Arnold, D., Dresser, K., Ottenbacher, K. J., & Goodwin, J. S. (2017) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2017.03.017 · Cited by 127 · see citing works
Rogers, L. Q., Courneya, K. S., Anton, P. M., Verhulst, S., Vicari, S. K., Robbs, R. S., & McAuley, E. (2017) · Psycho-Oncology · doi:10.1002/pon.4254 · Cited by 108 · see citing works
Sheeran, P., Abraham, C., Jones, K., Villegas, M. E., Avishai, A., Symes, Y. R., Ellinger, H., Miles, E., Gates, K. M., Wright, C. E., et al. (2019) · Health Psychology · doi:10.1037/hea0000712 · Cited by 90 · see citing works
Brick, R., Padgett, L., Jones, J., Wood, K. C., Pergolotti, M., Marshall, T. F., Campbell, G., Eilers, R., Keshavarzi, S., Flores, A. M., et al. (2023) · Journal of Cancer Survivorship · doi:10.1007/s11764-022-01181-4 · Cited by 36 · see citing works
- Authors
- Pinto, B. M., Papandonatos, G. D., & Goldstein, M. G.
- Affiliations
- Miriam Hospital (US)
- Brown University (US)
- Veterans Health Administration (US)
- Venue
- Health Psychology
- Published
- 2013-06
- Volume
- 32
- Issue
- 6
- Pages
- 616-626
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2312804158
- Cited by
- 98
- References
- 33
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 2 · 2023: 11 · 2022: 7 · 2021: 15 · 2020: 5 · 2019: 8 · 2018: 13 · 2017: 8 · 2016: 6 · 2015: 7 · 2014: 4 · 2013: 2
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Cancer Society
- Rays of Hope (RSGPB-03-243-01 PBP)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- breast cancer, physical activity promotion, telephone counseling, provider recommendation, motivational readiness, cancer survivorship, fatigue, physical function, cancer follow-up care
- MeSH terms
- Aged, Breast Neoplasms, Exercise Therapy, Female, Follow-Up Studies, Health Promotion, Humans, Middle Aged, Motivation, Telephone, Treatment Outcome, Directive Counseling
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