The difference is more than floating: factors affecting breast cancer survivors’ decisions to join and maintain participation in dragon boat teams and support groups

McDonough, Meghan H.; Patterson, Michelle C.; Weisenbach, Beth B.; Ullrich-French, Sarah; Sabiston, Catherine M.

doi:10.1080/09638288.2018.1449259

Cited by 39Cancer survivorship and careWomen's cancer prevention and managementChildhood Cancer Survivors' Quality of Life

The difference is more than floating: factors affecting breast cancer survivors’ decisions to join and maintain participation in dragon boat teams and support groups

McDonough, Meghan H., Patterson, Michelle C., Weisenbach, Beth B., Ullrich-French, Sarah, Sabiston, Catherine M.·2019·Disability and Rehabilitation

DOI 10.1080/09638288.2018.1449259

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Abstract

Purpose: Peer support can be helpful in rehabilitation from breast cancer, but participation in peer support groups is low. Groups that provide support opportunities in physical activity contexts are an attractive alternative for some survivors. This study examined survivors’ reasons for joining and maintaining participation on a dragon boat team, along with perceptions of barriers and attractions to traditional peer support groups.Materials and methods: Seventeen breast cancer survivors were interviewed on five occasions over their first two seasons of a newly formed dragon boating team to explore their perceptions of peer support groups and dragon boating. Data were inductively analyzed using thematic analysis.Results: Categories surrounding physical, psychological, social and community features were identified with several themes emerging within each. Advantages of dragon boating included opportunities to get a combination of physical, psychosocial and community benefits; health improvement and behavior change; and obtaining social support without the focus being on cancer. Peer support groups were identified as having advantages for forming relationships and avoiding barriers associated with physical activity.Conclusions: While neither type of program meets all needs, practical considerations are identified for incorporating advantages of both programs to improve participation.Implications for rehabilitationFurther understanding of perceptions, and attractions and challenges to taking part in group programs will inform development of accessible programs that target multiple rehabilitation needs.Physical activity can provide a positive, alternative focus that takes the emphasis off of cancer, which is more accessible to some survivors.Physical activity also provides opportunities to build relationships around a common, positive goal, which can be a foundation for providing support for coping with cancer.

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There has historically been incomplete reporting of compliance to prescribed FITT programs in published studies.
“there has historically been incomplete reporting of compliance to a prescribed FITT program in published studies, likely because tracking and quantifying compliance can be burdensome (74–76).”
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Additional file 7 of The influence of a supervised group exercise intervention combined with active lifestyle recommendations on breast cancer survivors’ health, physical functioning, and quality of life indices: study protocol for a randomized and controlled trial
Riani Costa, L. A., F. Barreto, R., Leandrini, S. M. D. M., Gurgel, A. R. B., Sales, G. T., Voltarelli, V. A., de Castro, G., Fenton, S. A. M., Turner, J. E., Klausener, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.17284419
Additional file 4 of The influence of a supervised group exercise intervention combined with active lifestyle recommendations on breast cancer survivors’ health, physical functioning, and quality of life indices: study protocol for a randomized and controlled trial
Riani Costa, L. A., F. Barreto, R., Leandrini, S. M. D. M., Gurgel, A. R. B., Sales, G. T., Voltarelli, V. A., de Castro, G., Fenton, S. A. M., Turner, J. E., Klausener, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.17284410
Additional file 3 of The influence of a supervised group exercise intervention combined with active lifestyle recommendations on breast cancer survivors’ health, physical functioning, and quality of life indices: study protocol for a randomized and controlled trial
Riani Costa, L. A., F. Barreto, R., Leandrini, S. M. D. M., Gurgel, A. R. B., Sales, G. T., Voltarelli, V. A., de Castro, G., Fenton, S. A. M., Turner, J. E., Klausener, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.17284407
Additional file 1 of The influence of a supervised group exercise intervention combined with active lifestyle recommendations on breast cancer survivors’ health, physical functioning, and quality of life indices: study protocol for a randomized and controlled trial
Riani Costa, L. A., F. Barreto, R., Leandrini, S. M. D. M., Gurgel, A. R. B., Sales, G. T., Voltarelli, V. A., de Castro, G., Fenton, S. A. M., Turner, J. E., Klausener, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.17284398
Additional file 2 of The influence of a supervised group exercise intervention combined with active lifestyle recommendations on breast cancer survivors’ health, physical functioning, and quality of life indices: study protocol for a randomized and controlled trial
Riani Costa, L. A., F. Barreto, R., Leandrini, S. M. D. M., Gurgel, A. R. B., Sales, G. T., Voltarelli, V. A., de Castro, G., Fenton, S. A. M., Turner, J. E., Klausener, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.17284401
Additional file 5 of The influence of a supervised group exercise intervention combined with active lifestyle recommendations on breast cancer survivors’ health, physical functioning, and quality of life indices: study protocol for a randomized and controlled trial
Riani Costa, L. A., F. Barreto, R., Leandrini, S. M. D. M., Gurgel, A. R. B., Sales, G. T., Voltarelli, V. A., de Castro, G., Fenton, S. A. M., Turner, J. E., Klausener, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.17284413
Additional file 6 of The influence of a supervised group exercise intervention combined with active lifestyle recommendations on breast cancer survivors’ health, physical functioning, and quality of life indices: study protocol for a randomized and controlled trial
Riani Costa, L. A., F. Barreto, R., Leandrini, S. M. D. M., Gurgel, A. R. B., Sales, G. T., Voltarelli, V. A., de Castro, G., Fenton, S. A. M., Turner, J. E., Klausener, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.17284416
A mixed methods evaluation of the feasibility and acceptability of a peer-led physical activity behaviour change intervention for inactive people living with and beyond cancer
Tabaczynski, A., Rhodes, R. E., Sabiston, C. M., Arbour‐Nicitopoulos, K. P., & Trinh, L. (2026) · Supportive Care in Cancer · doi:10.1007/s00520-026-10599-w
Self-citation
La relation sportive en contexte de soin : évaluation d'un accompagnement psychologique et social sportif dans le rétablissement des patients atteints d'un cancer
Cuvelier, S. (2021) · theses.fr (ABES) · doi:10.70675/b2706c11z4978z4f88z96b0z8a2574e3f018
Nature-based physical activity in breast cancer survivors: a new frontier in supportive care
Carretti, G., Manetti, M., & Marini, M. (2026) · Oncology Reviews · doi:10.3389/or.2026.1837259
Comparing physical activity, motivation, and need satisfaction in cancer survivors exercising with the general public versus with other survivors
Ercilasun, S., & Devonport, T. J. (2026) · Journal of Sports Sciences · doi:10.1080/02640414.2026.2702747
Exploring adapted water polo: a feasibility study on improving psychosocial recovery in women post-breast cancer treatment
Cuvelier, S., Villaron, C., Zemmour, C., Bernasconi, S., Tallet, A. R., Arthur, A., Dantin, P., Viens, P., Cohen, M., & Calvin, S. (2026) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2026.1910555

Participation in dragon boating associated with greater increases in social support for breast cancer survivors who may benefit most
McDonough, M. H. (2014)
Self-citation
Breast cancer survivors' decisions to participate in a physical activity group
Byrer, B. K. (2012) · Purdue e-Pubs (Purdue University System) · Cited by 1 · see citing works
Breast Cancer Survivors’ Decisions to Join a Dragon Boating Team
Weisenbach, B. B., & McDonough, M. H. (2014) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.2014-0037 · Cited by 14 · see citing works
Self-citation
The Benefits of Dragon Boat Participation for Breast Cancer Survivors
Blanzola, C., O'Sullivan, P., Smith, K., & Nelson, R. (2016) · Therapeutic Recreation Journal · doi:10.18666/trj-2016-v50-i3-7511 · Cited by 6 · see citing works
“Phoenix Rising”: A scoping review on the impacts of dragon boating exercise on well-being among breast cancer survivors and factors affecting their participation
YEUNG, N. C. Y., Tam, V. C. W., Lau, S. T. Y., Lihua, P. A. N., Ng, S. N., Shy, D.-Y., & Sum, R. K. W. (2026) · Journal of Exercise Science & Fitness · doi:10.1016/j.jesf.2026.200453 · Cited by 1 · see citing works

Authors: McDonough, M. H., Patterson, M. C., Weisenbach, B. B., Ullrich-French, S., & Sabiston, C. M.
Affiliations: University of Calgary (CA)
Purdue University West Lafayette (US)
Washington State University (US)
University of Toronto (CA)
Corresponding author: McDonough, Meghan H.
ORCID: McDonough, Meghan H.
Ullrich-French, Sarah
Sabiston, Catherine M.
Venue: Disability and Rehabilitation
Publisher: Informa UK Limited
Published: 2018-03-09
Volume: 41
Issue: 15
Pages: 1788-1796
ISSN: 0963-8288 (ISSN-L)
1464-5165
DOI: 10.1080/09638288.2018.1449259
OpenAlex: W2792071745
Cited by: 39
References: 51
Citations by year: 2026: 5 · 2025: 2 · 2024: 6 · 2023: 2 · 2022: 2 · 2021: 14 · 2020: 4 · 2019: 4
FWCI: 2.08
Type: journal article
Language: en
Open access: closed
Locations: Disability and Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Funders: University of Calgary
Purdue University
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords: breast cancer survivors, peer support groups, physical activity, barriers to participation, social support, psychosocial rehabilitation, group program, cancer rehabilitation, behavior change
MeSH terms: Cancer Survivors, Adaptation, Psychological, Breast Neoplasms, Female, Humans, Interviews as Topic, Middle Aged, Peer Group, Social Support, Sports

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The difference is more than floating: factors affecting breast cancer survivors’ decisions to join and maintain participation in dragon boat teams and support groups

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