Implementing an Evidence-Based Exercise Program for Breast Cancer Survivors

Author(s):  
Kathryn H. Schmitz ◽  
Rinad Beidas

Multiple persistent adverse effects of breast cancer treatment are improved with regular exercise. This case study describes a safe and effective exercise program for breast cancer survivors that was adapted into an evidence-based intervention offered through physical therapy (Strength After Breast Cancer). The program was successfully translated and implemented, and it showed equal safety and efficacy as the parent program with regard to lymphedema symptoms, muscular strength, quality of life, and body image. Evaluation of the implementation process revealed multiple facilitators and barriers to implementation. Barriers included the intervention characteristics and challenges with the referral process from oncology. Facilitators included getting the program covered by insurance, a champion in the outpatient clinic, and adaptations to the program and referral process that resulted in successful implementation. Future research is needed to further the goal of ensuring all breast cancer survivors are connected to safe and effective exercise programming.

2021 ◽  
pp. 019394592110319
Author(s):  
Wonshik Chee ◽  
Eun-Ok Im

The purpose of the study was to explore the associations of sub-ethnicity to the survivorship experience of Asian American breast cancer survivors and identify the multiple factors that influenced their survivorship experience. This was a secondary analysis of the data among 94 Asian American breast cancer survivors from a larger ongoing study. Instruments included: questions on background characteristics, the perceived isolation scale, the Personal Resource Questionnaire, the Memorial Symptom Assessment Scale-Short Form, and the Functional Assessment of Cancer Therapy-Breast Cancer. Data were analyzed using hierarchical logistic and multiple regression analyses. After controlling for other factors, being a Japanese American (ref. = being a Chinese American) was significantly associated with pain scores (odds ratio [OR] = −0.32, p < .01), symptom distress scores ( β = −0.27, p < .01), and the quality of life scores ( β = 0.22, p = .03). Sub-ethnic variations in cultural attitudes, values, and beliefs need to be considered in future research/practice with Asian American breast cancer survivors.


Author(s):  
Leidy Sofía Montaño-Rojas ◽  
Ena Monserrat Romero-Pérez ◽  
Carlos Medina-Pérez ◽  
María Mercedes Reguera-García ◽  
José Antonio de Paz

The aim of this study was to identify the characteristics of resistance training (RT) programs for breast cancer survivors (BCS). A systematic review of the literature was performed using PubMed, Medline, Science Direct, the Cochrane Breast Cancer Specialised Register of the Cochrane Library, the Physiotherapy Evidence Database (PEDro), and Scopus, with the aim of identifying all published studies on RT and BCS from 1 January 1990 to 6 December 2019, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The risk of bias in the studies was assessed using the revised Cochrane Risk of Bias tool (RoB 2.0). Sixteen trials were included for qualitative analysis. More than half of the trials do not adequately report the characteristics that make up the exercise program. The maximal strength was the most frequently monitored manifestation of strength, evaluated mainly as one-repetition maximum (1RM). Resistance training was performed on strength-training machines, twice a week, using a load between 50% and 80% of 1RM. The trials reported significant improvement in muscle strength, fatigue, pain, quality of life, and minor changes in aerobic capacity.


2010 ◽  
Vol 10 (3) ◽  
pp. 224-229 ◽  
Author(s):  
Luke J. Peppone ◽  
Karen M. Mustian ◽  
Michelle C. Janelsins ◽  
Oxana G. Palesh ◽  
Randy N. Rosier ◽  
...  

2021 ◽  
Vol 53 (8S) ◽  
pp. 473-473
Author(s):  
Samantha A. Myers ◽  
Sarah Schwartz ◽  
Sarah Weller ◽  
Nathalie LeVasseur ◽  
Cheri Van Patten ◽  
...  

2021 ◽  
Vol 102 (10) ◽  
pp. e77
Author(s):  
Daniel Hughes ◽  
Nathaniel Castañeda ◽  
Lauren Kurhajec ◽  
Devin Odvody ◽  
Alejandra Ordaz ◽  
...  

2010 ◽  
Vol 32 (3) ◽  
pp. 265-282 ◽  
Author(s):  
Claudia Sadler-Gerhardt ◽  
Cynthia Reynolds ◽  
Paula Britton ◽  
Sharon Kruse

Breast cancer research has addressed prevention, early treatment, and quality of life, but research from the perspective of survivors has been limited. This is a qualitative investigation of the experience of eight women breast cancer survivors, ranging in age from 28 to 80 at diagnosis, six of whom were Caucasian and two African American. The research consisted of a phenomenological and case study examination of change and meaning-making during their experience. The findings support a posttraumatic growth model of change as part of survivorship for the participants, as well as the presence of negative changes and a state of new normal in their lives. Recommendations are made for mental health counseling and for future research.


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