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Factors That Affect Physical Activity and Exercise Decisions of Survivors of Breast Cancer: Qualitative Study.
MedLine Citation:
PMID:  22156026     Owner:  NLM     Status:  Publisher    
BackgroundExercise has many benefits for breast cancer survivors, yet only half of survivors regularly exercise. Fear has been identified as a barrier to exercise for people with neuromusculoskeletal conditions, but has been minimally explored among women with breast cancer.ObjectivesThe purpose of this study was to investigate factors that impact the physical activity and exercise decisions of breast cancer survivors and to determine whether fear was among those factors.DesignThis was a grounded theory qualitative study. The qualitative data were triangulated with two quantitative scales that measured participants' beliefs about exercise and their activity level. METHODS:/b>Thirty-four breast cancer survivors participated in 8 focus groups using semi-structured interviews that were recorded, transcribed and coded. Concept maps created for each group were merged to develop themes. Physical activity/exercise beliefs were assessed using the Decisional Balance Scale. The Rapid Assessment of Physical Activity Scale assessed physical activity/exercise behaviors pre and post breast cancer diagnosis. RESULTS: /b>Participants generally believed that exercise was beneficial (Decisional Balance score mean; SD; range = 28.1/44; 7.6; 10-43). Participants decreased the amount of physical activity/exercise during treatment, but increased the amount of exercise beyond pre-diagnosis levels following treatment (Rapid Assessment of Physical Activity median; range = 6; 2-7). Three prominent themes described the physical activity/exercise behaviors of participants: values and beliefs about exercise; facilitators and barriers that were both similar to the general population and cancer specific; and lack of or inaccurate information about safe exercise. CONCLUSION:/b>The active survivors in this study were not afraid to exercise. However, concerns about lymphedema and knowledge of safe and effective exercise programs influenced physical activity and exercise choices.
Antoinette P Sander; Jessica Wilson; Nicole Izzo; Stephanie A Mountford; Karen W Hayes
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-9
Journal Detail:
Title:  Physical therapy     Volume:  -     ISSN:  1538-6724     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
A.P. Sander, PT, DPT, MS, CLT-LANA, Department of Physical Therapy and Human Movement Sciences, Northwestern University Feinberg School of Medicine, 645 N Michigan Ave, Suite 1100, Chicago, IL 60611 (USA).
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