The implementation of an oncologist referred, exercise self-management program for older breast cancer survivors
Article first published online: 23 DEC 2005
Copyright © 2005 John Wiley & Sons, Ltd.
Volume 15, Issue 10, pages 884–890, October 2006
How to Cite
Damush, T. M., Perkins, A. and Miller, K. (2006), The implementation of an oncologist referred, exercise self-management program for older breast cancer survivors. Psycho-Oncology, 15: 884–890. doi: 10.1002/pon.1020
- Issue published online: 25 SEP 2006
- Article first published online: 23 DEC 2005
- Manuscript Accepted: 8 NOV 2005
- Manuscript Received: 2 MAR 2005
- Mary Margaret Walther Cancer Foundation
- Indiana University Center for Aging Research
- Breast Cancer Research Foundation
- older survivors;
Background: With increased breast cancer survivor rates among older women, the negative outcomes of breast cancer treatment may linger for years.
Method: We designed and implemented an oncologist referred, exercise self-management program to increase physical activity and health-related quality of life using a pretest–posttest, single group design. We recruited 34 breast cancer survivors seen for a follow-up oncology visit at two university cancer treatment centers. Women with a mean age of 59.6 years (S.D.=66) comprised the sample. Average time since diagnosed was 3.1 years; 45% had stage I breast cancer and 55% had stage II; 62% received chemotherapy and 59% received a mastectomy. Following a baseline assessment on exercise support, self-efficacy, barriers and benefits; quality of life; and a functional performance test, subjects participated in self-management classes and received telephone support. Participants (n=30) repeated the assessment at 6-months. We compared scores between time periods using t-tests.
Results: Older women increased frequency of weekly, moderate physical activities (p⩽0.04), and weekly caloric expenditure (p⩽0.02). Perceived exercise barriers (p⩽0.02), aerobic endurance (p<0.04) and lower body strength (p<0.03) approached significance, and health-related quality of life (p⩽0.001) significantly improved.
Conclusion: An exercise self-management format referred by an oncologist is efficacious for implementing a lifestyle modification change among older breast cancer survivors. Copyright © 2005 John Wiley & Sons, Ltd.