A Remotely Delivered, Peer-Led Physical Activity Intervention for Younger Breast Cancer Survivors (Pink Body Spirit): Protocol for a Feasibility Study and Mixed Methods Process Evaluation

Weiner, Lorin; Nagel, Stori; Su, H. Irene; Hurst, Samantha

doi:10.2196/18420

Cited by 9 publications

(26 citation statements)

References 66 publications

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“…Data were collected from October 2019 – July 2020. Protocol details were previously published (Weiner et al, 2020 ). Briefly, recruitment was led by Haus of Volta and focused on social media postings (Facebook and Instagram) in groups tailored to younger breast cancer survivors, including the Young Survival Coalition and Living Beyond Breast Cancer.…”

Section: Methodsmentioning

confidence: 99%

“…For a comprehensive intervention description, see Weiner et al(Weiner et al, 2020 ). The Pink Body Spirit program was based on an effective exercise intervention for older survivors that was delivered in-person and via phone by a professional interventionist in a clinical research study (Hartman et al, 2018 ).…”

Section: Methodsmentioning

confidence: 99%

“…The UC San Diego team collaborated with Haus of Volta, a non-profit founded by SN that promotes body positivity and well-being in younger cancer survivors. Details on the co-development of the research questions, study outcomes, and intervention in collaboration with Haus of Volta were previously published (Weiner et al, 2020 ). In brief, SN and the Haus of Volta Community Advisory Board served as primary resources in the design of the intervention and field-tested proposed intervention components.…”

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confidence: 99%

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A remotely delivered, peer-led intervention to improve physical activity and quality of life in younger breast cancer survivors

Weiner

Nagel²,

et al. 2022

J Behav Med

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Younger breast cancer survivors (YBCS) consistently report poorer quality of life (QOL) than older survivors. Increasing physical activity (PA) may improve QOL, but this has been understudied in YBCS. This single arm pilot study evaluated the feasibility and acceptability of a 3-month, peer-delivered, remote intervention to increase PA and improve QOL in YBCS. Data were collected from October 2019 – July 2020. Participants (n = 34, 43.1 ± 5.5 years old, 46 ± 34.4 months post-diagnosis, BMI = 30.2 ± 7.4 kg/m2) completed six video sessions with a trained peer mentor; self-monitored PA with a Fitbit activity tracker; and interacted with a private Fitbit Community for social support. At baseline, 3-and 6-months, participants completed QOL questionnaires and PA was measured through accelerometer (moderate-to-vigorous PA [MVPA]) and self-report (strength and flexibility). A parallel mixed-methods approach (qualitative interviews and quantitative satisfaction survey at 3-months) explored intervention feasibility and acceptability. One-way repeated-measures ANOVAs examined impacts on PA and QOL at 3-and 6-months. The intervention was feasible as evidenced by efficient recruitment, high retention, and adherence to intervention components. Remote delivery, working with a peer mentor, and using Fitbit tools were highly acceptable. From baseline to 3-months, participants increased time spent in objectively measured MVPA, strength, and flexibility exercises, and reported meaningful improvements to body image, fatigue, anxiety, and emotional support. A fully remote, peer-to-peer intervention is an acceptable and promising strategy to increase PA and improve QOL in YBCS. Refinements to the intervention and its delivery should be further assessed in future studies, toward the goal of disseminating an evidence-based, scalable intervention to the growing number of YBCS.Trial registration Prospectively registered as NCT04064892.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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A remotely delivered, peer-led intervention to improve physical activity and quality of life in younger breast cancer survivors

Weiner

Nagel²,

et al. 2022

J Behav Med

Self Cite

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“…The device contains a triaxial accelerometer, optical heart rate monitor, altimeter, and vibration motor. The Fitbit uses a proprietary algorithm to determine activity levels, which are defined as vigorous, moderate, light, or sedentary [ 20 ]. Studies have shown that the Fitbit has an accuracy rating of 85.4% in distinguishing activity levels, specifically in distinguishing sedentary and light activity from moderate-to-vigorous activity [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Objectively Measured Physical Activity and Sedentary Behavior Among Overweight Young Adults: Yearlong Longitudinal Analysis

Costello¹,

Chevance²,

Wing³

et al. 2021

JMIR Public Health Surveill

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Background The COVID-19 pandemic has impacted multiple aspects of daily living, including behaviors associated with occupation, transportation, and health. It is unclear how these changes to daily living have impacted physical activity and sedentary behavior. Objective In this study, we add to the growing body of research on the health impact of the COVID-19 pandemic by examining longitudinal changes in objectively measured daily physical activity and sedentary behavior among overweight or obese young adults participating in an ongoing weight loss trial in San Diego, California. Methods Data were collected from 315 overweight or obese (BMI: range 25.0-39.9 kg/m2) participants aged from 18 to 35 years between November 1, 2019, and October 30, 2020, by using the Fitbit Charge 3 (Fitbit LLC). After conducting strict filtering to find valid data on consistent wear (>10 hours per day for ≥250 days), data from 97 participants were analyzed to detect multiple structural changes in time series of physical activity and sedentary behavior. An algorithm was designed to detect multiple structural changes. This allowed for the automatic identification and dating of these changes in linear regression models with CIs. The number of breakpoints in regression models was estimated by using the Bayesian information criterion and residual sum of squares; the optimal segmentation corresponded to the lowest Bayesian information criterion and residual sum of squares. To quantify the changes in each outcome during the periods identified, linear mixed effects analyses were conducted. In terms of key demographic characteristics, the 97 participants included in our analyses did not differ from the 210 participants who were excluded. Results After the initiation of the shelter-in-place order in California on March 19, 2021, there were significant decreases in step counts (−2872 steps per day; 95% CI −2734 to −3010), light physical activity times (−41.9 minutes; 95% CI −39.5 to −44.3), and moderate-to-vigorous physical activity times (−12.2 minutes; 95% CI −10.6 to −13.8), as well as significant increases in sedentary behavior times (+52.8 minutes; 95% CI 47.0-58.5). The decreases were greater than the expected declines observed during winter holidays, and as of October 30, 2020, they have not returned to the levels observed prior to the initiation of shelter-in-place orders. Conclusions Among overweight or obese young adults, physical activity times decreased and sedentary behavior times increased concurrently with the implementation of COVID-19 mitigation strategies. The health conditions associated with a sedentary lifestyle may be additional, unintended results of the COVID-19 pandemic.

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“…16,17 These technology-based interventions could allow easy 24-hour access without time or cost constraints. 18 In recent years, numerous studies have used such programs 16,[19][20][21][22][23][24] and have shown the effectiveness of the programs in providing information and coaching or supporting to socially excluded groups including racial/ethnic minorities. 23,25 The retention of participants in technology-based intervention studies was reported to be far more complicated and challenging compared with conventional studies targeting racial/ ethnic minorities because of the limited number of individuals with access to the internet where these interactions occur.…”

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confidence: 99%

Characteristics of Asian-American Breast Cancer Survivors Retained in a 3-Month Technology-Based Intervention

Chee²

2021

Cancer Nurs

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Background: Technology-based intervention programs are known to be effective in approaching socially excluded groups or racial/ethnic minorities, including this specific population. However, the retention of participants in technology-based intervention studies is far more complicated and challenging compared with conventional studies targeting racial/ethnic minorities. Objective: This study aimed to identify the complex characteristics of the groups within Asian American breast cancer survivors who were successfully retained in a 3-month technology-based intervention study. Methods: This secondary analysis of the data from a larger ongoing intervention study included 155 Asian American breast cancer survivors. Major variables were measured using multiple instruments including the questions on characteristics of the participants, the Personal Resource Questionnaire, perceived isolation, Memorial Symptom Assessment Scale-Short Form, Cancer Behavior Inventory, 34-item Supportive Care Needs Survey Short Form, and Functional Assessment of Cancer Therapy Scale-Breast Cancer. Data analyses were done through χ 2 tests, t tests, and decision tree analyses. Results: The retention rates differed by subethnicity ( P = .025), immigration age ( P < .001), and stage of breast cancer ( P = .003). The decision tree indicated four groups with the highest probability of retention: (a) those who were diagnosed with stage II, III, or IV breast cancer, (b) those who immigrated to the United States after turning 31 years old, and (c) those who had high perceived barriers. Conclusion: This study provides directions for future retention strategies for technology-based interventions among Asian American breast cancer survivors. Implications for Practice: Participants' characteristics need to be considered in developing retain strategies for technology-based interventions among Asian American breast cancer survivors.

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A Remotely Delivered, Peer-Led Physical Activity Intervention for Younger Breast Cancer Survivors (Pink Body Spirit): Protocol for a Feasibility Study and Mixed Methods Process Evaluation

Cited by 9 publications

References 66 publications

A remotely delivered, peer-led intervention to improve physical activity and quality of life in younger breast cancer survivors

A remotely delivered, peer-led intervention to improve physical activity and quality of life in younger breast cancer survivors

Impact of the COVID-19 Pandemic on Objectively Measured Physical Activity and Sedentary Behavior Among Overweight Young Adults: Yearlong Longitudinal Analysis

Characteristics of Asian-American Breast Cancer Survivors Retained in a 3-Month Technology-Based Intervention

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