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BMC Cancer
Published in: BMC Cancer 1/2012

Open Access 01-12-2012 | Study protocol

Move more for life: the protocol for a randomised efficacy trial of a tailored-print physical activity intervention for post-treatment breast cancer survivors

Authors: Camille E Short, Erica L James, Afaf Girgis, Patrick Mcelduff, Ronald C Plotnikoff

Published in: BMC Cancer | Issue 1/2012

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Abstract

Background

Due to early detection and advances in treatment, the number of women surviving breast cancer is increasing. Whilst there are many positive aspects of improved survival, breast cancer survival is associated with many long-term health and psychosocial sequelae. Engaging in regular physical activity post-diagnosis can reduce this burden. Despite this evidence, the majority of breast cancer survivors do not engage in regular physical activity. The challenge is to provide breast cancer survivors with appealing and effective physical activity support in a sustainable and cost-effective way. This article describes the protocol for the Move More for Life Study, which aims to assess the relative efficacy of two promising theory-based, print interventions designed to promote regular physical activity amongst breast cancer survivors.

Method and design

Breast cancer survivors were recruited from across Australia. Participants will be randomised into one of three groups: (1) A tailored-print intervention group, (2) a targeted-print intervention group, or (3) a standard recommendation control group. Participants in the tailored-print intervention group will receive 3 tailored newsletters in the mail over a three month period. Participants in the targeted-print group will receive a previously developed physical activity guidebook designed specifically for breast cancer survivors immediately after baseline. Participants in the standard recommendation control will receive a brochure detailing the physical activity guidelines for Australian adults. All participants will be assessed at baseline, and at 4 and 10 months post-baseline. Intervention efficacy for changing the primary outcomes (mins/wk aerobic physical activity; sessions/exercises per week resistance physical activity) and secondary outcomes (steps per day, health-related quality life, compliance with physical activity guidelines, fatigue) will be assessed. Mediation and moderation analyses will also be conducted.

Discussion

Given the growing number of cancer survivors, distance-based behaviour change programs addressing physical activity have the potential to make a significant public health impact.

Trial registration

Australian New Zealand Clinical Trials Registry (ANZCTR) identifier: ACTRN12611001061921
Appendix
Available only for authorised users
Literature
1.
Australian Institute of Health and Welfare National Breast and Ovarian Cancer Centre: Breast cancer in Australia: an overview, 2009. Book Breast cancer in Australia: an overview, 2009. 2009, City: AIHW
2.
Aziz NM: Cancer survivorship research: challenge and opportunity. J Nutr. 2002, 132: 3494S-3503S.PubMed
3.
Schmitz K, Speck R: Risks and benefits of physical activity among breast cancer survivors who have completed treatment. Womens Health. 2010, 6: 221-
4.
Conn VS, Hafdahl AR, Brown SA, Brown LM: Meta-analysis of patient education interventions to increase physical activity among chronically ill adults. Patient Educ Couns. 2008, 70: 157-172. 10.1016/j.pec.2007.10.004.CrossRefPubMed
5.
Cramp F, Daniel J: Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev. 2008, 16: CD006145-
6.
Australian Institute of Health and Welfare & Australasian Association of Cancer Registries: : Cancer in Australia: an overview, 2010. 2010, Canberra: AIHW, Cancer series no 60
7.
Baade PD, Fritschi L, Eakin E: Non-cancer mortality among people diagnosed with cancer (Australia). Cancer Causes Control. 2006, 17: 287-297. 10.1007/s10552-005-0530-0.CrossRefPubMed
8.
Feuerstein M: Handbook of cancer survivorship. 2007, New York: Springer Science + Business MediaCrossRef
9.
Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvao DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, et al: American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010, 42: 1409-1426. 10.1249/MSS.0b013e3181e0c112.CrossRefPubMed
10.
Hayes S, Spence RR, Galvao DA, Newton RU: Australian Association for Exercise and Sport Science position stand: optimising cancer outcomes through exercise. J Sci Med Sport. 2009, 12: 428-434. 10.1016/j.jsams.2009.03.002.CrossRefPubMed
11.
Aziz NM, Rowland JH: Trends and advances in cancer survivorship research: challenge and opportunity. Semin Radiat Oncol. 2003, 13: 248-266. 10.1016/S1053-4296(03)00024-9.CrossRefPubMed
12.
Chlebowski R: Lifestyle change including dietary fat reduction and breast cancer outcome. J Nutr. 2007, 137: 233S-235S.PubMed
13.
Holick CN, Newcomb PA, Trentham-Dietz A, Titus-Ernstoff L, Bersch AJ, Stampfer MJ, Baron JA, Egan KM, Willett WC: Physical activity and survival after diagnosis of invasive breast cancer. Cancer Epidemiol Biomarkers Prev. 2008, 17: 379-386. 10.1158/1055-9965.EPI-07-0771.CrossRefPubMed
14.
Holmes M, Chen W, Feskanich D, Kroenke C, Colditz G: Physical activity and survival after breast cancer diagnosis. JAMA. 2005, 25: 2479-2486.CrossRef
15.
Lynch BM: Sedentary behavior and cancer: a systematic review of the literature and proposed biological mechanisms. Cancer Epidemiol Biomarkers Prev. 2010, 19: 2691-2709. 10.1158/1055-9965.EPI-10-0815.CrossRefPubMed
16.
Courneya KS, Mackey JR, McKenzie DC: Exercise for breast cancer survivors: research evidence and clinical guidelines. Physician and Sportsmedicine. 2002, 30: 33-42.CrossRefPubMed
17.
Lynch B, Dunstan D, Healy G, Winkler E, Eakin E, Owen N: Objectively measured physical activity and sedentary time of breast cancer survivors, and associations with adiposity: findings from NHANES (2003–2006). Cancer Causes Control. 2010, 21: 283-288. 10.1007/s10552-009-9460-6.CrossRefPubMed
18.
Eakin EG, Youlden DR, Baade PD, Lawler SP, Reeves MM, Heyworth JS, Fritschi L: Health behaviours of cancer survivors: data from an Australian population-based survey. Cancer Causes Control. 2007, 18: 881-894. 10.1007/s10552-007-9033-5.CrossRefPubMed
19.
Jones LW, Courneya KS: Exercise counseling and programming preferences of cancer survivors. Cancer Pract. 2002, 10: 208-215. 10.1046/j.1523-5394.2002.104003.x.CrossRefPubMed
20.
Young-McCaughan S, Sexton DL: A retrospective investigation of the relationship between aerobic exercise and quality of life in women with breast cancer. Oncol Nurs Forum. 1991, 18: 751-757.PubMed
21.
Segar ML, Katch VL, Roth RS, Garcia AW, Portner TI, Glickman SG, Haslanger S, Wilkins EG: The effect of aerobic exercise on self-esteem and depressive and anxiety symptoms among breast cancer survivors. Oncol Nurs Forum. 1998, 25: 107-113.PubMed
22.
Demark-Wahnefried W, Peterson B, McBride C, Lipkus I, Clipp EC: Current health behaviours and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas. Cancer. 2000, 88: 674-684. 10.1002/(SICI)1097-0142(20000201)88:3<674::AID-CNCR26>3.0.CO;2-R.CrossRefPubMed
23.
Courneya K: Physical activity in cancer survivors: a field in motion. Psychooncology. 2009, 18: 337-342. 10.1002/pon.1546.CrossRefPubMed
24.
Pollard A, Eakin E, Vardy J, Hawkes A: Health behaviour interventions for cancer survivors: An overview of the evidence and contemporary Australian trials. Cancer Forum. 2009, 33:
25.
Holtzman J, Schmitz K, Babes G, Kane RL, Duval S, Wilt TJ, MacDonald RM, Rutks I: Effectiveness of behavioral interventions to modify physical activity behaviors in general populations and cancer patients and survivors. Evididence Report/ Technology Assessment (Prepared by the Minnesota Evidence-based Practice Center, under Contract No. 290-02-0009.) AHRQ Publication No. 04-E027-2. 2004, Rockville: Agency for Healthcare Research and Quality
26.
Pinto B, Floyd A: Theories underlying health promotion interventions among cancer survivors. Semin Oncol Nurs. 2008, 24: 153-163. 10.1016/j.soncn.2008.05.003.CrossRefPubMed
27.
Kim C-J, Kang D-H, Park J-W: A meta-analysis of aerobic exercise interventions for women with breast cancer. West J Nurs Res. 2009, 31: 437-461. 10.1177/0193945908328473.CrossRefPubMed
28.
Conn VS, Hafdahl AR, Porock DC, McDaniel R, Nielsen PJ: A meta-analysis of exercise interventions among people treated for cancer.[erratum appears in Support Care Cancer.2007 Dec;15(12):1441-2]. Support Care Cancer. 2007, 2006 (14): 699-712.
29.
McNeely ML, Campbell KL, Rowe BH, Klassen TP, Mackey JR, Courneya KS: Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. CMAJ: Canadian Medical Association Journal. 2006, 175: 34-41. 10.1503/cmaj.051073.CrossRefPubMedPubMedCentral
30.
Health behaviour and health education: Theory, research and practice. Edited by: Glanz K, Rimer BK, Lewis FM. 2002, San Franscisco: Jossey-Bass, 3 rd edition
31.
Nutbeam D: Improving the fit between research and practice in health promotion: overcoming structural barriers. Can J Public Health. 1996, 87: S18-23.PubMed
32.
Napolitano MA, Marcus BH: Targeting and tailoring physical activity information using print and information technologies. Exerc Sport Sci Rev. 2002, 30: 122-128. 10.1097/00003677-200207000-00006.CrossRefPubMed
33.
Short C, James E, Plotnikoff R, Girgis A: Efficacy of tailored-print interventions to promote physical activity: a systematic review of randomised trials. Int J Behav Nutr Phys Act. 2011, 8: 113-10.1186/1479-5868-8-113.CrossRefPubMedPubMedCentral
34.
Petty R, Cacioppo J: The effects of involvement on the responses to argument quantity and quality: central and peripheral routes to persuasion. J Pers Soc Psychol. 1984, 46: 69-81.CrossRef
35.
Glasgow RE, McKay HG, Piette JD, Reynolds KD: The RE-AIM framework for evaluating interventions: what can it tell us about approaches to chronic illness management?. Patient Educ Couns. 2001, 44: 119-127. 10.1016/S0738-3991(00)00186-5.CrossRefPubMed
36.
Moher D, Hopewell S, Schulz K, Montori V, Gotzsche P, Devereaux P, Elbourne D, Egger M, Altman D: CONSORT 2010 Explanation and Elaboration: updated guidelines for reporting parallel group randomised trials. BMJ. 2010, 340: c869-10.1136/bmj.c869.CrossRefPubMedPubMedCentral
37.
Harrington NG, Noar SM: Reporting standards for studies of tailored interventions. Health Educ Res. 2012, 27: 331-342. 10.1093/her/cyr108.CrossRefPubMed
38.
American College of Sports Medicine: ACSM’s Guidelines for Exercise Testing and Prescription. 2000, New York: Lippincott, Williams, & Wilkins, 6
39.
40.
Schulz KF: Subverting randomization in controlled trials. JAMA. 1995, 274: 1456-1458. 10.1001/jama.1995.03530180050029.CrossRefPubMed
41.
Cohen J: Statistical power analysis for the behavioral sciences. 1988, Hillsdale: Lawrence Earlbaum Associates, 2
42.
Bravata D, Smith-Spangler C, Sundaram V, Gienger A, Lin N, Lewis R, Stave C, Olkin I, Sirard J: Using pedometers to increase physical activity and improve health: a systematic review. JAMA. 2007, 21: 2296-2304.CrossRef
43.
Tudor-Locke C, Washington T, Hart T: Expected values for steps/day in special populations. Prev Med. 2009, 49: 3-11. 10.1016/j.ypmed.2009.04.012.CrossRefPubMed
44.
Liebreich T, Plotnikoff R, Courneya K, Boule N: Diabetes NetPLAY: A physical activity website and linked email counselling randomized intervention for individuals with type 2 diabetes. Int J Behav Nutr Phys Act. 2009, 6: 18-10.1186/1479-5868-6-18.CrossRefPubMedPubMedCentral
45.
Godin G, Shepard R: Godin Leisure-Time Exercise Questionnaire. Medicine & Science in Sports & Exercise. 1997, 29: 36-38.
46.
Plotnikoff RC, Taylor LM, Wilson PM, Courneya KS, Sigal RJ, Birkett N, Raine KIM, Svenson LW: Factors Associated with Physical Activity in Canadian Adults with Diabetes. Medicine & Science in Sports & Exercise. 2006, 38: 1526-1534.CrossRef
47.
Jacobs D, Ainsworth B, Hartman T, Leon A: A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exerc. 1993, 25: 81-91. 10.1249/00005768-199301000-00012.CrossRefPubMed
48.
Tudor-Locke CE, Myers AM: Methodological considerations for researchers and practitioners using pedometers to measure physical (ambulatory) activity. Res Q Exerc Sport. 2001, 72: 1-12.CrossRefPubMed
49.
Tudor-Locke C, Burkett L, Reis JP, Ainsworth BE, Macera CA, Wilson DK: How many days of pedometer monitoring predict weekly physical activity in adults?. Prev Med. 2005, 40: 293-298. 10.1016/j.ypmed.2004.06.003.CrossRefPubMed
50.
Tudor-Locke C, Bassett DR, Shipe MF, McClain JJ: Pedometry methods for assessing free-living adults. J Phys Act Health. 2011, 8: 445-453.PubMed
51.
Miller R, Brown WJ, Tudor-Locke C: But what about swimming and cycling? How to count non-ambulatory activity when using pedometers to assess physical activity. J Phys Act Health. 2006, 3: 257-266.
52.
Marshall AL, Miller YD, Burton NW, Brown WJ: Measuring Total and Domain-Specific Sitting: A Study of Reliability and Validity. Medicine & Science in Sports & Exercise. 2009, 42: 1094-1102.
53.
Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, Silberman M, Yellen SB, Winicour P, Brannon J, et al: The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. J Clin Oncol. 1993, 11: 570-579.PubMed
54.
Yellen S: B, Cella D, F, Webster K, Blendowski C, Kaplan E: Measuring fatigue and other anemia-related symptoms with the Functional Assessment of Cancer Therapy (FACT) measurement system. J Pain Symptom Manage. 1997, 13: 63-74.CrossRefPubMed
55.
Rogers LQ, Matevey C, Hopkins-Price P, Shah P, Dunnington G, Courneya KS: Exploring social cognitive theory constructs for promoting exercise among breast cancer patients. Cancer Nurs. 2004, 27: 462-473.CrossRefPubMed
56.
Plotnikoff RC, Blanchard CM, hotz SB, Rhodes R: Validation of the decisional balance scales in the exercise domain from the transtheoretical model: a longitudinal test. Measurement in Physical Education & Exercise Science. 2001, 5: 191-10.1207/S15327841MPEE0504_01.CrossRef
57.
Rogers L, Shah P, Dunnington G, Greive A, Shanmugham A, Dawson B, Courneya K: Social cognitive theory and physical activity during breast cancer treatment. Oncol Nurs Forum. 2005, 32: 807-815. 10.1188/05.ONF.807-815.CrossRefPubMed
58.
Lewis C, Raczynski J, Heath G, Levinson R, Hilyer JJ, Cutter G: Promoting physical activity in low-income African-American communities: the PARR project. Ethn Dis. 1993, 3: 106-118.PubMed
59.
Rogers L, Courneya K, Verhulst S, Markwell S, Lanzotti V, Shah P: Exercise barrier and task self-efficacy in breast cancer patients during treatment. Support Care Cancer. 2006, 14: 84-90. 10.1007/s00520-005-0851-2.CrossRefPubMed
60.
Plotnikoff RC, Lippke S, Courneya KS, Birkett N, Sigal RJ: Physical activity and social cognitive theory: a test in a population sample of adults with type 1 or type 2 diabetes. Applied Psychology. 2008, 57: 628-643. 10.1111/j.1464-0597.2008.00344.x.CrossRef
61.
Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR: The development of scales to measure social support for diet and exercise behaviors. Prev Med. 1987, 16: 825-836. 10.1016/0091-7435(87)90022-3.CrossRefPubMed
62.
Spittaels H, Foster C, Oppert J-M, Rutter H, Oja P, Sjostrom M, De Bourdeaudhuij I: Assessment of environmental correlates of physical activity: development of a European questionnaire. Int J Behav Nutr Phys Act. 2009, 6: 39-10.1186/1479-5868-6-39.CrossRefPubMedPubMedCentral
63.
Umstattd MR, Motl R, Wilcox S, Saunders R, Watford M: Measuring physical activity self-regulation strategies in older adults. J Phys Act Health. 2009, 6: S105-S112.PubMed
64.
Rise J, Thompson M, Verplanken B: Measuring implementation intentions in the context of the theory of planned behavior. Scand J Psychol. 2003, 44: 87-95. 10.1111/1467-9450.00325.CrossRefPubMed
65.
Rhodes RE, Blanchard CM, Matheson DH, Coble J: Disentangling motivation, intention, and planning in the physical activity domain. Psychology of Sport and Exercise. 2006, 7: 15-27. 10.1016/j.psychsport.2005.08.011.CrossRef
66.
Vallance JKH, Courneya KS, Plotnikoff RC, Yasui Y, Mackey JR: Randomized controlled trial of the effects of print materials and step pedometers on physical activity and quality of life in breast cancer survivors. J Clin Oncol. 2007, 25: 2352-2359. 10.1200/JCO.2006.07.9988.CrossRefPubMed
67.
Vallance JK, Courneya KS, Taylor LM, Plotnikoff RC, Mackey JR: Development and evaluation of a theory-based physical activity guidebook for breast cancer survivors. Health Educ Behav. 2008, 35: 174-189.CrossRefPubMed
68.
Bandura A: Health promotion by social cognitive means. Health Educ Behav. 2004, 31: 143-164. 10.1177/1090198104263660.CrossRefPubMed
69.
Bandura A: Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977, 84: 191-215.CrossRefPubMed
70.
Krebs P, Prochaska JO, Rossi JS: Defining what works in tailoring: a meta-analysis of computer-tailored interventions for health behavior change. Prev Med. 2010, 51: 214-221. 10.1016/j.ypmed.2010.06.004.CrossRefPubMedPubMedCentral
71.
Noar S, Benac CN, Harris MS: Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. Psychol Bull. 2007, 133: 673-693.CrossRefPubMed
72.
Michie S, Abraham C, Whittington C, McAteer J, Gupta S: Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009, 28: 690-701.CrossRefPubMed
73.
Rogers A, Courneya KS, Verhulst S, Markwell SJ, McAuley E: Factors associated with exercise counselling and program preferences among breast cancer survivors. Journal of Physical Activity and Health. 2008, 5: 688-705.PubMed
74.
Rogers LQ, Courneya KS, Shah P, Dunnington G, Hopkins-Price P: Exercise stage of change, barriers, expectations, values and preferences among breast cancer patients during treatment: a pilot study. Eur J Cancer Care. 2007, 16: 55-66. 10.1111/j.1365-2354.2006.00705.x.CrossRef
75.
Park CL, Gaffey AE: Relationships between psychosocial factors and health behavior change in cancer survivors: an integrative review. Ann Behav Med. 2007, 34: 115-134. 10.1007/BF02872667.CrossRefPubMed
76.
Pinto BM, Ciccolo JT: Physical activity motivation and cancer survivorship. Recent Results Cancer Res. 2011, 186: 367-387.CrossRefPubMed
77.
Harrison S, Hayes SC, Newman B: Level of physical activity and characteristics associated with change following breast cancer diagnosis and treatment. Psychooncology. 2009, 18: 387-394. 10.1002/pon.1504.CrossRefPubMed
78.
Bandura A: Social Foundations of Thought and Action: A Social Cognitive Theory. 1986, New York: Prentice Hall
79.
Kreuter M, Farrell D, Olevitch L, Brennan L: Tailoring health messages: Customizing communication with computer technology Mahwah. 2000, New Jersey: Lawrence Erlbaum Associates
80.
Department of Health and Aged Care: An active way to better health: National physical activity guidelines for adults. 1999, Canberra: Australian Government
81.
White IR, Horton NJ, Carpenter J, Pocock SJ: Strategy for intention to treat analysis in randomised trials with missing outcome data. Br Med J. 2011, 7: 342-
Metadata
Title
Move more for life: the protocol for a randomised efficacy trial of a tailored-print physical activity intervention for post-treatment breast cancer survivors
Authors
Camille E Short
Erica L James
Afaf Girgis
Patrick Mcelduff
Ronald C Plotnikoff
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2012
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/1471-2407-12-172

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