Journal of Cancer Survivorship最新文献

{"title":"Assessing the perceived usefulness and impact of a sexual health consultation service for female patients in a comprehensive cancer center.","authors":"Marion Aupomerol, Jean Zeghondy, Patricia Pautier, Alessandro Viansone, Anna Ilenko, Florian Scotte, Ines Vaz-Luis, Maria Alice Franzoi","doi":"10.1007/s11764-025-01827-z","DOIUrl":"10.1007/s11764-025-01827-z","url":null,"abstract":"<p><strong>Purpose: </strong>Cancer and its treatments significantly impact women's sexual health, yet addressing sexual concerns remains inconsistent. This study aimed to evaluate the implementation of a sexual health consultation service for female patients undergoing cancer treatment or follow-up care, and assess patient perceptions of its usefulness.</p><p><strong>Methods: </strong>In November 2020, a sexual health consultation service was introduced at Gustave Roussy. Between November 2020 and February 2022, a survey was distributed to female patients who utilized the service. It assessed experiences, the perceived value of the consultation, resources provided, and improvements in sexual health post-consultation.</p><p><strong>Results: </strong>Of 153 surveys, 119 responses were received (77.8% response rate). The sexual health consultation was deemed useful by 87.4% of the participants and 74% found the resources helpful. Common concerns included vulvo-vaginal dryness (76%), dyspareunia (67%), and hypoactive desire (47%). After the consultation, 44% reported improvements in vaginal dryness. Furthermore, 44.5% felt more comfortable discussing sexual health concerns with other healthcare providers, and 46% felt more at ease discussing these issues with their partner.</p><p><strong>Conclusions: </strong>The high-perceived usefulness of the sexual health consultation, coupled with significant improvements in symptoms and communication skills, demonstrates the feasibility and value of integrating sexual health consultations into cancer care.</p><p><strong>Implications for cancer survivors: </strong>This approach enhances patient support and addresses an essential aspect of comprehensive cancer care, promoting a holistic focus on the well-being of cancer survivors.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"347-356"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in health behaviors and risk of depression after breast cancer diagnosis and treatment: a nationwide cohort study.","authors":"Wonyoung Jung, Kyungdo Han, Bongseong Kim, Jonghan Yu, Ji Hyun An, Hong Jin Jeon, Yong-Moon Mark Park, Dong Wook Shin","doi":"10.1007/s11764-025-01794-5","DOIUrl":"10.1007/s11764-025-01794-5","url":null,"abstract":"<p><strong>Purpose: </strong>Protective lifestyle behaviors could potentially mitigate the risk of depression in breast cancer survivors. This study examined the association between changes in key health behaviors and depression risk after breast cancer diagnosis and treatment.</p><p><strong>Methods: </strong>This nationwide cohort study assessed 30,523 breast cancer survivors without a prior history of depression, focusing on changes in weight, smoking habits, alcohol consumption, and physical activity from pre- to post-cancer diagnosis. The primary outcome was incident depression, with adjusted hazard ratios and confidence intervals calculated to consider potential confounders.</p><p><strong>Results: </strong>During an average follow-up of 5.3 years (160,755 person-years), lifestyle changes post-diagnosis included decreases in smoking (2.8% to 0.9%) and alcohol consumption (24.9% to 7.5%) and an increase in physical activity (18.9% to 32.1%). Substantial weight gain (> 10%) was associated with a 27% elevated risk of depression compared to those who maintained weight. Both continuation and cessation of smoking were associated with increased depression risk compared to sustained non-smokers. Changes in alcohol consumption, either initiation or cessation, were associated with increased depression risk compared to sustained non-drinkers. Conversely, breast cancer survivors who became inactive post-diagnosis had a reduced risk of depression compared to those who remained inactive. Our exploratory analysis showed that regular physical activity prior to diagnosis was associated with a 7% lower risk of depression compared to inactivity.</p><p><strong>Conclusion: </strong>We observed that post-diagnosis weight gain exceeding 10%, sustaining or quitting smoking, starting or stopping alcohol consumption, and pre-diagnosis physical inactivity were all associated with an increased risk of depression in breast cancer survivors. Healthcare providers should support healthy behaviors to mitigate depression risk after breast cancer diagnosis and treatment.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"114-125"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Right out of the gate: a mixed method study on the needs and priorities of individuals with or at risk of breast cancer-related lymphedema.","authors":"Mona M Al Onazi, Joanna F Parkinson, Badr El Bakkali El Kasmi, Diane Martin, Susan Stratford, Emily Haws, Stéphanie Bernard, Anna Kennedy, Naomi D Dolgoy, David Keast, Margaret L McNeely","doi":"10.1007/s11764-025-01800-w","DOIUrl":"10.1007/s11764-025-01800-w","url":null,"abstract":"<p><strong>Background: </strong>Clinical practice guidelines aim to standardize care and improve patient outcomes; however, they often lack input from patients themselves. Integrating the perspectives of individuals with lived experience ensures guidelines align with patient needs and priorities.</p><p><strong>Purpose: </strong>This study is part of the update to the Canadian Clinical Practice Guideline for breast cancer-related lymphedema (BCRL). Our goal was to identify the priority questions of individuals living with breast cancer to inform the development of guideline recommendations. The secondary aims were to identify the concerns, and barriers and facilitators to accessing lymphedema care.</p><p><strong>Methods: </strong>A mixed-methods study design was employed using a Canada-wide cross-sectional survey and focus group discussions. Qualitative data were analyzed using inductive thematic analysis.</p><p><strong>Results: </strong>A total of 137 participants with breast cancer completed the online survey, with 112 (81.8%) reporting BCRL. Six priority questions were identified: (i) What is my individual risk for BCRL? (ii) How can I lower my chances of developing BCRL? (iii) Do I have lymphedema? (iv) What are the effective treatment options for BCRL? (v) How can I best self-manage my lymphedema over the longer term? and (vi) How should my lymphedema be monitored over time? Participants expressed concern over developing or worsening of BCRL, and highlighted inconsistencies in care across Canada. Qualitative analyses revealed three themes: empowering patients, supporting self-management, and creating a surveillance plan/roadmap for lymphedema care.</p><p><strong>Conclusion: </strong>The findings will be used to guide patient-level clinical recommendations and knowledge translation tools. Addressing barriers may further a more equitable approach to patient-centered care.</p><p><strong>Implications for cancer survivors: </strong>Involving individuals with lived experience of breast cancer in guideline development and decision-making ensures that recommendations are truly reflective of the priorities of individuals affected by the condition. The overarching themes will support actionable strategies that align with the needs and priorities of individuals with breast cancer.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"305-317"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilot randomized study of adaptive cognitive training's effect on breast cancer survivors assessed through eye tracking.","authors":"Yuxin Huang, Ze Yu, Youyang Wang, Qun Liu, Kuan Zhao, Wei Feng","doi":"10.1007/s11764-025-01783-8","DOIUrl":"10.1007/s11764-025-01783-8","url":null,"abstract":"<p><strong>Purpose: </strong>Cancer-related cognitive impairment (CRCI) is a prevalent comorbidity among breast cancer survivors, yet evidence supporting the efficacy of adaptive cognitive training remains limited. This pilot study seeks to examine participants' adherence and preliminary effect of tablet-based cognitive training as an intervention for CRCI and apply eye tracking technology as an innovative approach to evaluate cognitive training outcomes.</p><p><strong>Methods: </strong>Fifty-two eligible participants were randomly assigned to either the biofeedback therapy group (BF) or the combined biofeedback therapy and cognitive training group (BF + COG). Participants completed a 30-session intervention lasting 6 weeks and eye tracking assessments at two timepoints: baseline and immediately after the intervention completion.</p><p><strong>Results: </strong>Retention rates were 68% in the BF group and 70.4% in the BF + COG group. At the 6-week follow-up, the BF + COG group demonstrated significantly improved fixation stability. Under non-interfering conditions, they maintained fixation 307.76 ms longer (p = 0.022, Cohen's d = 0.307) and had a 32.4% reduction in saccadic distance (p = 0.019, Cohen's d = -0.677) compared to BF. This advantage persisted under interference conditions with a 28.2% shorter saccadic distance (p = 0.034, Cohen's d = -0.579). While within-group changes were not significant, the BF+COG group consistently showed reduced saccade distances across conditions, whereas the BF group exhibited increases.</p><p><strong>Conclusion: </strong>Adaptive cognitive training may enhance attentional engagement and inhibitory control in breast cancer survivors. Large-scale study is needed to confirm these effects and refine eye-tracking applications for CRCI assessment.</p><p><strong>Implications for cancer survivors: </strong>Tablet-based cognitive training targeting cognitive control with adaptive difficulty levels may ameliorate CRCI among breast cancer survivors.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"16-27"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complex intervention including pain science education and patient-led goal setting-based self-management strategies for management of aromatase inhibitor-induced musculoskeletal symptoms: a single-arm feasibility and pilot study.","authors":"Masahiro Manfuku, Tomohiko Nishigami, Akira Mibu, Hirofumi Yamashita, Shuhei Ishida, Ryota Imai, Astrid Lahousse, Hiroe Kanamori, Kazuhiro Sumiyoshi","doi":"10.1007/s11764-024-01737-6","DOIUrl":"10.1007/s11764-024-01737-6","url":null,"abstract":"<p><strong>Purpose: </strong>Up to 74% of breast cancer survivors (BCS) treated with aromatase inhibitor (AI) experience AI-induced musculoskeletal symptoms (AIMSS). AIMSS is the predominant cause of poor adherence to AI therapy, yet no definitive treatment exists. The primary research objectives of this study were (1) to develop a novel BCS-specific complex intervention to alleviate AIMSS, and to assess its feasibility. The secondary research objective was (2) to assess the preliminary efficacy of this intervention.</p><p><strong>Methods: </strong>A single-arm, longitudinal pilot study was conducted involving 15 BCS with AIMSS. The complex intervention, which included pain science education, patient-led goal setting, and self-management strategies, was administered over 3 months. Feasibility was assessed by measuring overall participation, treatment completion rates, and satisfaction after 3 months of intervention. Additionally, the preliminary efficacy of the intervention was evaluated using a mixed model repeated measures analysis, with the change in pain intensity (brief pain inventory [BPI] worst pain/stiffness intensity) at 3 months as the primary endpoint.</p><p><strong>Results: </strong>The feasibility assessment showed promising results, with a 70.7% participation rate, an 83.3% intervention completion rate, and a satisfaction score of 8.2 ± 1.5. The intervention significantly reduced BPI worst pain/stiffness intensity by 2.78 points after 3 months (95% CI, - 4.5 to - 0.87, p < 0.01). Secondary outcomes demonstrated significant improvements in disability, quality of life, and pain catastrophizing (p < 0.05).</p><p><strong>Conclusion: </strong>The novel complex intervention appears valuable for management AIMSS in BCS. Future large-scale studies, including randomized controlled trials, are warranted.</p><p><strong>Trial registration: </strong>The study was registered in the Clinical Trials Registry of the University Hospital Medical Information Network (UMIN-CTR: UMIN 000049035) in October 2022.</p><p><strong>Implications for cancer survivors: </strong>The novel BCS-specific complex intervention program holds the potential to aid in managing AIMSS, improving adherence to AI therapy, and enhancing their quality of life.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1351-1366"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Network structure and temporal stability of symptoms during perioperative period among gastrointestinal cancer patients.","authors":"Gaorong Lv, Rui Qin, Xiangyu Zhao, Guopeng Li, Di Zhao, Ping Li","doi":"10.1007/s11764-025-01773-w","DOIUrl":"10.1007/s11764-025-01773-w","url":null,"abstract":"<p><strong>Purpose: </strong>Symptom networks can provide empirical evidence for developing personalized and precise symptom management strategies. However, the network structure and temporal stability of perioperative symptoms among gastrointestinal cancer patients remain unknown. This study aims to explore the dynamic connections between symptoms and accurately identify core symptoms to support clinical decision-making.</p><p><strong>Methods: </strong>The measurement points included T0 (2 days before surgery), T1 (2 days after surgery), T2 (6 days after surgery), T3 (10 days after surgery), and T4 (14 days after surgery). Measurement tools included M.D. Anderson Symptoms Inventory-Gastrointestinal Cancer Module (MDASI-GI). A Multilevel Vector Autoregressive Model (mlVAR) was used to build the temporal and contemporaneous networks.</p><p><strong>Results: </strong>A total of 241 gastrointestinal cancer participants were recruited, primarily with colorectal cancer type. In the temporal network, sadness had the strongest predictive effect on appetite change, with a value of -0.231. Additionally, dry mouth was identified as the core symptom with the highest outward strength centrality (1.234) and positively predicted pain, sadness, difficulty swallowing, distress, and fatigue (EW = 0.157 ~ 0.230, Ps < 0.001). In the contemporaneous network, depression was a core symptom with the highest strength centrality (1.001). The strongest correlation was found between distress and sadness (EW = 0.645, Ps < 0.05), followed by dry mouth and difficulty swallowing (EW = 0.363, Ps < 0.05). At five time points, the core symptoms within the perioperative symptom network encompassed appetite loss (at T0, with a value of 0.943), distress (at T1, with a value of 1.225; at T2, with a value of 1.057; and at T3, with a value of 0.858), and sadness (at T4, with a value of 1.238).</p><p><strong>Conclusion: </strong>There exist a prevalent occurrence of positive predictive and associative effects among symptoms. Moreover, emotional and gastrointestinal symptoms, particularly depression and dry mouth, hold significant positions in the perioperative symptom network and should be prioritized in symptom management strategies.</p><p><strong>Implications for cancer survivors: </strong>This study uncovers the underlying patterns of widespread positive predictive and associative effects among symptoms, and provides targeted clinical guidance for managing core symptoms such as dry mouth in perioperative care for cancer patients.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1769-1783"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality cancer survivorship care: a modified Delphi study to define nurse capabilities.","authors":"Gemma McErlean, Heidi Hui, Fiona Crawford-Williams, Nicolas H Hart, Meinir Krishnasamy, Bogda Koczwara, Thomas Walwyn, Mahesh Iddawela, Rebecca McIntosh, Raymond J Chan, Michael Jefford","doi":"10.1007/s11764-025-01804-6","DOIUrl":"10.1007/s11764-025-01804-6","url":null,"abstract":"<p><strong>Purpose: </strong>To establish capabilities required by nurses to deliver quality cancer survivorship care in Australia.</p><p><strong>Methods: </strong>A two-round online modified Delphi involving Australian cancer nurses. Initial domains and capability statements were based on the Quality of Cancer Survivorship Care Framework and supplemented by national and international nursing frameworks. In Round 1 (R1), experts categorised the applicability of 53 capabilities for cancer nurses, across eight domains, in relation to Australian National Professional Development Framework for Cancer Nursing (EdCaN) groups: 'All', 'Many', 'Some', and 'Few' nurses, or not relevant. In Round 2 (R2), experts rated agreement with capabilities allocated to the nurse groups. A priori consensus was set at ≥ 80%.</p><p><strong>Results: </strong>Surveys were distributed to 51 experts, with a response rate of 92% (47/51) for R1 and 75% (38/51) for R2. Following R1, ten capabilities were added, resulting in 63 capabilities for R2 to establish consensus allocation to EdCaN groupings. Fifty-seven capabilities reached consensus; four capabilities were moved from 'many' to 'some' nurses; one capability was moved from 'some' to 'few' nurses; and one capability was retained in 'all' nurses following Delphi feedback and research team discussion.</p><p><strong>Conclusions: </strong>Sixty-three capabilities across eight cancer survivorship care domains were identified and allocated to different nursing groupings. This study provides important foundational work by identifying the capabilities of cancer nurses to deliver quality cancer survivorship care in Australia.</p><p><strong>Implications for cancer survivors: </strong>The identification of clearly defined capabilities may improve the quality of cancer survivorship care through the enrichment and standardisation of educational curricula and continuing professional education, and through improved workforce planning.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"258-270"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The positive and negative impact of cancer on daily life > 2 years after diagnosis: Results from a survey among 5,710 patients with various cancer types.","authors":"Floortje Mols, Noortje van Willegen, Dagna Lek, Vivian Engelen","doi":"10.1007/s11764-025-01870-w","DOIUrl":"10.1007/s11764-025-01870-w","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to understand the positive and negative long-term impact of cancer and its treatment on survivors more than two years post-diagnosis.</p><p><strong>Methods: </strong>The Dutch Federation of Cancer Patient Organisations (NFK), with input from patient representatives and researchers, created a national online survey. It was distributed via email, websites, and social media to patient organization members, with additional promotion by partner organizations. Participants shared their experiences regarding the physical and psychological effects of cancer on daily life.</p><p><strong>Results: </strong>A total of 5,710 cancer survivors participated. Of these, 73% felt proud of how they coped, 66% reported that cancer reshaped their priorities, 44% saw new opportunities, and 35% enjoyed life more. However, 58% could not be worry-free, and 49% struggled to resume life. Long-term symptoms were common: 55% experienced both physical and psychological symptoms, 33% reported only physical symptoms, and 2% only psychological. The most frequent physical symptoms included fatigue (56%), reduced fitness (47%), neuropathy (32%), sexual issues (25%), and sleep disturbances (24%). Common psychological symptoms were memory/concentration issues (32%), acceptance struggles (19%), depressive feelings (19%), planning issues (18%), and anxiety (16%).</p><p><strong>Conclusion: </strong>Cancer survivors often face persistent physical and psychological symptoms, with cancer continuing to affect their lives significantly.</p><p><strong>Implications for cancer survivors: </strong>Greater awareness of these long-term consequences among healthcare providers and patients is essential.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"833-845"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144649594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and incidence of falls in older adults with cancer: a systematic review with meta-analysis.","authors":"Udari N Colombage, Ilana N Ackerman, Selina M Parry, Catherine L Granger, Thanh Nguyen, Keith D Hill, Sze-Ee Soh","doi":"10.1007/s11764-025-01796-3","DOIUrl":"10.1007/s11764-025-01796-3","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the prevalence and incidence of falls and fall-related injuries in community-dwelling older adults with a diagnosis of cancer and examine whether falls prevalence varies with specific cancer characteristics.</p><p><strong>Methods: </strong>A systematic search of five databases was conducted. Studies that included community-dwelling adults with a mean age ≥ 60 years with a current or past diagnosis of cancer and that reported data on the prevalence and/or incidence of falls and/or fall-related injuries were included. Prevalence and incidence rates of falls were pooled for meta-analysis, and meta-regression was used to investigate associations between cancer characteristics (e.g. cancer type and cancer treatment received) and prevalence of falls.</p><p><strong>Results: </strong>Fifty-seven studies with sample sizes ranging from 51-146,959 participants were included. The pooled prevalence of older adults with cancer who fell in the last 6 months (25%; 95% CI 19%, 32%) and 12 months (29%; 95% CI 24%, 34%) was similar. Subgroup analysis showed that the pooled prevalence of falls for older adults with breast cancer was higher (26%; 95% CI 22%, 30%) compared to those with prostate (14%; 95% CI 9%, 20%) or colorectal cancer (13%; 95% CI 11%, 16%).</p><p><strong>Conclusions: </strong>The overall prevalence of falls amongst community-dwelling older adults with cancer is relatively similar compared to the general older adult population, noting that fall events may have been under-reported.</p><p><strong>Implications for cancer survivors: </strong>Falls are common amongst older adults with cancer, but the link between cancer characteristics and exposure to falls risk requires further investigation to better understand the risk factors specific to cancer survivors.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1138-1154"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of web platform delivery of a physical activity program for breast cancer survivors: a randomized controlled trial.","authors":"Bernardine M Pinto, Madison Kindred, Shira Dunsiger, Sheryl Mitchell, Ashwin Patel, Danielle Ostendorf, Amy G Huebschmann","doi":"10.1007/s11764-025-01811-7","DOIUrl":"10.1007/s11764-025-01811-7","url":null,"abstract":"<p><strong>Purpose: </strong>We previously demonstrated that a 3-month peer-delivered program (Moving Forward Together, MFT) significantly increased breast cancer survivors' moderate-to-vigorous PA (MVPA). To enhance MFT's scalability and reach, we adapted it to an existing web platform and developed webMFT. Our goal was to test the efficacy of webMFT on survivors' MVPA.</p><p><strong>Methods: </strong>In a randomized controlled trial, we trained ten peer coaches from cancer care organizations to deliver webMFT or MVPA Tracking to 61 breast cancer survivors (mean age = 58.10 years [SD = 8.55], 1.40 years post-diagnosis [SD = 0.50], 80% Stage 0-1 cancer) for 3 months. Both groups received a FitBit® tracker and behavioral supports of weekly synchronization reminders, physical activity (PA) tipsheets, and recommended PA goals. In addition, webMFT participants received weekly coaching calls tailored to their FitBit® data shared through the web platform. All participants wore an Actigraph accelerometer for 7 days at baseline and at post-intervention and completed quality of life (QOL), mood, fatigue and physical functioning questionnaires. We used mixed effects regression models to examine between-group differences on outcomes.</p><p><strong>Results: </strong>Both groups significantly increased their MVPA from baseline to 12 weeks but there were no significant between-group differences in change in MVPA (b = - 22.84, SE = 16.99, p = .18). There were significant between-group effects favoring webMFT in improved QOL at 12 weeks (b = 1.56, SE = 0.77, p = .04).</p><p><strong>Conclusions: </strong>Adapting the efficacious MFT intervention for web delivery did not result in significant improvements in MVPA vs. MVPA Tracking. This raises questions as to whether the efforts undertaken to adapt and deliver the program through the web platform were justified as compared to MVPA Tracking with behavioral supports.</p><p><strong>Implications for cancer survivors: </strong>Promoting PA does not require web delivery of coaching-using physical activity trackers with weekly reminders and resources is also effective.</p><p><strong>Trial registration: </strong>This trial was registered in Clinicaltrials.gov on 6/8/2022 (NCT05409664).</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"406-417"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}