Annals of behavioral medicine : a publication of the Society of Behavioral Medicine最新文献

{"title":"Can targeted recruitment methods affect male participation in weight loss interventions and trials?","authors":"Ivelina Arnaoudova, Alice Pham, Laura Scanlan, Charlie Olvera, Alexis Hernandez, Angela Fidler Pfammatter","doi":"10.1093/abm/kaag047","DOIUrl":"10.1093/abm/kaag047","url":null,"abstract":"<p><strong>Background: </strong>Behavioral weight loss studies often enroll more females than males despite similar obesity prevalence. There is a paucity of experimental evidence on recruitment strategies to attract male participants in behavioral trials broadly and in weight management trials, specifically.</p><p><strong>Methods: </strong>We examined 4 theory and evidence-based advertising messages and 4 recruitment modalities (mailing, emailing, Facebook, and Spotify) in three iterative waves during a decentralized longitudinal randomized controlled trial comparing 2 behavioral weight loss interventions.</p><p><strong>Results: </strong>The number of ad clicks and web screens completed did not appear to differ among the messages. Facebook was the most cost-effective overall ($32.86 per recruited person) with the highest proportion of male interest when the message was tailored and campaigns were set to target males (79%), but mailing produced the higher total rate of potential participants screened and garnered a higher proportion of male interest overall (23% average across all waves), albeit it at greater cost.</p><p><strong>Conclusions: </strong>Social media is a cost-efficient recruitment avenue, although it may reduce the ability to assemble a representative sample. Future studies should formally experiment with recruitment to inform robust recommendations.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13489706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of a home-based virtual reality exercise intervention on community adults' well-being, depression, anxiety, and executive function: a randomized controlled trial.","authors":"Colin M Wierts, Carol Brennan, Tami F D Mann, Ryan E Rhodes","doi":"10.1093/abm/kaag053","DOIUrl":"10.1093/abm/kaag053","url":null,"abstract":"<p><strong>Background: </strong>Virtual reality (VR) exercise is an alternative mode of physical activity with potential mental health benefits. The purpose of this study was to examine the effectiveness of a VR exercise program for improving community adults' well-being (ie, subjective vitality), depression, anxiety, and executive functioning.</p><p><strong>Methods: </strong>A 2-arm, parallel, single-blinded randomized controlled trial design was conducted to compare a 10-week home-based commercially available VR exercise program (Supernatural Fitness Application) (n = 73) with a waitlist control (WLC) condition (n = 81). Primary (well-being) and secondary (depression, anxiety, executive functioning) outcomes were self-reported at baseline, week 5, and week 10 of the study. Participants were enrolled between March 19, 2024, and March 18, 2025. Analyses were conducted using mixed-effects regression models.</p><p><strong>Results: </strong>The VR exercise program resulted in statistically significant improvements (P < .01) in subjective vitality and decreases in depression and anxiety symptoms relative to the WLC condition across the 10-week study. At week 10, the VR exercise condition reported greater subjective vitality (d = 0.49; 95% CI, 0.17 to 0.81) and less depression (d = -0.42; 95% CI, -0.74 to -0.10) and anxiety (d = -0.22; 95% CI, -0.54 to 0.10) than the WLC condition. There were no statistically significant effects for executive functioning.</p><p><strong>Discussion: </strong>Home-based commercially available VR exercise has similar effects on well-being and mental health compared to traditional modes of physical activity. Practitioners can recommend commercially available VR exercise to individuals as an alternative mode of physical activity to support mental health.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT06367439 on April 11, 2024.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selecting optimized behavioral interventions from an optimization randomized controlled trial on increasing COVID-19 testing for African American/Black and Latino frontline essential workers not up-to-date on COVID-19 vaccination.","authors":"Siyu Heng, Xuancheng Ye, Jillian C Strayhorn, Charles M Cleland, Lalitha Parameswaran, Marya Gwadz","doi":"10.1093/abm/kaag005","DOIUrl":"10.1093/abm/kaag005","url":null,"abstract":"<p><strong>Background: </strong>African American/Black and Latino (AABL) persons suffer higher COVID-19 infection rates and adverse consequences (hospitalization, death) compared to White persons, especially among frontline essential workers who are not up-to-date on COVID-19 vaccination. Regular COVID-19 testing plays an essential role in mitigating such disparities.</p><p><strong>Purpose: </strong>The New York Community Action Project (NCAP), conducted in New York City between July 2022 and February 2024, was motivated by the goal of developing an effective and implementable behavioral intervention to promote COVID-19 testing among AABL frontline essential workers. In the present study, we selected an optimized intervention, based on data from the NCAP optimization randomized controlled trial (\"optimization RCT\"), which was guided by the multiphase optimization strategy (MOST) framework.</p><p><strong>Methods: </strong>The NCAP optimization RCT (N = 438) used a full 24 factorial design, testing the following candidate intervention components: motivational interviewing counseling (MIC; off vs. on); text messaging grounded in behavioral economics (behavioral economics intervention [BEI; off vs. on]); peer education (PE; off vs. on); and access to COVID-19 testing via either a navigation meeting [NM] or self-test kits [SK]). We applied Decision Analysis for Intervention Value Efficiency (DAIVE) to identify the optimized intervention (ie, the optimized combination of the four intervention components) that is effective at promoting the COVID-19 testing rate while remaining implementable. To estimate expected outcomes on the primary outcome (binary; self-reported COVID-19 testing at two follow-up assessments), we applied three alternative strategies for handling missing data and investigated decision-making robustness.</p><p><strong>Results: </strong>The three missing data strategies did not differ in ways that would shape optimization decision-making, suggesting robustness across strategies. The optimized intervention that strategically balances effectiveness and implementability contained motivational interviewing counseling (MIC), the behavioral economics intervention (BEI), and self-test kits (SK).</p><p><strong>Conclusions: </strong>The optimized intervention we identified based on empirical data from the NCAP optimization RCT shows potential to effectively increase the COVID-19 testing rate among AABL frontline essential workers who are not up to date on COVID-19 vaccination. Our demonstration of missing data strategies under the DAIVE framework offers meaningful practical guidance for behavioral medicine researchers.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13016776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foreseeing versus feeling: how accuracy of affective forecasting relates to health behavior change.","authors":"Michelle Z Yang, Mark Conner, Paschal Sheeran","doi":"10.1093/abm/kaaf084","DOIUrl":"10.1093/abm/kaaf084","url":null,"abstract":"<p><strong>Background: </strong>Whereas the importance of affective processes for health-related motivation and behavior is well established, little research has assessed either the accuracy or potential impact of accurate affective forecasts about health behaviors.</p><p><strong>Purpose: </strong>The present study addressed 3 research questions: (1) How accurate are affective forecasts about health behaviors? (2) Does forecasting accuracy influence health behavior performance, and (3) future motivation?</p><p><strong>Methods: </strong>We conducted a longitudinal study of 8 health behaviors (N = 857). Measures of the reasoned action approach variables, habit, and intention were taken at baseline. At the 3-month follow-up, participants reported behavioral performance, future motivation, and the affect experienced in relation to each behavior. Accuracy of affective forecasting was indexed by the difference between anticipated versus experienced affect.</p><p><strong>Results: </strong>Participants generally underestimated how good performing health behaviors would make them feel. Overestimating and underestimating affect were both associated with lower behavioral performance and future motivation, whereas greater forecasting accuracy predicted increased behavior and future motivation, even controlling for reasoned action approach variables and habit. Importantly, forecasting accuracy interacted with anticipated affect, such that forecasts that were both positive and accurate were associated with increased behavior and motivation.</p><p><strong>Conclusions: </strong>This study demonstrates that affective expectations and experiences both matter for motivation and action and underscores the importance of affective forecasting for health behavior change.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the categorization of barriers to physical activity and their associations with leisure time physical activity and body mass index in a sample of Jamaican adults.","authors":"André G Bateman, Leah M Schumacher, Chelsi Ricketts, Akosua Gyimah, Robyn Brown, Makayla Ramlochan, Alexi-Jade Lyew, Nikisha Harris","doi":"10.1093/abm/kaaf085","DOIUrl":"10.1093/abm/kaaf085","url":null,"abstract":"<p><strong>Background: </strong>Over 80% of Jamaicans are not meeting World Health Organization physical activity guidelines, and over 50% are overweight or obese. Research on barriers to physical activity and their associations with physical activity engagement among Jamaican adults is limited. This study explores the measurement and categorization of barriers to physical activity in Jamaican adults to inform the design and implementation of behavioral physical activity-promoting interventions.</p><p><strong>Purpose: </strong>This study applied a psychometric approach to explore the perception of barriers to physical activity and their associations with leisure time physical activity (LTPA) and body mass index (BMI) in Jamaican adults.</p><p><strong>Methods: </strong>A total of 506 Jamaican adults completed self-report measures of demographic data, height, and weight (to calculate BMI), barriers to physical activity, and LTPA in a cross-sectional survey design. Exploratory structural equation modeling was used to determine the best-fitting model for responses to the barriers to physical activity (BPA) scale. Structural equation modeling was used to examine the associations among BPA, LTPA, and BMI.</p><p><strong>Results: </strong>A 15-item BPA scale with 2 categories of barriers was identified: (1) psychosocial (PS-BPA; 7 items; eg, lack of self-motivation or confidence) and (2) environmental/demographic (ED-BPA; 8 items; safety or financial/cost issues) was identified. PS-BPA but not ED-BPA meaningfully associated with LTPA. LTPA was negatively associated with BMI.</p><p><strong>Conclusions: </strong>Psychosocial barriers may at least partially explain why most Jamaican adults do not meet global physical activity guidelines. Psychosocial correlates of physical activity should be emphasized when investigating and targeting physical activity barriers in behavioral interventions among Jamaican adults.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating adolescent eating autonomy through ecological momentary assessment.","authors":"Amanda M Ziegler, Lori A Hatzinger, Rachel A Barich, Tegan H Mansouri, Kathryn Tilyou, Andrea B Goldschmidt, Jennifer L Temple","doi":"10.1093/abm/kaaf027","DOIUrl":"10.1093/abm/kaaf027","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is marked by increases in autonomy, establishment of health behaviors, and changes in self-regulation. Numerous facets of adolescents' eating behavior occur in the context of increased autonomy, including food choices when apart from parents/caregivers, on weekend times with less structure than the school week, and during snacking occasions (versus meals). While previous studies have examined situations with assumed autonomy differences, ours is the first to directly examine eating autonomy in adolescents' food choices, using a momentary design.</p><p><strong>Purpose: </strong>The purpose of this study was to examine the construct of eating autonomy through smartphone-based ecological momentary assessment (EMA).</p><p><strong>Methods: </strong>Over seven days, adolescents (n = 48; 12-17y) reported their perceived control in selecting recent food/drinks alongside contextual data from each eating occasion. We hypothesized that, within-subjects, eating autonomy would be higher on weekends, during snacks, and when eating with friends/peers compared to weekdays, during meals, and eating with parents respectively. We also hypothesized that there would be between-subjects differences in adolescents' eating autonomy by age and gender.</p><p><strong>Results: </strong>Generalized Linear Mixed Models (GLMM) analyses found within-subjects effects showing higher autonomy during snacks and when eating alone, whereas autonomy decreased when eating with parents and during after-school and dinnertimes. There was no significant association between age and eating autonomy.</p><p><strong>Conclusions: </strong>These findings suggest that adolescents demonstrate significant autonomy over food choices, that varies by social context, type of eating occasion, and time of day. Understanding these patterns can inform adolescent-focused and parental support interventions aimed at improving adolescents' dietary behaviors by targeting specific contexts where autonomy is greater. The insights gained from this study can help shape strategies that promote healthier eating habits among adolescents by enhancing their decision-making autonomy in various contexts.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Yoga in autoimmune disorders: a systematic review of randomized controlled trials.","authors":"Abhijit Baishya, Shivam Sharma, Darshana Hazarika, Sarashti Saini, Harish Sharma, Kashinath Metri","doi":"10.1093/abm/kaaf049","DOIUrl":"10.1093/abm/kaaf049","url":null,"abstract":"<p><strong>Background: </strong>Yoga, a mind-body therapy, is widely utilized for managing health outcomes in autoimmune disorders (ADs). Despite its extensive use, no systematic review has been conducted to assess the impact of yoga on ADs.</p><p><strong>Purpose: </strong>The objective was to evaluate the evidence of yoga on health outcomes in ADs based on randomized controlled trials (RCTs).</p><p><strong>Methods: </strong>A comprehensive search was conducted across Scopus, Web of Science, PubMed, Medline, and PsycINFO from January 2000 to June 2024, as well as relevant reference lists. RCTs evaluating the efficacy of yoga-based interventions with at least 8 weeks duration in the 5 most commonly studied ADs-multiple sclerosis (MS), rheumatoid arthritis (RA), ankylosing spondylitis (AS), inflammatory bowel disease (IBD), and autoimmune periodontitis-were included. The methodological quality was assessed using the PEDro scale. Vote counting based on the direction of effect was used to determine effectiveness.</p><p><strong>Results: </strong>Twenty-six RCTs involving 1,960 patients with intervention durations ranging from 8 to 24 weeks were included. Twelve studies were of good methodological quality, 8 were fair, and the remaining 2 were of poor quality. Yoga demonstrated positive evidence in improving fatigue, balance, QoL, and depression among MS patients, along with reductions in inflammatory biomarkers and depression in RA patients. Studies on AS showed positive evidence in physical function, disease activity, and quality of life, as well as in clinical attachment loss in autoimmune periodontitis. However, the small number of RCTs in IBD, AS, and autoimmune periodontitis limited the strength of these findings. No adverse events were reported, although studies were limited by small sample sizes and short-term interventions.</p><p><strong>Conclusion: </strong>This systematic review found a positive impact of Yoga on various physical, biochemical, and psychological measures in 5 common ADs. Yoga may be considered an adjunct therapy in the conventional management of ADs.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Positive social modeling attenuates nocebo side effects.","authors":"Cosette Saunders, Winston Tan, David Ng, Alexander Burchett, Nicolas McNair, Ben Colagiuri","doi":"10.1093/abm/kaaf048","DOIUrl":"10.1093/abm/kaaf048","url":null,"abstract":"<p><strong>Background: </strong>Receiving negative instructions and observing another's adverse treatment-related experience can lead to worsened health outcomes via the nocebo effect. However, it is unknown whether the observation of a positive treatment-related experience can mitigate these effects.</p><p><strong>Purpose: </strong>To investigate whether a positive social modeling intervention can reduce nocebo side effects induced by instruction and social modeling.</p><p><strong>Methods: </strong>Participants (N = 160) were told the study assessed a new cognitive enhancer (actually a placebo). Participants received side effect warnings and viewed an informational video describing the medication. Placebo-treated groups were randomized to either watch an additional clip where a peer reported a positive experience with no side effects or not. These groups were further randomized to either encounter a live model exhibiting side effects or not. A Natural History group did not view any modeling nor receive the placebo. The primary outcome was the severity of side effects.</p><p><strong>Results: </strong>A significant nocebo effect was observed, with increased symptom severity in placebo-treated groups compared to the Natural History group. The positive social modeling intervention (i.e., viewing a peer experience no side effects) significantly reduced symptom severity. No significant difference in symptom severity was found between instruction alone and instruction with side effect modeling, nor was there an interaction between the induction method and the positive social modeling intervention.</p><p><strong>Conclusions: </strong>Positive social modeling reduces nocebo side effects induced by instruction alone and instruction with side effect modeling. Positive social modeling may be an effective method to mitigate the burden of nocebo side effects in clinical settings.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation of family-based health promotion to pediatric acute lymphoblastic leukemia treatment: NOURISH-ALL.","authors":"Carolyn R Bates, Anna Van Asselt, Renee M Gilbert, Hide Okuno, Kelsey M Dean, Keith J August, Christie A Befort, Marilyn Stern, Ann M Davis","doi":"10.1093/abm/kaaf090","DOIUrl":"10.1093/abm/kaaf090","url":null,"abstract":"<p><strong>Background: </strong>Acute lymphoblastic leukemia (ALL) is the most common childhood cancer in the United States, with significant rates of overweight and obesity among affected youth. Excessive weight gain during early ALL treatment is linked to poorer health outcomes, including higher relapse rates and long-term morbidities, highlighting the need for interventions to prevent weight gain and improve prognosis.</p><p><strong>Purpose: </strong>This study's purpose was to adapt family-based health promotion strategies to the early phases of pediatric ALL treatment. Adaptations aimed to create a new intervention (NOURISH-ALL) with the potential to prevent excessive weight gain during ALL treatment.</p><p><strong>Methods: </strong>Guided by the Obesity-Related Behavioral Intervention Trials model phase 1a, this adaptation framework included integrating evidence-based recommendations for family stress, nutrition, and physical activity during pediatric cancer treatment into an existing intervention (NOURISH-T). Multimethod formative assessments were conducted with families, youth with ALL, and multidisciplinary experts to further adapt intervention content, format, and delivery to meet the specific needs of families of youth in the early phases of ALL treatment.</p><p><strong>Results: </strong>Sixteen families (11 caregivers; 6 youth with ALL ages 8-12 years) and 11 multidisciplinary experts participated in formative assessments. Adaptations included integration of evidence-based methods to support caregiver distress, consistent messaging around nutrition and activity behaviors, and tailored intervention formats to improve engagement for families with logistical and time-related barriers.</p><p><strong>Conclusions: </strong>This study adapted the NOURISH-T intervention to address the unique challenges faced by families during early pediatric ALL treatment (NOURISH-ALL). Further testing is required to evaluate NOURISH-ALL feasibility and efficacy.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12619978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145535172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in physical activity 1 year after breast cancer diagnosis and associations with patient-reported outcomes: results from the AMBER cohort.","authors":"Jeff Vallance, Christine Friedenreich, Ruixuan Zhang, Qinggang Wang, Charles Matthews, Lin Yang, Margaret McNeely, Chad Wagoner, Nicole Culos-Reed, Gordon Bell, Jessica McNeil, Leanne Dickau, Kerry Courneya","doi":"10.1093/abm/kaaf098","DOIUrl":"10.1093/abm/kaaf098","url":null,"abstract":"<p><strong>Background: </strong>Few studies have prospectively examined how changes in physical activity in the first year after a breast cancer diagnosis may affect patient-reported outcomes (PROs) including quality of life and fatigue.</p><p><strong>Purpose: </strong>The purpose of this study was to examine changes in device-measured physical activity and associations with changes in quality of life [physical composite summary score (PCS) and mental composite summary score (MCS)] and fatigue from the first year after diagnosis among newly diagnosed women with breast cancer in the Alberta Moving Beyond Breast Cancer Study.</p><p><strong>Methods: </strong>In this prospective cohort study, we assessed women within a median of 60 days postsurgery (N = 1442) and again 1 year later (N = 1194). At both timepoints, participants wore an ActiGraph accelerometer for 7 days to measure light and moderate-to-vigorous physical activity (MVPA) and an activPAL accelerometer for daily steps. We used analysis of covariance to compare PRO change scores (dependent variables: PCS and MCS, and fatigue) across activity change quartiles (Q).</p><p><strong>Results: </strong>Participants were categorized into Q1 (decreased activity: mean changes = -37.2 minutes/day), Q2 (stable activity: mean change = -4.8 minutes/day), Q3 (modest increase in activity: mean change = 13.2 minutes/day), and Q4 (large increase in activity: mean change = +49.8 minutes/day). For MVPA, participants in Q4 had significantly larger improvements in PCS and MCS compared with those in the lowest quartiles (PCS: Q1 Δ = 1.5 points, P = .026; Q2 Δ = 1.6 points, P = .017; MCS: Q1 Δ = 2.2 points, P = .007). Significant differences also emerged for fatigue as participants in Q4 of MVPA reported improvements in fatigue compared to those in Q1 (Δ = 1.9 points, P = .017) and Q2 (Δ = 1.9 points, P = .016). Improvements in PCS, MCS, and fatigue were observed when comparing the highest quartile of change (Q4) in light intensity activity, daily steps, and MVPA in ≥10-minute bouts to those in Q1 and Q2.</p><p><strong>Conclusions: </strong>Women with breast cancer who increased physical activity from diagnosis to 1 year had significantly better improvements in PCS, MCS, and fatigue compared with those who decreased or maintained their physical activity.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12680426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}