Bernardine M Pinto, Shira I Dunsiger, Madison M Kindred, Sheryl Mitchell
{"title":"乳腺癌幸存者的体育活动采用和维持:同伴指导的随机试验。","authors":"Bernardine M Pinto, Shira I Dunsiger, Madison M Kindred, Sheryl Mitchell","doi":"10.1093/abm/kaab078","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Peer support can extend the reach of physical activity (PA) interventions. In previous studies, peer support via weekly counseling calls increased PA at 3 and 6 months among breast cancer survivors, compared to contact control. However, effects were attenuated at 6 months. Interventions targeting PA maintenance among cancer survivors are limited. Hence, we extended prior work to identify effective PA maintenance interventions.</p><p><strong>Purpose: </strong>Following a 3-month PA intervention, the study compared the effects of three 6-month interventions on PA at 12 months.</p><p><strong>Methods: </strong>One hundred and sixty-one inactive breast cancer survivors participated in a 12-month randomized controlled trial. Intervention delivery was uniform for the first 3-months: all participants received a weekly call with their peer coach to encourage PA. Following month 3, participants self-monitored PA and received feedback reports (Reach Plus) or additionally received, a monthly phone call (Reach Plus Phone), or weekly text message (Reach Plus Message). Moderate-to-vigorous PA (MVPA) was measured using self-report (7 Day PAR) and accelerometry at baseline, 3, 6, 9, and 12 months.</p><p><strong>Results: </strong>At 3 months, there were significant within group increases in self-reported and objectively measured MVPA with no between-group differences (ps > .05). At 6 months, adjusted longitudinal models showed that Reach Plus Message reported an additional 23.83 (SD = 6.33, f2 = .12) min/week of MVPA and Reach Plus Phone reported an additional 18.14 min/week (SD = 5.15, f2 =.16) versus Reach Plus. Results were similar at 9 months. At 12 months, Reach Plus Message and Reach Plus Phone both out-performed Reach Plus (ps = .04 and .05 respectively and effect sizes f2 = .11 and f2 = .21 respectively). Accelerometer data showed similar patterns: Reach Plus Message and Reach Plus Phone out-performed Reach Plus at 6 (f2 = .20) and 9 months (f2 = .09).</p><p><strong>Conclusion: </strong>Phone calls from peer mentors and text messaging can support PA maintenance among breast cancer survivors.</p><p><strong>Clinical trial information: </strong>ClinicalTrials.Gov NCT02694640.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":" ","pages":"842-855"},"PeriodicalIF":0.0000,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9345185/pdf/kaab078.pdf","citationCount":"11","resultStr":"{\"title\":\"Physical Activity Adoption and Maintenance Among Breast Cancer Survivors: A Randomized Trial of Peer Mentoring.\",\"authors\":\"Bernardine M Pinto, Shira I Dunsiger, Madison M Kindred, Sheryl Mitchell\",\"doi\":\"10.1093/abm/kaab078\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Peer support can extend the reach of physical activity (PA) interventions. In previous studies, peer support via weekly counseling calls increased PA at 3 and 6 months among breast cancer survivors, compared to contact control. However, effects were attenuated at 6 months. Interventions targeting PA maintenance among cancer survivors are limited. Hence, we extended prior work to identify effective PA maintenance interventions.</p><p><strong>Purpose: </strong>Following a 3-month PA intervention, the study compared the effects of three 6-month interventions on PA at 12 months.</p><p><strong>Methods: </strong>One hundred and sixty-one inactive breast cancer survivors participated in a 12-month randomized controlled trial. Intervention delivery was uniform for the first 3-months: all participants received a weekly call with their peer coach to encourage PA. Following month 3, participants self-monitored PA and received feedback reports (Reach Plus) or additionally received, a monthly phone call (Reach Plus Phone), or weekly text message (Reach Plus Message). Moderate-to-vigorous PA (MVPA) was measured using self-report (7 Day PAR) and accelerometry at baseline, 3, 6, 9, and 12 months.</p><p><strong>Results: </strong>At 3 months, there were significant within group increases in self-reported and objectively measured MVPA with no between-group differences (ps > .05). At 6 months, adjusted longitudinal models showed that Reach Plus Message reported an additional 23.83 (SD = 6.33, f2 = .12) min/week of MVPA and Reach Plus Phone reported an additional 18.14 min/week (SD = 5.15, f2 =.16) versus Reach Plus. Results were similar at 9 months. At 12 months, Reach Plus Message and Reach Plus Phone both out-performed Reach Plus (ps = .04 and .05 respectively and effect sizes f2 = .11 and f2 = .21 respectively). Accelerometer data showed similar patterns: Reach Plus Message and Reach Plus Phone out-performed Reach Plus at 6 (f2 = .20) and 9 months (f2 = .09).</p><p><strong>Conclusion: </strong>Phone calls from peer mentors and text messaging can support PA maintenance among breast cancer survivors.</p><p><strong>Clinical trial information: </strong>ClinicalTrials.Gov NCT02694640.</p>\",\"PeriodicalId\":520558,\"journal\":{\"name\":\"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine\",\"volume\":\" \",\"pages\":\"842-855\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-08-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9345185/pdf/kaab078.pdf\",\"citationCount\":\"11\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1093/abm/kaab078\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1093/abm/kaab078","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 11
摘要
背景:同伴支持可以扩大身体活动(PA)干预的范围。在之前的研究中，通过每周一次的咨询电话的同伴支持增加了乳腺癌幸存者在3个月和6个月时的PA，与接触控制相比。然而，效果在6个月时减弱。针对癌症幸存者PA维持的干预措施是有限的。因此，我们扩展了先前的工作，以确定有效的PA维持干预措施。目的:在3个月的PA干预后，研究比较了3种6个月的干预对12个月PA的影响。方法:161名不活跃的乳腺癌幸存者参加了一项为期12个月的随机对照试验。在前3个月，干预交付是统一的:所有参与者每周都会接到同行教练的电话，以鼓励PA。在接下来的第3个月，参与者自我监测PA并收到反馈报告(Reach Plus)或额外收到每月电话(Reach Plus电话)或每周短信(Reach Plus消息)。在基线、3、6、9和12个月时，采用自我报告(7天PAR)和加速度计测量中度至重度PA (MVPA)。结果:在3个月时，组内自我报告和客观测量的MVPA显著增加，组间无差异(ps > 0.05)。在6个月时，调整后的纵向模型显示，与Reach Plus相比，Reach Plus Message报告的MVPA增加了23.83分钟/周(SD = 6.33, f2 = 0.12)， Reach Plus Phone报告的MVPA增加了18.14分钟/周(SD = 5.15, f2 = 0.16)。9个月时的结果相似。在12个月时，Reach Plus Message和Reach Plus Phone的表现都优于Reach Plus (ps分别为0.04和0.05，效应值分别为f2 = 0.11和f2 = 0.21)。加速计数据显示了类似的模式:Reach Plus Message和Reach Plus Phone在6个月(f2 = .20)和9个月(f2 = .09)时的表现优于Reach Plus。结论:来自同伴导师的电话和短信可以支持乳腺癌幸存者的PA维持。临床试验信息:ClinicalTrials。Gov NCT02694640。
Physical Activity Adoption and Maintenance Among Breast Cancer Survivors: A Randomized Trial of Peer Mentoring.
Background: Peer support can extend the reach of physical activity (PA) interventions. In previous studies, peer support via weekly counseling calls increased PA at 3 and 6 months among breast cancer survivors, compared to contact control. However, effects were attenuated at 6 months. Interventions targeting PA maintenance among cancer survivors are limited. Hence, we extended prior work to identify effective PA maintenance interventions.
Purpose: Following a 3-month PA intervention, the study compared the effects of three 6-month interventions on PA at 12 months.
Methods: One hundred and sixty-one inactive breast cancer survivors participated in a 12-month randomized controlled trial. Intervention delivery was uniform for the first 3-months: all participants received a weekly call with their peer coach to encourage PA. Following month 3, participants self-monitored PA and received feedback reports (Reach Plus) or additionally received, a monthly phone call (Reach Plus Phone), or weekly text message (Reach Plus Message). Moderate-to-vigorous PA (MVPA) was measured using self-report (7 Day PAR) and accelerometry at baseline, 3, 6, 9, and 12 months.
Results: At 3 months, there were significant within group increases in self-reported and objectively measured MVPA with no between-group differences (ps > .05). At 6 months, adjusted longitudinal models showed that Reach Plus Message reported an additional 23.83 (SD = 6.33, f2 = .12) min/week of MVPA and Reach Plus Phone reported an additional 18.14 min/week (SD = 5.15, f2 =.16) versus Reach Plus. Results were similar at 9 months. At 12 months, Reach Plus Message and Reach Plus Phone both out-performed Reach Plus (ps = .04 and .05 respectively and effect sizes f2 = .11 and f2 = .21 respectively). Accelerometer data showed similar patterns: Reach Plus Message and Reach Plus Phone out-performed Reach Plus at 6 (f2 = .20) and 9 months (f2 = .09).
Conclusion: Phone calls from peer mentors and text messaging can support PA maintenance among breast cancer survivors.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
