A hybrid effectiveness-implementation trial of an evidence-based exercise intervention for breast cancer survivors

Journal of the National Cancer Institute. Monographs
Rinad S BeidasKathryn H Schmitz

Abstract

The primary aims of this hybrid Type 1 effectiveness-implementation trial were to quantitatively assess whether an evidence-based exercise intervention for breast cancer survivors, Strength After Breast Cancer, was safe and effective in a new setting and to qualitatively assess barriers to implementation. A cohort of 84 survivors completed measurements related to limb volume, muscle strength, and body image at baseline, 67 survivors completed measurements 12 months later. Qualitative methods were used to understand barriers to implementation experienced by referring oncology clinicians and physical therapists who delivered the program. Similar to the efficacy trial, the revised intervention demonstrated safety with regard to lymphedema, and led to improvements in lymphedema symptoms, muscular strength, and body image. Comparison of effects in the effectiveness trial to effects in the efficacy trial revealed larger strength increases in the efficacy trial than in the effectiveness trial (P < .04), but few other differences were found. Qualitative implementation data suggested significant barriers around intervention characteristics, payment, eligibility criteria, the referral process, the need for champions (ie, advocates), and ...Continue Reading

References

Sep 1, 1978·American Journal of Epidemiology·R S PaffenbargerR T Hyde
Jul 1, 1995·Journal of Cardiopulmonary Rehabilitation·C E ShawJ D Posner
Nov 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S TierneyP Grace
Mar 18, 1999·Journal of Cardiopulmonary Rehabilitation·K L BarnardD M Denny
Aug 7, 2003·Seminars in Radiation Oncology·Andrea L ChevilleMarie E Taylor
Jun 26, 2004·BMJ : British Medical Journal·Penelope HaweTherese Riley
Feb 9, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Patricia A Ganz, Erin E Hahn
Aug 9, 2008·Seminars in Oncology Nursing·Patricia A GanzErin E Hahn
Aug 14, 2009·The New England Journal of Medicine·Kathryn H SchmitzQuincy P Greene
Dec 4, 2009·Quality & Safety in Health Care·L J DamschroderS L Krein
Jan 7, 2010·Journal of Cancer Survivorship : Research and Practice·Rebecca M SpeckKathryn H Schmitz
Jun 19, 2010·Medicine and Science in Sports and Exercise·Kathryn H SchmitzUNKNOWN American College of Sports Medicine
Dec 15, 2010·JAMA : the Journal of the American Medical Association·Kathryn H SchmitzJesse Chittams
Apr 18, 2012·Cancer·Ann M BergerDeborah K Mayer
Apr 28, 2012·CA: a Cancer Journal for Clinicians·Cheryl L RockTed Gansler
May 10, 2012·Journal of the National Cancer Institute·Edward L Giovannucci
May 23, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Lee W JonesMark Haykowsky
Aug 17, 2012·The Cochrane Database of Systematic Reviews·Shiraz I MishraClaire Snyder
Jun 5, 2013·Journal of the National Comprehensive Cancer Network : JNCCN·Jennifer A Ligibel, Crystal S Denlinger
Jan 7, 2014·Journal of Cancer Survivorship : Research and Practice·Kerri M Winters-StoneKathryn H Schmitz
Jan 1, 2010·The Journal of the American College of Certified Wound Specialists

❮ Previous
Next ❯

Citations

Apr 18, 2015·The Physician and Sportsmedicine·Laura StefaniNicola Maffulli
Jul 26, 2015·BMJ Quality & Safety·Austin S KilaruRaina M Merchant
Mar 31, 2016·Current Oncology Reports·Erik D HansonClaudio L Battaglini
Mar 10, 2015·Journal of the National Cancer Institute. Monographs·Jun J Mao, Lorenzo Cohen
Jan 30, 2015·Research Quarterly for Exercise and Sport·Kerry S CourneyaChristine M Friedenreich
May 13, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Justin C Brown, Kathryn H Schmitz
Nov 23, 2017·CA: a Cancer Journal for Clinicians·Wendy Demark-WahnefriedKaren Basen-Engquist
Apr 10, 2017·Breast Cancer Research and Treatment·Xiaochen ZhangKathryn H Schmitz
May 2, 2018·Current Oncology Reports·Lindsay L Peterson, Jennifer A Ligibel
Oct 17, 2019·CA: a Cancer Journal for Clinicians·Kathryn H SchmitzCharles E Matthews
Apr 16, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Amy M DennettMelissa S Reed
Mar 17, 2020·Journal of Cancer Survivorship : Research and Practice·Andrea ChevilleTerry Therneau
Oct 11, 2020·The International Journal of Behavioral Nutrition and Physical Activity·Mary A KennedyDaniel A Galvão
Apr 1, 2021·Women's Health Reports·Corrie J EffaMargaret L McNeely

❮ Previous
Next ❯

Related Concepts

Related Feeds

Biomechanics

Biomechanics examines the generation of internal forces within the body and investigates the effects and control of forces that act on or are produced on tissues. Here are the latest discoveries.

Related Papers

Annales de dermatologie et de vénéréologie
S Vignes
Journal of Consulting and Clinical Psychology
Nancy M PetryDavid M Ledgerwood
Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
© 2022 Meta ULC. All rights reserved