Article
A motivational-volitional program for women after breast cancer increases physical activity 12 months post rehabilitation – a prospective controlled trial
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Authors
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Eva Maria Bitzer
- Pädagogische Hochschule Freiburg, Freiburg, Germany
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Leoni Ralf
- Pädagogische Hochschule Freiburg, Freiburg, Germany
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Janine Feicke
- Pädagogische Hochschule Freiburg, Freiburg, Germany
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Ulrike Spörhase
- Pädagogische Hochschule Freiburg, Freiburg, Germany
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Wiebke Göhner
- Katholische Hochschule Freiburg, Freiburg, Germany
| Published: | April 16, 2019 |
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Outline
Text
Background: Despite proven benefits of physical activity, many women after breast cancer do not meet recom-mended physical activity (PA) guideline. Based on the motivational-volitional theory of behavior change [1] we developed a program to promote PA in sedentary women after breast cancer (4 units à 60 minutes) [2].
Aim: To assess the effectiveness of the program to increase PA 12 months after discharge from medical rehabilitation.
Method: This was a prospective controlled trial in two in-patient medical rehabilitation centers. The study pop-ulation comprised adult women after breast cancer scheduled for inpatient medical rehabilitation who are physical inactive (<60 min/week). All women received standard three weeks rehabilitation includ-ing 240 min/week physical activity. The intervention group (IG n=279) attended the program during rehabilitation, additionally. The control group (CG n=266) was advised to remain physically active after discharge. Self-reported PA [3] was assessed at admission (T0), discharge (T1), 6 and 12 months after discharge (T2, T3). Analysis of change was performed by ANCOVA for each follow-up, adjusting for baseline values.
Results/findings: 57% woman completed assessment on all 4 time points (IG: n=279; CG: n=266). Mean age is 57 (SD=9,9) years. The PA in min/week reported by the IG at T0, T1, T2, T3 was (12, 202, 98, 98) and for the CG (12, 197, 85, 75). The IG is 22 min/week (95%-CI 2,6-41,5) more active than the CG (p=.02). 49% of the IG exercises at least 60 min/week compared to 37% of the CG (p=<.01).
Discussion and conclusions: A motivational-volitional program increases exercise behavior in sedentary woman after breast cancer up to 12 months post discharge.
References
- 1.
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- 2.
- Spörhase U, Göhner W, Feicke J, Eckert T, Rolf R, Ralf L, Bitzer EM. Bewegung nach Brustkrebs aufnehmen und aufrechterhalten - ein Schulungsmanual - Aus dem Projekt: Motivational-volitionale Intervention - Bewegung nach Brustkrebs (MoVo-BnB). Tübingen: dgvt Verlag; 2018.
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