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Randomized Pilot Test of a Simultaneous Stage-Matched Exercise and Diet Intervention for Breast Cancer Survivors

Soo Hyun Kim

Mi Soon Shin

Han Sul Lee

Eun Sook Lee

Jung Sil Ro

Han Sung Kang

Seok Won Kim

Won Hee Lee

Hee Soon Kim

Chun Ja Kim

Joohyung Kim

Young Ho Yun

diet, survivorship, survivorship program, breast neoplasms
ONF 2011, 38(2), E97-E106. DOI: 10.1188/11.ONF.E97-E106

Purpose/Objectives: To investigate the feasibility and preliminary effects of a simultaneous stage-matched exercise and diet (SSED) intervention in breast cancer survivors.

Design: Randomized, controlled trial.

Setting: Oncology outpatient treatment clinics at the National Cancer Center in South Korea.

Sample: 45 women with breast cancer who completed their cancer therapy.

Methods: Participants were assigned to the SSED intervention group (n = 23) or a control group (n = 22). Participants in the SSED group received a 12-week individualized intervention promoting prescribed exercise and a balanced diet through stage-matched telephone counseling and a workbook.

Main Research Variables: Program feasibility, behavioral outcomes (stage of motivational readiness for exercise and diet, physical activity, and diet quality), and quality-of-life (QOL) outcomes (functioning and global QOL, fatigue, anxiety, and depression).

Findings: Participant evaluations of the SSED intervention indicated that it was feasible and acceptable. All women felt that the overall intervention contents were appropriate, and 95% believed that the intervention helped to promote healthy behaviors. Objective data also supported the SSED intervention's feasibility (i.e., 91% completed the trial and 100% of intervention calls were received). When compared to control, the SSED intervention group showed significantly greater improvement in motivational readiness for exercise and diet, emotional functioning, fatigue, and depression.

Conclusions: Preliminary results suggest that the SSED intervention delivered via telephone counseling and workbook is feasible and beneficial for positive behavioral and QOL outcomes.

Implications for Nursing: Nurse-led lifestyle interventions may improve QOL for cancer survivors.

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