African-American breast cancer survivors' preferences for various types of physical activity interventions: a Sisters Network Inc. web-based survey.

African-American breast cancer survivors' preferences for various types of physical activity interventions: a Sisters Network Inc. web-based survey.
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DOI:
10.1007/s11764-013-0307-5
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发表时间:
2014-03
期刊:
Journal of cancer survivorship : research and practice
影响因子:
--
通讯作者:
Jones LA
Jones LA
中科院分区:
其他
文献类型:
--
作者:
Paxton RJ;Nayak P;Taylor WC;Chang S;Courneya KS;Schover L;Hodges K;Jones LA

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需求评估对于制定针对少数群体的生活方式干预措施至关重要。据我们所知,没有针对非裔美国人(AA)乳腺癌幸存者进行过身体活动(PA)需求评估研究。本研究的目的是确定AA乳腺癌幸存者的PA干预偏好,并确定这些偏好是否因医学和社会人口因素而不同。AA乳腺癌幸存者(N = 475,平均年龄= 54岁)通过电子邮件和社交媒体网站发送的广告招募。通过基于网络的问卷评估干预方式的偏好。使用描述性统计来描述他们对PA干预的兴趣,并评估亚组差异。完成调查的参与者中约49%(142/291)为肥胖,54%未达到推荐的PA指南。大多数参与者(90%)表示他们可以参加PA,许多参与者(67%)表示他们对接收项目材料感兴趣。参与者表示对电子邮件(50%)或基于网络(48%)的程序最感兴趣,而不是邮件(45%)、群组(39%)和电话(10%)。女性还对参与促进步行、阻力或力量训练的研究表现出最大的兴趣。干预偏好在社会人口统计学或医学因素之间无显著差异(P > 0.05)。大多数AA乳腺癌幸存者都可以参加PA,许多人对通过电子邮件或网络进行的促进步行和阻力训练的干预感兴趣。发展具有文化敏感性的干预措施,提供符合偏好的活动,可以帮助AA乳腺癌幸存者采用和保持健康的生活方式。尽管有证据表明AA乳腺癌幸存者患乳腺癌特异性疾病的风险增加,但在促进积极健康行为的临床试验中,他们的代表性不足。在这项研究中,我们建议评估他们的运动偏好和对与姐妹网络合作开发的文化上适当的体育活动干预的接受程度。与社区组织合作制定的健康促进计划可能有助于开发AA乳腺癌幸存者愿意使用的研究工具和资源。
Needs assessments are essential to developing lifestyle interventions for minority populations. To our knowledge, no physical activity (PA) needs assessment studies have been conducted for African American (AA) breast cancer survivors. The purpose of this study was to determine the PA intervention preferences of AA breast cancer survivors and determine whether these preferences differ according to medical and socio-demographic factors. AA breast cancer survivors (N = 475, Mean age = 54 years) were recruited using ads sent via email and social media sites. Preferences for the mode of intervention delivery were assessed via web-based questionnaires. Descriptive statistics were used to characterize their interests in PA interventions, and subgroup differences were assessed. About 49% (142/291) of the participants who completed the survey were obese and 54% did not meet the recommended guidelines for PA. Most (90%) participants reported that they could participate in PA, and many (67%) indicated that they were interested in receiving program materials. Participants expressed the greatest interest in email (50%) or web-based (48%) programs over mail (45%), group (39%), and telephone (10%). Women also expressed the greatest interest in participating in studies that promoted walking and resistance or strength training. Intervention preferences did not differ significantly (P > 0.05) across socio-demographic or medical factors. Most AA breast cancer survivors can participate in PA, and many are interested in interventions that promoted walking and resistance training and were delivered via the email or web. The development of culturally sensitive interventions that provide activities consistent with preferences can assist AA breast cancer survivors to adopt and maintain a healthy lifestyle. Despite evidence that AA breast cancer survivors are at increased risk for poor breast cancer-specific outcomes they are underrepresented in clinical trials promoting positive health behaviors. In this study, we propose to assess their exercise preferences and receptivity to a culturally appropriate physical activity intervention developed in collaboration with the Sisters Network. Health promotion programs developed in collaboration with a community based organization may aid in the development of research tools and resources that AA breast cancer survivors are receptive to using.
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