Understanding Physical Activity and Quality of Life in Black Breast Cancer Survivors

了解黑人乳腺癌幸存者的身体活动和生活质量

• 批准号: 10065244
• 负责人: Natasha Renee Burse
• 金额: $ 4.22万
• 依托单位: PENNSYLVANIA STATE UNIV HERSHEY MED CTR
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-06 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10065244
• 关键词: Address; Aerobic Exercise; Affect; Aftercare; Awareness; Behavior; Behavior Therapy; Behavioral; Behavioral Medicine; Body Composition; Body Image; Body Weight decreased; Breast Cancer Risk Factor; Breast Cancer survivor; Cancer Death Rates; Cancer Etiology; Cancer Survivor; Caring; Cessation of life; Communities; Control Groups; Development; Diagnosis; Disease; Emotional; Enrollment; Exercise; Failure; Fatigue; Fellowship; Fostering; Health; Health Professional; Health behavior; Incidence; Individual; Intervention; Interview; Knowledge; Life; Life Experience; Lymphedema; Measures; Medical; Methods; Obesity; Outcome; Overweight; Pain; Pennsylvania; Perception; Personal Satisfaction; Physical activity; Physicians; Population; Psyche structure; Quality of life; Questionnaires; Randomized Controlled Trials; Recommendation; Recording of previous events; Research; Research Personnel; Research Project Grants; Resources; Scientific Advances and Accomplishments; Sex Functioning; Social Well-Being; Socioeconomic Factors; Structure; Surveys; Survival Rate; Survivors; Swelling; Target Populations; Technology; Time; Training; Tumor Biology; United States; Volition; Walking; Weight; Well in self; Woman; Women' s Health; base; breast cancer survival; cancer diagnosis; cancer therapy; cancer type; clinical practice; community partnership; design; effective therapy; ethnic minority population; exercise intervention; exercise program; experience; health organization; improved; insight; malignant breast neoplasm; modifiable behavior; obesity risk; optimal treatments; physical inactivity; primary outcome; programs; racial and ethnic; racial disparity; sleep quality; social; social health determinants; strength training; survivorship; treatment effect; weight loss intervention

Project Summary/Abstract Breast cancer is the most common type of cancer and the second leading cause of cancer death among women in the United States. With effective treatments and advancements in technology, the proportion of women who survive breast cancer five years and beyond is increasing. Despite the continued progress in survival, black women experience suboptimal five-year breast cancer specific survival, adverse cancer treatment effects (pain and swelling from lymphedema), and quality of life (QOL). Most interventions targeting physical activity (PA) have shown to improve QOL in predominantly white cancer survivors. There are critical gaps in our understanding of PA and QOL among post treatment black women with a history of breast cancer. First, there is not enough evidence to establish whether the effect of PA on QOL is smaller or larger in black women compared to white women. Second, there are limited descriptions of QOL concerns and experiences in relation to PA among black women. This study will address these issues in the following aims by: 1) investigating the effect of PA on social wellbeing, emotional wellbeing, and body image among post treatment black and white breast cancer survivors with lymphedema in the Women In Steady Exercise Research (WISER) Survivor Trial, 2) describing the QOL experiences and concerns in relation to PA among black women with a history of breast cancer in Pennsylvania using semi structured interviews and a narrative approach, and 3) assessing the association between PA, social, emotional, spiritual, mental, and physical wellbeing among black women with a history of breast cancer without lymphedema in the Black Women’s Health Study. The long term objective of this fellowship is to understand this association to increase the potential for medical and health professionals to recommend the use and promote the importance of PA to improve QOL among black women. Another long term objective of this fellowship is to increase awareness on the factors that influence QOL and PA, individual perceptions and descriptions of QOL, and unique QOL concerns and experiences to help improve QOL among black women breast cancer survivors who have worse health outcomes. This fellowship will help to inform clinical practice, refine exercise programs, promote the development of behavioral interventions, and advance scientific knowledge on QOL and PA among black women.

项目总结/摘要 乳腺癌是最常见的癌症类型，也是癌症死亡的第二大原因， 美国的女性。随着有效的治疗和技术的进步， 在乳腺癌中存活五年或更长时间的妇女正在增加。尽管不断取得进展， 生存，黑人妇女经历了次优的五年乳腺癌特异性生存， 治疗效果（水肿引起的疼痛和肿胀）和生活质量（QOL）。大多数干预措施针对 体力活动（PA）已显示出改善主要是白色癌症幸存者的QOL。存在临界 我们对有乳腺癌病史的黑人女性治疗后PA和QOL的理解存在差距。 首先，没有足够的证据来确定PA对生活质量的影响在黑色中是更小还是更大 与白色女性相比。第二，关于生活质量问题和经验的描述有限， 与黑人女性的关系。本研究将通过以下目的解决这些问题：1） 研究PA对治疗后社会幸福感、情感幸福感和身体意象的影响， 稳定运动研究中女性中患有水肿的黑人和白色乳腺癌幸存者 （WISER）幸存者试验，2）描述黑人中与PA相关的QOL经验和担忧 使用半结构化访谈和叙述， 方法，以及3）评估PA，社会，情感，精神，心理和身体之间的关联 在黑人妇女的健康中，有乳腺癌史的黑人妇女没有水肿。 健康研究。这个奖学金的长期目标是了解这个协会，以增加 医疗和卫生专业人员推荐使用PA并促进PA重要性的潜力， 提高黑人女性的生活质量。该奖学金的另一个长期目标是提高对以下方面的认识： 影响QOL和PA的因素，个体对QOL的感知和描述，以及独特的QOL 关注和经验，以帮助改善黑人女性乳腺癌幸存者的生活质量， 健康成果。该奖学金将有助于通知临床实践，完善锻炼计划，促进 发展行为干预措施，提高黑人生活质量和PA的科学知识 妇女