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Title: Effects of a self-managed home-based walking intervention on psychosocial health outcomes for breast cancer patients receiving chemotherapy: a randomised controlled trial
Authors: Gokal, Kajal
Wallis, Deborah J.
Ahmed, Samreen
Boiangiu, Ion
Kancherla, Kiran
Munir, Fehmidah
Keywords: Breast cancer
Physical activity
Emotional distress
Psychosocial well-being
Issue Date: 2016
Publisher: © Springer-Verlag
Citation: GOKAL, K. ... et al, 2016. Effects of a self-managed home-based walking intervention on psychosocial health outcomes for breast cancer patients receiving chemotherapy: a randomised controlled trial. Supportive Care in Cancer, 24(3), pp.1139-1166.
Abstract: Purpose: This study evaluated the effectiveness of a self-managed home-based moderate intensity walking intervention on psychosocial health outcomes among breast cancer patients undergoing chemotherapy. Methods: The randomised controlled trial compared a self-managed, home-based walking intervention to usual care alone among breast cancer patients receiving chemotherapy. Outcome measures included changes in self-report measures of anxiety, depression, fatigue, self-esteem, mood and physical activity. Fifty participants were randomised to either the intervention group (n = 25), who received 12 weeks of moderate intensity walking, or the control group (n = 25) mid-way through chemotherapy. Participants in the intervention group were provided with a pedometer and were asked to set goals and keep weekly diaries outlining the duration, intensity and exertion of their walking. Levels of psychosocial functioning and physical activity were assessed pre- and post-intervention in both groups. Results: The intervention had positive effects on fatigue (F = 5.77, p = 0.02), self-esteem (F = 8.93, p ≤ 0.001), mood (F = 4.73, p = 0.03) and levels of physical activity (x<sup>2</sup> = 17.15, p = 0.0011) but not anxiety (F = 0.90, p = 0.35) and depression (F = 0.26, p = 0.60) as assessed using the HADS. We found an 80 % adherence rate to completing the 12-week intervention and recording weekly logs. Conclusion: This self-managed, home-based intervention was beneficial for improving psychosocial well-being and levels of physical activity among breast cancer patients treated with chemotherapy. Trial registration: Current Controlled Trials ISRCTN50709297.
Description: The final publication is available at Springer via http://dx.doi.org/10.1007/s00520-015-2884-5
Sponsor: This activity was conducted under the auspices of the National Centre for Sport and Exercise Medicine (NCSEM) England, a collaboration between several universities, NHS trusts and sporting and public bodies. The study is funded by Loughborough University as part of a PhD project.
Version: Accepted for publication
DOI: 10.1007/s00520-015-2884-5
URI: https://dspace.lboro.ac.uk/2134/19034
Publisher Link: http://dx.doi.org/10.1007/s00520-015-2884-5
ISSN: 0941-4355
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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