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Home-based exercise among cancer survivors: adherence and its predictors
Bernardine M Pinto1, Carolyn Rabin, Shira Dunsiger
1Miriam Hospital and Warren Alpert Medical School of Brown University, Providence, RI 02903, USA. Bpinto@lifespan.org
Objective:
Evidence of the benefits of exercise for those treated for cancer has led to exercise interventions for this population. Some have questioned whether cancer patients offered a home-based intervention adhere to the exercise prescribed.
Method:
We examined exercise adherence in a randomized controlled trial of a 12-week, home-based exercise trial for breast cancer patients. Three adherence outcomes were examined: minutes of exercise participation/week, number of steps taken during planned exercise/week, and whether the participant met her weekly exercise goal. Predictors of adherence (e.g. demographic and medical variables, Transtheoretical Model variables, history of exercise) were examined.
Results:
Findings indicate that participants significantly increased their minutes of exercise and steps taken during planned exercise from Week 1 to 12. The percentage of participants achieving exercise goals was highest in the first few weeks. Exercise self-efficacy significantly predicted each adherence outcome. Baseline PA predicted mean exercise session steps over the 12 weeks.
Conclusion:
Adherence to a home-based exercise intervention for breast cancer patients changes over time and may be related to baseline levels of exercise self-efficacy.
