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Promoting Team-Based Exercise Among African American Breast Cancer Survivors.

Linda B Piacentine1, Karen M Robinson1, Leslie J Waltke2

  • 11 Marquette University, Milwaukee, WI, USA.

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A team walking program motivated African American breast cancer survivors (BCS) to exercise. This intervention helped survivors overcome barriers and continue physical activity for improved health outcomes.

Keywords:
African-Americansbreast cancerfocus groupsmotivationsurvivors

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Area of Science:

  • Exercise Science
  • Oncology
  • Behavioral Medicine

Background:

  • Physical activity is crucial for breast cancer survivors' (BCS) health and well-being.
  • African American BCS face disparities, including lower exercise rates and higher risks of adverse outcomes.
  • Understanding motivational factors is key to promoting exercise adherence in this population.

Purpose of the Study:

  • To identify motivational factors driving African American BCS to join and continue a 14-week team walking program.
  • To explore perceived benefits and barriers to exercise participation among African American BCS.

Main Methods:

  • A mixed-method study involving focus groups with 12 African American BCS before and after a 14-week team walking intervention.
  • Qualitative content analysis of focus group transcripts to identify emergent themes.
  • Verification of self-reported physical improvements with objective physical data.

Main Results:

  • Pre-intervention themes revealed reluctance due to perceived isolation, exercise not being a priority, treatment effects, and uncertainty about benefits.
  • Post-intervention themes highlighted the importance of social support ('In the same boat'), a changed mindset, perceived improvements in weight and activity, and successful barrier navigation.
  • Objective physical data corroborated the self-reported improvements.

Conclusions:

  • Team-based exercise interventions can effectively motivate African American BCS to engage in physical activity.
  • Addressing barriers and fostering a supportive group environment are critical for sustained exercise behavior change.
  • Such programs show potential for improving health and overcoming sedentary tendencies in this survivor population.