Effectiveness and Implementation of Physical Activity Interventions for Rural Breast Cancer Survivors: A Systematic...

Area of Science:

• Oncology
• Rehabilitation Medicine
• Public Health

Background:

• Physical activity is crucial for breast cancer survivors, improving function and quality of life.
• Rural survivors face significant barriers to exercise participation, including geographic isolation and limited resources.
• Evidence on physical activity interventions for rural cancer survivors is scarce.

Purpose of the Study:

• To systematically review the effectiveness and feasibility of physical activity interventions for breast cancer survivors in rural settings.
• To identify successful strategies for overcoming barriers to exercise in non-urban populations.
• To synthesize findings on physical function, quality of life, and adherence.

Main Methods:

• Systematic review of randomized controlled trials, quasi-experimental, and observational studies.
• Searched electronic databases for studies on structured physical activity or rehabilitation programs for rural breast cancer survivors.
• Data extraction and quality assessment by two independent reviewers, with narrative synthesis of findings.

Main Results:

• Seven studies met inclusion criteria, utilizing telephone counseling, tele-exercise, lifestyle interventions, and community programs.
• Most interventions showed improvements in physical activity, performance, lifestyle behaviors, or quality of life.
• Remote delivery methods effectively addressed geographic barriers, with generally low to moderate study quality.

Conclusions:

• Physical activity interventions are feasible and beneficial for rural breast cancer survivors.
• Remote and community-based approaches can enhance access and participation in exercise programs.
• Future research should focus on sustainable, community-engaged models for long-term benefits.