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Effectiveness of a Home-Based and Group-Based Tele-Exercise Program for Breast Cancer Survivors: Pilot Randomized

Yang Gao¹, Yan Sun², Xueying Wang¹

¹Department of Sports and Health Sciences, Academy of Wellness and Human Development, Hong Kong Baptist University, AAB 935, Level 9, Academic and Administration Building, Baptist University Road Campus, Hong Kong, China (Hong Kong), 852 3411 7770.

Journal of Medical Internet Research

|June 26, 2026

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This pilot study shows tele-exercise is feasible for breast cancer survivors, improving fitness and quality of life. Further research is needed to confirm long-term benefits.

Area of Science:

Oncology
Rehabilitation Medicine
Digital Health

Background:

Breast cancer is a leading global cancer in women.
Adjuvant therapies for breast cancer can negatively impact physical and mental health.
Many breast cancer survivors are not active enough to mitigate treatment side effects.

Purpose of the Study:

To assess the feasibility and acceptability of a 7-week tele-exercise program for breast cancer survivors in Hong Kong.
To gather preliminary data on the effectiveness of tele-exercise for improving health outcomes in this population.
To inform the design of a larger, longer-term trial.

Main Methods:

A 7-week, theory-informed, group-based tele-exercise intervention was adapted from a 12-week program.
A 2-group randomized controlled pilot trial included 27 breast cancer survivors.

Keywords:

breast cancer survivors health-related quality of life home-based and group-based tele-exercise program pilot study randomized controlled trial telehealth

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The intervention combined supervised and unsupervised tele-exercise sessions with psychological counseling, guided by the RE-AIM framework.

Main Results:

High recruitment (79.4%) and retention (100%) rates were achieved.
The intervention group demonstrated satisfactory attendance (87.7%) and compliance (85.3%).
Preliminary improvements were noted in cardiorespiratory fitness, strength, balance, shoulder range of motion, and quality of life.

Conclusions:

Tele-exercise is a feasible and acceptable intervention for breast cancer survivors.
The pilot study provides preliminary evidence supporting tele-exercise for cancer rehabilitation.
Results justify a larger trial to evaluate sustained effects and wider applicability.