Rural breast cancer survivors (RBCS) are at greater risk for poorer health outcomes and face greater treatment barriers compared to their urban counterparts, necessitating behavioral interventions tailored for the unique needs of RBCS. A systematic review of studies examining behavioral interventions delivered to RBCS living in the United States from 2000 to 2020 was conducted following PRIMSA guidelines. Nineteen unique studies were included: eight randomized controlled trials, two matched-control studies, six pre-post intervention feasibility studies, and three post-intervention satisfaction studies. Thirteen interventions aimed to improve psychosocial support, three to improve weight management, and three to improve education. Results indicate interventions’ feasibility and acceptability. Six out of eight intervention conditions reported favorable outcomes compared to control conditions, suggesting promise for efficacy. However, variability in intervention objective, duration, delivery, and follow-up timing, and small sample sizes prevent overarching conclusions. Research involving larger sample sizes, higher quality control groups, and longer follow-up data is needed.

与城市同行相比，农村乳腺癌幸存者 (RBCS) 面临更大的健康结果较差的风险，并面临更大的治疗障碍，因此需要针对 RBCS 的独特需求量身定制行为干预措施。根据 PRIMSA 指南，对 2000 年至 2020 年对居住在美国的 RBCS 进行行为干预的研究进行了系统回顾。包括 19 项独特的研究：八项随机对照试验、两项匹配对照研究、六项干预前可行性研究和三项干预后满意度研究。十三项干预措施旨在改善社会心理支持，三项旨在改善体重管理，三项旨在改善教育。结果表明干预措施的可行性和可接受性。与对照条件相比，八分之六的干预条件报告了有利的结果，这表明了疗效的希望。然而，干预目标、持续时间、交付和随访时间的可变性以及小样本量阻止了总体结论。需要涉及更大样本量、更高质量控制组和更长随访数据的研究。