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Pre-post analysis of a social capital-based exercise adherence intervention for breast cancer survivors with moderate fatigue: a randomized controlled trial

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A Correction to this article was published on 16 October 2020

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Abstract

Purpose

This study assessed the effectiveness of the Better Life After Cancer: Energy, Strength, and Support (BLESS) program, a 12-week social capital-based exercise adherence program for breast cancer survivors (BCS), regarding cancer-related fatigue (CRF), quality of life (QOL), physical activity, and psychosocial characteristics.

Methods

Forty-eight BCS with moderate or high (≥ 4) CRF participated in this randomized control trial (intervention group n = 23, control group n = 25). The intervention group participated in small group sessions to activate social capital while targeting CRF in supervised physical exercises supplemented by home-based physical exercises. The control group was only given written information on exercise. A questionnaire was used to assess CRF, QOL, physical activity, depression, anxiety, sleep quality, and social capital.

Results

The majority of participants had undergone surgery less than 2 years ago. After participating in BLESS, the CRF behavioral/severity domain significantly decreased (t = 2.642, p = 0.011) and physical activity significantly increased (t = − 2.049, p = 0.046) in the intervention group, in comparison with the control group; there were no significant post-intervention differences in the control group. Both groups showed improvements in sleep quality, depression, anxiety, and QOL.

Conclusion

The BLESS program decreased behavioral/severity in the CRF and increased physical activity after 12 weeks among BCS. Future research needs to evaluate whether the promising results on physical activity and behavioral fatigue observed in the short term will persist over time. Also, longer-term effects should be examined.

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Change history

  • 16 October 2020

    Tables��1, 2, and 3 are incorrect.

Abbreviations

BLESS:

Better Life After Cancer: Energy, Strength, and Support

CRF:

cancer-related fatigue

BCS:

breast cancer survivors

QOL:

quality of life

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Acknowledgments

We wish to acknowledge the breast cancer survivors who participated in our study.

Funding

This research was supported by the Basic Science Research Program through the National Research Foundation for Korea (NRF) funded by the Ministry of Education (grant number: 2015R1D1A1A01059846).

Author information

Authors and Affiliations

  1. Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea

    Sue Kim

  2. College of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea

    Yun Hee Ko, Hyojin Lee & Jeehee Han

  3. Department of Sports Industry Studies, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea

    Yoonkyung Song, Min Jae Kang & Justin Y. Jeon

  4. Department of Nursing, College of Health. Welfare and Education, Tongmyong University, Busan, Korea

    Sung Hae Kim

  5. Exercise Medicine Center for Diabetes and Cancer Patients, ICONS, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea

    Justin Y. Jeon

  6. Formerly affiliated with Yonsei University Health System, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea

    Young Up Cho

  7. Department of Sociology, Hallym University, 1, Hallymdaehak-gil, Chuncheon-si, Gangwon-do, 24252, Korea

    Gihong Yi

Authors
  1. Sue Kim
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Correspondence to Jeehee Han.

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An institutional review board exemption was obtained from Severance Hospital, Korea (IRB 4–2017–0164).

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The authors declare that they have no competing interests.

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Kim, S., Ko, Y.H., Song, Y. et al. Pre-post analysis of a social capital-based exercise adherence intervention for breast cancer survivors with moderate fatigue: a randomized controlled trial. Support Care Cancer 28, 5281–5289 (2020). https://doi.org/10.1007/s00520-020-05363-7

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