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This study evaluated the short-term impact of YWCA Encore, a mixed-modality group exercise and information support program for breast cancer patients situated in the community setting. Australian post-surgical breast cancer patients (N = 162) were assigned to either the 8-week Encore intervention or a Waitlist control. Intervention impact was assessed in terms of quality of life, cancer-specific distress, and social support. Changes in familiarity with exercise, self-efficacy and social support were tested as mediators of the intervention impact on quality of life. Overall adherence and satisfaction with the program were high. Significant enhancements at follow-up for quality of life and social support were evident for intervention compared with control participants. Familiarity with exercise and self-efficacy satisfied the requirements for mediation of quality of life. These findings provide evidence for psychosocial benefits of YWCA Encore multi-component program and support the use of such community-based programs for breast cancer survivors. The role of exercise familiarity and self-efficacy as probable mediators of the multi-component intervention is a critical finding and highlights the need for future investigations into the underlying mediating processes of similar interventions for cancer patients.
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Anderson, E., Winett, R., Wojcik, J., Winett, S., & Bowden, T. (2001). A computerized social cognitive intervention for nutrition behavior: Direct and mediated effects on fat, fiber, fruits, and vegetables, self-efficacy, and outcome expectations among food shoppers. Annals of Behavioral Medicine, 23(2), 88–100. CrossRefPubMed
Aspinwall, L. G. (2004). Dealing with adversity: Self-regulation, coping, adaptation, and health. In M. B. Brewer & M. Hewstone (Eds.), Applied social psychology (pp. 3–27). Oxford: Blackwell.
Bandura, A. (1986). Social foundations of thought and action: a social cognitive theory. In D. E. Marks (Ed.), The health psychology reader (pp. 94–106). Englewood Cliffs, NJ: Prentice-Hall.
Brady, M. J., Cella, D. F., Mo, F., Bonomi, A. E., Tulsky, D. S., Lloyd, S. R., et al. (1997). Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument. Journal of Clinical Oncology, 15(3), 974–986. PubMed
Conner, M., & Norman, P. (Eds.). (1995). Predicting health behaviour (2nd ed.). Buckingham, England: Open University Press.
Damush, T. M., & Damush, J. G., Jr. (1999). The effects of strength training on strength and health-related quality of life in older adult women. Gerontologist, 39(6), 705–710. PubMed
Denmark-Wahnefried, A., Pinto, B. M., & Gritz, E. R. (2006). Promoting health and physical function among cancer survivors: Potential for prevention and questions that remain. Journal of Clinical Oncology, 24(32), 5125–5131. CrossRef
Hanna, L. R., Avilla, P. F., Meteer, J. D., Nicholas, D. R., & Kaminsky, L. A. (2008). The effects of a comprehensive exercise program on physical function, fatigue, and mood in patients with various types of cancer. Oncology Nursing Forum, 35(3), 461–469. CrossRef
Lev, E. L. (1997). Bandura’s theory of self-efficacy: Applications to oncology. Research and Theory for Nursing Practice, 11(1), 21–37.
Loblaw, D. A., Bezjak, A., & Bunston, T. (1999). Development and testing of a visit-specific patient satisfaction questionnaire: The Princess Margaret Hospital Satisfaction with Doctor Questionnaire. Journal of Clinical Oncology, 17(6), 1931–1938. PubMed
McNeely, M. L., Campbell, K. L., Rowe, B. H., Klassen, T. P., Mackey, J. R., & Courneya, K. S. (2006). Effects of exercise on breast cancer patients and survivors: A systematic review and meta-analysis. CMAJ, 175(1), 34–41. PubMed
Midtgaard, J., Rorth, M., Stelter, R., & Adamsen, L. (2006). The group matters: An explorative study of group cohesion and quality of life in cancer patients participating in physical exercise intervention during treatment. European Journal of Cancer Care (Engl.), 15(1), 25–33. CrossRef
Parker, P. A., Baile, W. F., de Moore, C., & Cohen, L. (2002). Psychosocial and demographic predictors of quality of life in a large sample of cancer patients. Psycho-Oncology, 12(2), 183–193. CrossRef
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments & Computers, 36(4), 717–731.
Rejeski, W. J., & Mihalko, S. L. (2001). Physical activity and quality of life in older adults. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 56(Special Issue 2), 23–35.
Segal, R., Evans, W., Johnson, D., Smith, J., Colletta, S., Gayton, J., et al. (2001). Structured exercise improves physical functioning in women with stages I and II breast cancer: Results of a randomized controlled trial. Journal of Clinical Oncology, 19(3), 657–665. PubMed
Spielberger, C. D., Gorsuch, R. L., & Lushene, R. (1983). State-trait anxiety inventory for adults: Sampler set—manual, test, scoring key. Palo Alto, CA: Mind Garden.
Turner, J., Hayes, S., & Reul-Hirche, H. (2004). Improving the physical status and quality of life of women treated for breast cancer: A pilot study of a structured exercise intervention. Journal of Clinical Oncology, 86(3), 141–146.
Williamson, G. M., & Schulz, R. (1992). Pain, activity restriction, and symptoms of depression among community-residing elderly adults. Journal of Gerontology, 47(6), 367–372.
- Psychological effects and mediators of a group multi-component program for breast cancer survivors
Kerry A. Sherman
Karen L. Cavanagh
- Springer US