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Great expectations: racial differences in outcome expectations for a weight lifting intervention among black and white breast cancer survivors with or without lymphedema.

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Title: Great expectations: racial differences in outcome expectations for a weight lifting intervention among black and white breast cancer survivors with or without lymphedema.
Authors: Dean, Lorraine T., Brown, Justin, Coursey, Morgan, Schmitz, Kathryn H.
Source: Psycho-Oncology. Sep2016, Vol. 25 Issue 9, p1064-1070. 7p.
Subjects: Weight lifting, Cancer patients, Breast cancer, Clinical trials, Lymphedema, Breast tumors, Exercise, Patient satisfaction, Quality of life, Research funding, Survival, White people, Psychology of Black people, Treatment effectiveness, Resistance training, Disease complications, Cancer & psychology
Abstract: Background: Black breast cancer survivors are less likely to engage in physical activity than are White survivors. This is unfortunate because physical activity may be especially beneficial given Black breast cancer survivors' higher rates of obesity and adverse treatment effects related to obesity, such as breast cancer-related lymphedema (BCRL). The analysis explored outcome expectations for a weight lifting intervention by sedentary Black or White female breast cancer survivors and assessed the role of BCRL on outcome expectations for exercise.Methods: Chi-squared tests compared mean outcome expectation values for Black and White breast cancer survivors who completed baseline surveys for the Physical Activity and Lymphedema trial (n = 281). With race as the independent variable, multivariable analysis compared results for women without BCRL with those with BCRL, separately.Results: Across the entire sample, Black survivors (n = 90) had significantly higher (p < 0.05) outcome expectations than White survivors (n = 191) for improvements in sleep, appearance, mental health, affect, energy, and eating habits, with small to moderate effect sizes. When stratified by BCRL status, differences by race were robust only among those with BCRL.Conclusions: Black cancer survivors had greater expectations than White cancer survivors for how a weight lifting intervention would improve their physical and mental states; these differences were most apparent among women with BCRL. Improving outcomes in Black breast cancer survivors rests on the development of interventions that are appropriately tailored to address the expectations of this population and account for differences in persistent adverse effects of cancer such as BCRL. Copyright © 2016 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Great expectations: racial differences in outcome expectations for a weight lifting intervention among black and white breast cancer survivors with or without lymphedema.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Dean%2C+Lorraine+T%2E%22&quot;&gt;Dean, Lorraine T.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Brown%2C+Justin%22&quot;&gt;Brown, Justin&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Coursey%2C+Morgan%22&quot;&gt;Coursey, Morgan&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Schmitz%2C+Kathryn+H%2E%22&quot;&gt;Schmitz, Kathryn H.&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Psycho-Oncology%22&quot;&gt;Psycho-Oncology&lt;/searchLink&gt;. Sep2016, Vol. 25 Issue 9, p1064-1070. 7p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Weight+lifting%22&quot;&gt;Weight lifting&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cancer+patients%22&quot;&gt;Cancer patients&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Breast+cancer%22&quot;&gt;Breast cancer&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Clinical+trials%22&quot;&gt;Clinical trials&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Lymphedema%22&quot;&gt;Lymphedema&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Breast+tumors%22&quot;&gt;Breast tumors&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Exercise%22&quot;&gt;Exercise&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patient+satisfaction%22&quot;&gt;Patient satisfaction&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Quality+of+life%22&quot;&gt;Quality of life&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Research+funding%22&quot;&gt;Research funding&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Survival%22&quot;&gt;Survival&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22White+people%22&quot;&gt;White people&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychology+of+Black+people%22&quot;&gt;Psychology of Black people&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Treatment+effectiveness%22&quot;&gt;Treatment effectiveness&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Resistance+training%22&quot;&gt;Resistance training&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Disease+complications%22&quot;&gt;Disease complications&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cancer+%26+psychology%22&quot;&gt;Cancer &amp; psychology&lt;/searchLink&gt;
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  Data: &lt;bold&gt;Background: &lt;/bold&gt;Black breast cancer survivors are less likely to engage in physical activity than are White survivors. This is unfortunate because physical activity may be especially beneficial given Black breast cancer survivors&#39; higher rates of obesity and adverse treatment effects related to obesity, such as breast cancer-related lymphedema (BCRL). The analysis explored outcome expectations for a weight lifting intervention by sedentary Black or White female breast cancer survivors and assessed the role of BCRL on outcome expectations for exercise.&lt;bold&gt;Methods: &lt;/bold&gt;Chi-squared tests compared mean outcome expectation values for Black and White breast cancer survivors who completed baseline surveys for the Physical Activity and Lymphedema trial (n = 281). With race as the independent variable, multivariable analysis compared results for women without BCRL with those with BCRL, separately.&lt;bold&gt;Results: &lt;/bold&gt;Across the entire sample, Black survivors (n = 90) had significantly higher (p &lt; 0.05) outcome expectations than White survivors (n = 191) for improvements in sleep, appearance, mental health, affect, energy, and eating habits, with small to moderate effect sizes. When stratified by BCRL status, differences by race were robust only among those with BCRL.&lt;bold&gt;Conclusions: &lt;/bold&gt;Black cancer survivors had greater expectations than White cancer survivors for how a weight lifting intervention would improve their physical and mental states; these differences were most apparent among women with BCRL. Improving outcomes in Black breast cancer survivors rests on the development of interventions that are appropriately tailored to address the expectations of this population and account for differences in persistent adverse effects of cancer such as BCRL. Copyright &#169; 2016 John Wiley &amp; Sons, Ltd. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.4175
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        Text: English
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        PageCount: 7
        StartPage: 1064
    Subjects:
      – SubjectFull: Weight lifting
        Type: general
      – SubjectFull: Cancer patients
        Type: general
      – SubjectFull: Breast cancer
        Type: general
      – SubjectFull: Clinical trials
        Type: general
      – SubjectFull: Lymphedema
        Type: general
      – SubjectFull: Breast tumors
        Type: general
      – SubjectFull: Exercise
        Type: general
      – SubjectFull: Patient satisfaction
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Research funding
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      – SubjectFull: Survival
        Type: general
      – SubjectFull: White people
        Type: general
      – SubjectFull: Psychology of Black people
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Resistance training
        Type: general
      – SubjectFull: Disease complications
        Type: general
      – SubjectFull: Cancer & psychology
        Type: general
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      – TitleFull: Great expectations: racial differences in outcome expectations for a weight lifting intervention among black and white breast cancer survivors with or without lymphedema.
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            NameFull: Brown, Justin
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              M: 09
              Text: Sep2016
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              Y: 2016
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