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Effect of the Fit2Thrive Intervention on Patient-reported Outcomes in Breast Cancer Survivors: A Randomized Full Factorial Trial.

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Title: Effect of the Fit2Thrive Intervention on Patient-reported Outcomes in Breast Cancer Survivors: A Randomized Full Factorial Trial.
Authors: Solk, Payton (AUTHOR), Song, Jing (AUTHOR), Welch, Whitney A (AUTHOR), Spring, Bonnie (AUTHOR), Cella, David (AUTHOR), Penedo, Frank (AUTHOR), Ackermann, Ron (AUTHOR), Courneya, Kerry S (AUTHOR), Siddique, Juned (AUTHOR), Freeman, Hannah (AUTHOR), Starikovsky, Julia (AUTHOR), Mishory, Abby (AUTHOR), Alexander, Jacqueline (AUTHOR), Wolter, Melanie (AUTHOR), Carden, Lillian (AUTHOR), Phillips, Siobhan M (AUTHOR)
Source: Annals of Behavioral Medicine. Sep2023, Vol. 57 Issue 9, p765-776. 12p.
Subjects: Patient reported outcome measures, Cancer survivors, Sleep interruptions, Breast cancer, Physical mobility
Abstract: Background Moderate to vigorous physical activity (MVPA) interventions improve patient-reported outcomes (PROs) of physical and psychological health among breast cancer survivors (BCS); however, the effects of specific intervention components on PROs are unknown. Purpose To use the Multiphase Optimization Strategy (MOST) to examine overall effects of the Fit2Thrive MVPA promotion intervention on PROs in BCS and explore whether there are intervention component-specific effects on PROs. Methods Physically inactive BCS [ n = 269; M age = 52.5 (SD = 9.9)] received a core intervention (Fitbit + Fit2Thrive smartphone app) and were randomly assigned to one of 32 conditions in a full factorial experiment of five components ("on" vs. "off"): (i) support calls, (ii) deluxe app, (iii) text messages, (iv) online gym, and (v) buddy. Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaires assessed anxiety, depression, fatigue, physical functioning, sleep disturbance and sleep-related impairment at baseline, post-intervention (12-week), and 24-week follow-up. Main effects for all components at each time point were examined using an intention to treat mixed-effects model. Results All PROMIS measures except sleep disturbance significantly improved (p 's <.008 for all) from baseline to 12-weeks. Effects were maintained at 24-weeks. The "on" level of each component did not result in significantly greater improvements on any PROMIS measure compared to the "off" level. Conclusions Participation in Fit2Thrive was associated with improved PROs in BCS, but improvements did not differ for "on" vs. "off" levels for any component tested. The low-resource Fit2Thrive core intervention is a potential strategy to improve PROs among BCS. Future studies should test the core in an RCT and examine various intervention component effects in BCS with clinically elevated PROs. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Behavioral Medicine is the property of Oxford University Press / USA 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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  Label: Title
  Group: Ti
  Data: Effect of the Fit2Thrive Intervention on Patient-reported Outcomes in Breast Cancer Survivors: A Randomized Full Factorial Trial.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Solk%2C+Payton%22&quot;&gt;Solk, Payton&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Song%2C+Jing%22&quot;&gt;Song, Jing&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Welch%2C+Whitney+A%22&quot;&gt;Welch, Whitney A&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Spring%2C+Bonnie%22&quot;&gt;Spring, Bonnie&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cella%2C+David%22&quot;&gt;Cella, David&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Penedo%2C+Frank%22&quot;&gt;Penedo, Frank&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ackermann%2C+Ron%22&quot;&gt;Ackermann, Ron&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Courneya%2C+Kerry+S%22&quot;&gt;Courneya, Kerry S&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Siddique%2C+Juned%22&quot;&gt;Siddique, Juned&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Freeman%2C+Hannah%22&quot;&gt;Freeman, Hannah&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Starikovsky%2C+Julia%22&quot;&gt;Starikovsky, Julia&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mishory%2C+Abby%22&quot;&gt;Mishory, Abby&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Alexander%2C+Jacqueline%22&quot;&gt;Alexander, Jacqueline&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wolter%2C+Melanie%22&quot;&gt;Wolter, Melanie&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Carden%2C+Lillian%22&quot;&gt;Carden, Lillian&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Phillips%2C+Siobhan+M%22&quot;&gt;Phillips, Siobhan M&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Annals+of+Behavioral+Medicine%22&quot;&gt;Annals of Behavioral Medicine&lt;/searchLink&gt;. Sep2023, Vol. 57 Issue 9, p765-776. 12p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patient+reported+outcome+measures%22&quot;&gt;Patient reported outcome measures&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cancer+survivors%22&quot;&gt;Cancer survivors&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sleep+interruptions%22&quot;&gt;Sleep interruptions&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;%22Physical+mobility%22&quot;&gt;Physical mobility&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background Moderate to vigorous physical activity (MVPA) interventions improve patient-reported outcomes (PROs) of physical and psychological health among breast cancer survivors (BCS); however, the effects of specific intervention components on PROs are unknown. Purpose To use the Multiphase Optimization Strategy (MOST) to examine overall effects of the Fit2Thrive MVPA promotion intervention on PROs in BCS and explore whether there are intervention component-specific effects on PROs. Methods Physically inactive BCS [ n = 269; M age = 52.5 (SD = 9.9)] received a core intervention (Fitbit + Fit2Thrive smartphone app) and were randomly assigned to one of 32 conditions in a full factorial experiment of five components (&quot;on&quot; vs. &quot;off&quot;): (i) support calls, (ii) deluxe app, (iii) text messages, (iv) online gym, and (v) buddy. Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaires assessed anxiety, depression, fatigue, physical functioning, sleep disturbance and sleep-related impairment at baseline, post-intervention (12-week), and 24-week follow-up. Main effects for all components at each time point were examined using an intention to treat mixed-effects model. Results All PROMIS measures except sleep disturbance significantly improved (p &#39;s &lt;.008 for all) from baseline to 12-weeks. Effects were maintained at 24-weeks. The &quot;on&quot; level of each component did not result in significantly greater improvements on any PROMIS measure compared to the &quot;off&quot; level. Conclusions Participation in Fit2Thrive was associated with improved PROs in BCS, but improvements did not differ for &quot;on&quot; vs. &quot;off&quot; levels for any component tested. The low-resource Fit2Thrive core intervention is a potential strategy to improve PROs among BCS. Future studies should test the core in an RCT and examine various intervention component effects in BCS with clinically elevated PROs. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Annals of Behavioral Medicine is the property of Oxford University Press / USA 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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      – Type: doi
        Value: 10.1093/abm/kaad024
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 765
    Subjects:
      – SubjectFull: Patient reported outcome measures
        Type: general
      – SubjectFull: Cancer survivors
        Type: general
      – SubjectFull: Sleep interruptions
        Type: general
      – SubjectFull: Breast cancer
        Type: general
      – SubjectFull: Physical mobility
        Type: general
    Titles:
      – TitleFull: Effect of the Fit2Thrive Intervention on Patient-reported Outcomes in Breast Cancer Survivors: A Randomized Full Factorial Trial.
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              Text: Sep2023
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