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Strategies to Increase Exercise Compliance and Adherence for Breast Cancer Survivors: A Descriptive Review

Yang Paul, Foroughi Nasim, Kilbreath Sharon,
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 ( Yang Paul ) - University of Sydney Faculty of Health Sciences
 ( Foroughi Nasim ) - University of Sydney Faculty of Health Sciences
 ( Kilbreath Sharon ) - University of Sydney Faculty of Health Sciences

Abstract


Breast cancer is the most frequently diagnosed cancer primarily affecting women and negatively impacting the individuals, families, and the health care system. Despite the well-known benefits of exercise for breast cancer survivors, rate of physical activity declines during adjuvant therapy and may not return to pre-diagnosis levels. In addition, low levels of adherence to exercise have been observed in this cohort. The challenge is to identify strategies that are effective in promoting exercise adherence. Several of the studies use social cognitive theory as a theoretical framework to design exercise interventions that encourage adherence. Within and without this framework, they have implemented interventions within the home and gym-based environments. Strategies used to encourage adherence to exercise programs and which are readily implemented in most situations have included distribution of print materials and pedometers, as well as recommendation from the oncologist. Other strategies that may be less feasible have included provision of trainers, gym memberships, regular phone-calls, and psychologist-lead stress management sessions.

키워드

Exercise; Breast Cancer; Adherence; Physiotherapy

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