Great Expectations: Racial Differences in Outcome Expectations for a Weight Lifting Intervention among Black and White Breast Cancer Survivors with or without Lymphedema
Identifieur interne : 001031 ( Main/Exploration ); précédent : 001030; suivant : 001032Great Expectations: Racial Differences in Outcome Expectations for a Weight Lifting Intervention among Black and White Breast Cancer Survivors with or without Lymphedema
Auteurs : Lorraine T. Dean ; Justin Brown ; Morgan Coursey ; Kathryn SchmitzSource :
- Psycho-oncology [ 1057-9249 ] ; 2016.
Abstract
Black breast cancer survivors are less likely to engage in physical activity than 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 breast cancer-related lymphedema (BCRL) on outcome expectations for exercise.
Chi-square tests compared mean outcome expectation values for Black and White breast cancer survivors who completed baseline surveys for the Physical Activity and Lymphedema (PAL) trial (N=281). With race as the independent variable, multivariable analysis compared results for women without BCRL to those with BCRL, separately.
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.
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.
Url:
DOI: 10.1002/pon.4175
PubMed: 27192633
PubMed Central: 5014689
Affiliations:
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Dean</name></author><author><name sortKey="Brown, Justin" sort="Brown, Justin" uniqKey="Brown J" first="Justin" last="Brown">Justin Brown</name></author><author><name sortKey="Coursey, Morgan" sort="Coursey, Morgan" uniqKey="Coursey M" first="Morgan" last="Coursey">Morgan Coursey</name></author><author><name sortKey="Schmitz, Kathryn" sort="Schmitz, Kathryn" uniqKey="Schmitz K" first="Kathryn" last="Schmitz">Kathryn Schmitz</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27192633</idno><idno type="pmc">5014689</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014689</idno><idno type="RBID">PMC:5014689</idno><idno type="doi">10.1002/pon.4175</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">003934</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003934</idno><idno type="wicri:Area/Pmc/Curation">003933</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003933</idno><idno type="wicri:Area/Pmc/Checkpoint">000934</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000934</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000818</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000818</idno><idno type="wicri:Area/PubMed/Curation">000818</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000818</idno><idno type="wicri:Area/PubMed/Checkpoint">000818</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000818</idno><idno type="wicri:Area/Ncbi/Merge">008306</idno><idno type="wicri:Area/Ncbi/Curation">008306</idno><idno type="wicri:Area/Ncbi/Checkpoint">008306</idno><idno type="wicri:doubleKey">1057-9249:2016:Dean L:great:expectations:racial</idno><idno type="wicri:Area/Main/Merge">001033</idno><idno type="wicri:Area/Main/Curation">001031</idno><idno type="wicri:Area/Main/Exploration">001031</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Great Expectations: Racial Differences in Outcome Expectations for a Weight Lifting Intervention among Black and White Breast Cancer Survivors with or without Lymphedema</title><author><name sortKey="Dean, Lorraine T" sort="Dean, Lorraine T" uniqKey="Dean L" first="Lorraine T." last="Dean">Lorraine T. Dean</name></author><author><name sortKey="Brown, Justin" sort="Brown, Justin" uniqKey="Brown J" first="Justin" last="Brown">Justin Brown</name></author><author><name sortKey="Coursey, Morgan" sort="Coursey, Morgan" uniqKey="Coursey M" first="Morgan" last="Coursey">Morgan Coursey</name></author><author><name sortKey="Schmitz, Kathryn" sort="Schmitz, Kathryn" uniqKey="Schmitz K" first="Kathryn" last="Schmitz">Kathryn Schmitz</name></author></analytic><series><title level="j">Psycho-oncology</title><idno type="ISSN">1057-9249</idno><idno type="eISSN">1099-1611</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Black breast cancer survivors are less likely to engage in physical activity than 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 breast cancer-related lymphedema (BCRL) on outcome expectations for exercise.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Chi-square tests compared mean outcome expectation values for Black and White breast cancer survivors who completed baseline surveys for the Physical Activity and Lymphedema (PAL) trial (N=281). With race as the independent variable, multivariable analysis compared results for women without BCRL to those with BCRL, separately.</p></sec><sec id="S3"><title>Results</title><p id="P3">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.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">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.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Brown, Justin" sort="Brown, Justin" uniqKey="Brown J" first="Justin" last="Brown">Justin Brown</name><name sortKey="Coursey, Morgan" sort="Coursey, Morgan" uniqKey="Coursey M" first="Morgan" last="Coursey">Morgan Coursey</name><name sortKey="Dean, Lorraine T" sort="Dean, Lorraine T" uniqKey="Dean L" first="Lorraine T." last="Dean">Lorraine T. Dean</name><name sortKey="Schmitz, Kathryn" sort="Schmitz, Kathryn" uniqKey="Schmitz K" first="Kathryn" last="Schmitz">Kathryn Schmitz</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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