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Perspective of older African-American and Non-Hispanic white breast cancer survivors from diverse socioeconomic backgrounds toward physical activity: A qualitative study.


ABSTRACT: BACKGROUND:We sought to explore the perspective of older breast cancer survivors (BCS) from diverse racial and socioeconomic backgrounds toward physical activity (PA) to inform the design of a PA program that fosters acceptability. METHODS:Participants included sixty women, ?65years, within two years of treatment completion for stage I-III breast cancer. We purposely sampled ?ten patients in each race [African-American (AA) and Non-Hispanic White (NHW)] and socioeconomic status (SES) [SES disadvantaged and SES non-disadvantaged] group. Participants completed in-person interviews (n=60) and follow-up focus groups (n=45). Thematic analyses were employed. RESULTS:The median age was 71.0years (range: 65-87years). Five themes emerged: 1) importance of PA; 2) current PA participants engaged in; 3) influence of race and culture on PA attitudes and beliefs; 4) barriers to PA and facilitators to PA; and 5) PA preferences. Barriers included health issues (43%), particularly cancer treatment side effects such as fatigue. Facilitators included religious faith (38%) and family (50%). Preferences included group exercise (97%) and strength training (80%) due to concerns participants had with diminished upper body strength after cancer treatment. Although AA (59%) and SES non-disadvantaged (78%) participants reported that race and culture influenced their attitudes toward PA, it did not translate to racial and SES differences in preferences. CONCLUSION:Among older BCS, physical activity preferences were shaped by cancer experience, rather than by race and SES. Physical activity programs for older BCS should focus on addressing cancer treatment-related concerns and should include strength training to ensure PA programs are more acceptable to older BCS.

SUBMITTER: Owusu C 

PROVIDER: S-EPMC5936661 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Perspective of older African-American and Non-Hispanic white breast cancer survivors from diverse socioeconomic backgrounds toward physical activity: A qualitative study.

Owusu Cynthia C   Antognoli Elizabeth E   Nock Nora N   Hergenroeder Paul P   Austin Kristina K   Bennet Elizabeth E   Berger Nathan A NA   Cerne Stephen S   Foraker Katelyn K   Heine Kevin K   Heyman Ellen E   Moore Halle H   Petkac Jean J   Schluchter Mark M   Schmitz Kathryn H KH   Whitson Anastasia A   Flocke Susan S  

Journal of geriatric oncology 20180103 3


<h4>Background</h4>We sought to explore the perspective of older breast cancer survivors (BCS) from diverse racial and socioeconomic backgrounds toward physical activity (PA) to inform the design of a PA program that fosters acceptability.<h4>Methods</h4>Participants included sixty women, ≥65years, within two years of treatment completion for stage I-III breast cancer. We purposely sampled ≥ten patients in each race [African-American (AA) and Non-Hispanic White (NHW)] and socioeconomic status (S  ...[more]

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