Breast cancer survivors' preferences for mHealth physical activity interventions

findings from a mixed methods study

Siobhan M Phillips, Kerry S. Courneya, Whitney Allegra Welch, Kara L. Gavin, Alison Cottrell, Anne Nielsen, Payton Solk, Danielle Blanch-Hartigan, David Cella, Ronald T Ackermann, Bonnie Spring, Frank Penedo

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

PURPOSE: Despite the benefits of physical activity for breast cancer survivors, the majority remain insufficiently active. Mobile health (mHealth) physical activity interventions may be a more scalable strategy to increase activity among survivors. However, little is known about their preferences for mHealth intervention features. This study explored survivors' preferences for these features. METHODS: Survivors (N = 96; Mage = 55.8 (SD = 10.2)) self-reported demographic and disease characteristics, physical activity. A subset (n = 28) completed a semi-structured phone interview. Transcribed interviews were evaluated using a thematic content analysis approach and consensus review. Following interviews, the full sample self-reported interests and preferences for intervention features via online questionnaires. Quantitative data were analyzed using descriptive statistics. RESULTS: Five themes emerged from interview data: (1) importance of relevance to breast cancer survivors; (2) easy to use; (3) integration with wearable activity trackers; (4) provide sense of accomplishment; and (5) variability in desired level of structure and personalization. The highest ranked intervention features were: daily and weekly progress feedback (87.5%), newsfeed (86.6%), activity challenges (81.3%), and scheduling tool (79.2%). Survivors were interested in receiving progress feedback (80.2%) and motivational (78.1%) and reminder (75.0%) messages. CONCLUSIONS: Breast cancer survivors are interested in mHealth physical activity promotion interventions, but preferences varied around themes of relevance, ease of use, and enhancing personal motivation. IMPLICATIONS FOR CANCER SURVIVORS: Engaging survivors in developing and implementing remotely delivered mHealth activity promotion interventions may enhance their effectiveness.

Original languageEnglish (US)
Pages (from-to)292-305
Number of pages14
JournalJournal of cancer survivorship : research and practice
Volume13
Issue number2
DOIs
StatePublished - Apr 1 2019

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Telemedicine
Survivors
Exercise
Breast Neoplasms
Interviews
Health Promotion
Demography

Keywords

  • Breast cancer survivors
  • Exercise
  • Mixed methods
  • Physical activity
  • Technology
  • mHealth

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

Cite this

@article{f61e62331bde4cbabf264a20c5bc1233,
title = "Breast cancer survivors' preferences for mHealth physical activity interventions: findings from a mixed methods study",
abstract = "PURPOSE: Despite the benefits of physical activity for breast cancer survivors, the majority remain insufficiently active. Mobile health (mHealth) physical activity interventions may be a more scalable strategy to increase activity among survivors. However, little is known about their preferences for mHealth intervention features. This study explored survivors' preferences for these features. METHODS: Survivors (N = 96; Mage = 55.8 (SD = 10.2)) self-reported demographic and disease characteristics, physical activity. A subset (n = 28) completed a semi-structured phone interview. Transcribed interviews were evaluated using a thematic content analysis approach and consensus review. Following interviews, the full sample self-reported interests and preferences for intervention features via online questionnaires. Quantitative data were analyzed using descriptive statistics. RESULTS: Five themes emerged from interview data: (1) importance of relevance to breast cancer survivors; (2) easy to use; (3) integration with wearable activity trackers; (4) provide sense of accomplishment; and (5) variability in desired level of structure and personalization. The highest ranked intervention features were: daily and weekly progress feedback (87.5{\%}), newsfeed (86.6{\%}), activity challenges (81.3{\%}), and scheduling tool (79.2{\%}). Survivors were interested in receiving progress feedback (80.2{\%}) and motivational (78.1{\%}) and reminder (75.0{\%}) messages. CONCLUSIONS: Breast cancer survivors are interested in mHealth physical activity promotion interventions, but preferences varied around themes of relevance, ease of use, and enhancing personal motivation. IMPLICATIONS FOR CANCER SURVIVORS: Engaging survivors in developing and implementing remotely delivered mHealth activity promotion interventions may enhance their effectiveness.",
keywords = "Breast cancer survivors, Exercise, Mixed methods, Physical activity, Technology, mHealth",
author = "Phillips, {Siobhan M} and Courneya, {Kerry S.} and Welch, {Whitney Allegra} and Gavin, {Kara L.} and Alison Cottrell and Anne Nielsen and Payton Solk and Danielle Blanch-Hartigan and David Cella and Ackermann, {Ronald T} and Bonnie Spring and Frank Penedo",
year = "2019",
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doi = "10.1007/s11764-019-00751-3",
language = "English (US)",
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pages = "292--305",
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Breast cancer survivors' preferences for mHealth physical activity interventions : findings from a mixed methods study. / Phillips, Siobhan M; Courneya, Kerry S.; Welch, Whitney Allegra; Gavin, Kara L.; Cottrell, Alison; Nielsen, Anne; Solk, Payton; Blanch-Hartigan, Danielle; Cella, David; Ackermann, Ronald T; Spring, Bonnie; Penedo, Frank.

In: Journal of cancer survivorship : research and practice, Vol. 13, No. 2, 01.04.2019, p. 292-305.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Breast cancer survivors' preferences for mHealth physical activity interventions

T2 - findings from a mixed methods study

AU - Phillips, Siobhan M

AU - Courneya, Kerry S.

AU - Welch, Whitney Allegra

AU - Gavin, Kara L.

AU - Cottrell, Alison

AU - Nielsen, Anne

AU - Solk, Payton

AU - Blanch-Hartigan, Danielle

AU - Cella, David

AU - Ackermann, Ronald T

AU - Spring, Bonnie

AU - Penedo, Frank

PY - 2019/4/1

Y1 - 2019/4/1

N2 - PURPOSE: Despite the benefits of physical activity for breast cancer survivors, the majority remain insufficiently active. Mobile health (mHealth) physical activity interventions may be a more scalable strategy to increase activity among survivors. However, little is known about their preferences for mHealth intervention features. This study explored survivors' preferences for these features. METHODS: Survivors (N = 96; Mage = 55.8 (SD = 10.2)) self-reported demographic and disease characteristics, physical activity. A subset (n = 28) completed a semi-structured phone interview. Transcribed interviews were evaluated using a thematic content analysis approach and consensus review. Following interviews, the full sample self-reported interests and preferences for intervention features via online questionnaires. Quantitative data were analyzed using descriptive statistics. RESULTS: Five themes emerged from interview data: (1) importance of relevance to breast cancer survivors; (2) easy to use; (3) integration with wearable activity trackers; (4) provide sense of accomplishment; and (5) variability in desired level of structure and personalization. The highest ranked intervention features were: daily and weekly progress feedback (87.5%), newsfeed (86.6%), activity challenges (81.3%), and scheduling tool (79.2%). Survivors were interested in receiving progress feedback (80.2%) and motivational (78.1%) and reminder (75.0%) messages. CONCLUSIONS: Breast cancer survivors are interested in mHealth physical activity promotion interventions, but preferences varied around themes of relevance, ease of use, and enhancing personal motivation. IMPLICATIONS FOR CANCER SURVIVORS: Engaging survivors in developing and implementing remotely delivered mHealth activity promotion interventions may enhance their effectiveness.

AB - PURPOSE: Despite the benefits of physical activity for breast cancer survivors, the majority remain insufficiently active. Mobile health (mHealth) physical activity interventions may be a more scalable strategy to increase activity among survivors. However, little is known about their preferences for mHealth intervention features. This study explored survivors' preferences for these features. METHODS: Survivors (N = 96; Mage = 55.8 (SD = 10.2)) self-reported demographic and disease characteristics, physical activity. A subset (n = 28) completed a semi-structured phone interview. Transcribed interviews were evaluated using a thematic content analysis approach and consensus review. Following interviews, the full sample self-reported interests and preferences for intervention features via online questionnaires. Quantitative data were analyzed using descriptive statistics. RESULTS: Five themes emerged from interview data: (1) importance of relevance to breast cancer survivors; (2) easy to use; (3) integration with wearable activity trackers; (4) provide sense of accomplishment; and (5) variability in desired level of structure and personalization. The highest ranked intervention features were: daily and weekly progress feedback (87.5%), newsfeed (86.6%), activity challenges (81.3%), and scheduling tool (79.2%). Survivors were interested in receiving progress feedback (80.2%) and motivational (78.1%) and reminder (75.0%) messages. CONCLUSIONS: Breast cancer survivors are interested in mHealth physical activity promotion interventions, but preferences varied around themes of relevance, ease of use, and enhancing personal motivation. IMPLICATIONS FOR CANCER SURVIVORS: Engaging survivors in developing and implementing remotely delivered mHealth activity promotion interventions may enhance their effectiveness.

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KW - Physical activity

KW - Technology

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