Preferences for mHealth physical activity interventions during chemotherapy for breast cancer: a qualitative evaluation

Anne M. Nielsen, Whitney Allegra Welch, Kara L. Gavin, Alison M. Cottrell, Payton Solk, Emily A. Torre, Danielle Blanch-Hartigan, Siobhan M Phillips*

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Purpose: Physical activity has been shown to decline over the course of chemotherapy in breast cancer survivors; yet it may reduce treatment-related side effects and emerging evidence indicates it may improve disease outcomes. Mobile health (mHealth) interventions may be an effective, scalable strategy to increase physical activity during treatment. However, little is known about breast cancer patients’ interests and preferences for these interventions. It is important to understand patients’ interests and preferences prior to development of mHealth physical activity interventions to increase their relevance and efficacy. Methods: Breast cancer survivors (n = 30) participated in a semi-structured phone interview and were asked about barriers and facilitators to physical activity during chemotherapy as well as their preferences on a range of potential mHealth intervention features. Transcribed interviews were coded and key themes were analyzed using an iterative, inductive approach. Results: Five key themes were extracted from the interviews: (1) need for education about physical activity during chemotherapy; (2) treatment side effects inhibit physical activity; (3) a structured, home-based, tech-supported program with in-person elements is most feasible; (4) need for a personalized, highly tailored intervention; and (5) importance of social support from other breast cancer survivors, friends, and family. Conclusions: Breast cancer survivors are interested in mHealth physical activity interventions during chemotherapy, but preferences for intervention content and delivery varied. Future work should engage patients and survivors in intervention development and testing.

Original languageEnglish (US)
JournalSupportive Care in Cancer
DOIs
StatePublished - Jan 1 2019

Fingerprint

Telemedicine
Exercise
Breast Neoplasms
Drug Therapy
Survivors
Patient Preference
Interviews
Social Support
Therapeutics
Education

Keywords

  • Breast cancer patients
  • Breast cancer survivors
  • Chemotherapy
  • mHealth
  • Physical activity

ASJC Scopus subject areas

  • Oncology

Cite this

Nielsen, Anne M. ; Welch, Whitney Allegra ; Gavin, Kara L. ; Cottrell, Alison M. ; Solk, Payton ; Torre, Emily A. ; Blanch-Hartigan, Danielle ; Phillips, Siobhan M. / Preferences for mHealth physical activity interventions during chemotherapy for breast cancer : a qualitative evaluation. In: Supportive Care in Cancer. 2019.
@article{6ee5163c5c5f4cc2a4fc9b0c6991c64a,
title = "Preferences for mHealth physical activity interventions during chemotherapy for breast cancer: a qualitative evaluation",
abstract = "Purpose: Physical activity has been shown to decline over the course of chemotherapy in breast cancer survivors; yet it may reduce treatment-related side effects and emerging evidence indicates it may improve disease outcomes. Mobile health (mHealth) interventions may be an effective, scalable strategy to increase physical activity during treatment. However, little is known about breast cancer patients’ interests and preferences for these interventions. It is important to understand patients’ interests and preferences prior to development of mHealth physical activity interventions to increase their relevance and efficacy. Methods: Breast cancer survivors (n = 30) participated in a semi-structured phone interview and were asked about barriers and facilitators to physical activity during chemotherapy as well as their preferences on a range of potential mHealth intervention features. Transcribed interviews were coded and key themes were analyzed using an iterative, inductive approach. Results: Five key themes were extracted from the interviews: (1) need for education about physical activity during chemotherapy; (2) treatment side effects inhibit physical activity; (3) a structured, home-based, tech-supported program with in-person elements is most feasible; (4) need for a personalized, highly tailored intervention; and (5) importance of social support from other breast cancer survivors, friends, and family. Conclusions: Breast cancer survivors are interested in mHealth physical activity interventions during chemotherapy, but preferences for intervention content and delivery varied. Future work should engage patients and survivors in intervention development and testing.",
keywords = "Breast cancer patients, Breast cancer survivors, Chemotherapy, mHealth, Physical activity",
author = "Nielsen, {Anne M.} and Welch, {Whitney Allegra} and Gavin, {Kara L.} and Cottrell, {Alison M.} and Payton Solk and Torre, {Emily A.} and Danielle Blanch-Hartigan and Phillips, {Siobhan M}",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s00520-019-05002-w",
language = "English (US)",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer Verlag",

}

Preferences for mHealth physical activity interventions during chemotherapy for breast cancer : a qualitative evaluation. / Nielsen, Anne M.; Welch, Whitney Allegra; Gavin, Kara L.; Cottrell, Alison M.; Solk, Payton; Torre, Emily A.; Blanch-Hartigan, Danielle; Phillips, Siobhan M.

In: Supportive Care in Cancer, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Preferences for mHealth physical activity interventions during chemotherapy for breast cancer

T2 - a qualitative evaluation

AU - Nielsen, Anne M.

AU - Welch, Whitney Allegra

AU - Gavin, Kara L.

AU - Cottrell, Alison M.

AU - Solk, Payton

AU - Torre, Emily A.

AU - Blanch-Hartigan, Danielle

AU - Phillips, Siobhan M

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Purpose: Physical activity has been shown to decline over the course of chemotherapy in breast cancer survivors; yet it may reduce treatment-related side effects and emerging evidence indicates it may improve disease outcomes. Mobile health (mHealth) interventions may be an effective, scalable strategy to increase physical activity during treatment. However, little is known about breast cancer patients’ interests and preferences for these interventions. It is important to understand patients’ interests and preferences prior to development of mHealth physical activity interventions to increase their relevance and efficacy. Methods: Breast cancer survivors (n = 30) participated in a semi-structured phone interview and were asked about barriers and facilitators to physical activity during chemotherapy as well as their preferences on a range of potential mHealth intervention features. Transcribed interviews were coded and key themes were analyzed using an iterative, inductive approach. Results: Five key themes were extracted from the interviews: (1) need for education about physical activity during chemotherapy; (2) treatment side effects inhibit physical activity; (3) a structured, home-based, tech-supported program with in-person elements is most feasible; (4) need for a personalized, highly tailored intervention; and (5) importance of social support from other breast cancer survivors, friends, and family. Conclusions: Breast cancer survivors are interested in mHealth physical activity interventions during chemotherapy, but preferences for intervention content and delivery varied. Future work should engage patients and survivors in intervention development and testing.

AB - Purpose: Physical activity has been shown to decline over the course of chemotherapy in breast cancer survivors; yet it may reduce treatment-related side effects and emerging evidence indicates it may improve disease outcomes. Mobile health (mHealth) interventions may be an effective, scalable strategy to increase physical activity during treatment. However, little is known about breast cancer patients’ interests and preferences for these interventions. It is important to understand patients’ interests and preferences prior to development of mHealth physical activity interventions to increase their relevance and efficacy. Methods: Breast cancer survivors (n = 30) participated in a semi-structured phone interview and were asked about barriers and facilitators to physical activity during chemotherapy as well as their preferences on a range of potential mHealth intervention features. Transcribed interviews were coded and key themes were analyzed using an iterative, inductive approach. Results: Five key themes were extracted from the interviews: (1) need for education about physical activity during chemotherapy; (2) treatment side effects inhibit physical activity; (3) a structured, home-based, tech-supported program with in-person elements is most feasible; (4) need for a personalized, highly tailored intervention; and (5) importance of social support from other breast cancer survivors, friends, and family. Conclusions: Breast cancer survivors are interested in mHealth physical activity interventions during chemotherapy, but preferences for intervention content and delivery varied. Future work should engage patients and survivors in intervention development and testing.

KW - Breast cancer patients

KW - Breast cancer survivors

KW - Chemotherapy

KW - mHealth

KW - Physical activity

UR - http://www.scopus.com/inward/record.url?scp=85070023655&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85070023655&partnerID=8YFLogxK

U2 - 10.1007/s00520-019-05002-w

DO - 10.1007/s00520-019-05002-w

M3 - Article

C2 - 31367917

AN - SCOPUS:85070023655

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

ER -