Evidence map›Paper›PMID 26640827›Full record

ArticleInternational journal of sports and exercise medicine

A Community-Based Exercise and Support Group Program Improves Quality of Life in African-American Breast Cancer Survivors: A Quantitative and Qualitative Analysis.

Nora L Nock, Cynthia Owusu, Susan Flocke, Susan A Krejci, Emily L Kullman, Kris Austin, Beth Bennett, Stephen Cerne, Carl Harmon, Halle Moore and 9 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of sports and exercise medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 8 pooled it
1.1field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 8 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Systematic Review of Interventions Addressing Racial and Ethnic Disparities in Cancer Care and Health Outcomes.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Pooled it
  4. Pooled it
  5. Community-based interventions designed to optimize health behaviors among cancer survivors: an integrative systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  6. Community-based exercise programs and cancer-related fatigue: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Review
  12. Article
  13. Article
  14. A review of the impact of energy balance on triple-negative breast cancer.Journal of the National Cancer Institute. Monographs · 2023
    Review
  15. Baseline fatigue in early breast cancer survivors: understanding its prevalence in community-based exercise.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Observational
  16. Article
  17. Article
  18. Community-based exercise programs for cancer survivors: a scoping review of practice-based evidence.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 1 institution in 1 country.

Nora L NockDepartment of Epidemiology and Biostatistics, Case Western Reserve University, USA.
Cynthia OwusuMedicine, Case Western Reserve University, USA.
Susan FlockeFamily Medicine and Community Health, Case Western Reserve University, USA.
Susan A KrejciCase Comprehensive Cancer Center, University Hospitals Case Medical Center, USA.
Emily L KullmanDepartment of Pathobiology, Cleveland Clinic, USA.
Kris AustinThe Gathering Place, Beachwood, OH, USA.
Beth BennettSolid Tumor Oncology, Cleveland Clinic, USA.
Stephen CerneDepartment of Physical Medicine and Rehabilitation, MetroHealth Medical Center, USA.
Carl HarmonOncology, MetroHealth Medical Center, USA.
Halle MooreCardiovascular Medicine, Cleveland Clinic, USA.
Mary VargoDepartment of Pathology and Biochemistry, University of Vermont, USA.
Paul Hergenroeder
Hermione Malone
Michael Rocco
Russell Tracy
Hillard M Lazarus
John P Kirwan
Ellen Heyman
Nathan A Berger
Case Western Reserve University · US

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Amar Desai · 1987 to 2026
$142.3M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Transdisciplinary Research on Energetics and CancerU54CA116867 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI BERGER, NATHAN A. · 2005 to 2010
$11.3M
Reducing Functional Health Disparities among Older Breast Cancer SurvivorsR01MD009699 · NIMHD · CASE WESTERN RESERVE UNIVERSITY · PI OWUSU, CYNTHIA · 2015 to 2019
$2.8M
Revving-Up Exercise for Sustained Weight-Loss by Altering Neurological Reward & DR01CA175100 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI NOCK, NORA L. · 2013 to 2017
$2.5M
Pathway Modeling of Complex Toxin Response and Energy Balance Systems in CancerK07CA129162 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI NOCK, NORA L. · 2008 to 2012
$639k
NCATS NIH HHS UL1 TR000439NCI NIH HHS K07 CA129162NCI NIH HHS P30 CA043703NCI NIH HHS R01 CA175100NCI NIH HHS U54 CA116867NIMHD NIH HHS R01 MD009699
6 · The paper itself

Abstract

African-American (AA) breast cancer (BCa) survivors have higher mortality rates, more comorbidities and are less likely to meet national physical activity guidelines after diagnosis compared to Caucasian BCa survivors. We previously reported that a 20-week resistance exercise intervention coupled with a support group and home walking program, conducted using facilities and personnel at a community cancer support center, in Stage I-III AA BCa survivors improved strength, fitness and circulating C-peptide levels. Here, we report our findings on changes in quality of life (QoL) and other behavioral measures associated with this 20-week intervention and, discuss findings from a qualitative analysis of semi-structured patient interviews. We found a clinically relevant improvement in QoL using the Functional Assessment of Cancer Therapy for Breast Cancer (FACT-B) (Baseline, B: 101.1 ± 21.5; End-of-Intervention, EOI: 108.5 ± 21.6; p = 0.05) and, a significant decrease in depression using the Beck Depression Inventory-II (B: 11.9 ± 8.1; EOI: 9.0 ± 5.5; p = 0.03). Our analysis of the patient interviews support improvements in these behavioral measures in that participants stated that they "feel better", were "more motivated" and "uplifted" after the program. The patient interviews also provided insights to the primary motivators (e.g., social support, improvements in strength and function, weight loss) and barriers (e.g., family and health issues) in adhering to the program and provided suggestions for improving the program (e.g., incorporating nutritional and treatment related side-effect discussions). Our results suggest that community-based lifestyle interventions may improve QoL and depression in AA BCa survivors and lend insights for improving future programs.

Indexed as

African-AmericanBreast cancerCommunity-basedLifestyle program

Identifiers

PMID26640827
PMCPMC4667740
OpenAlexW2402602664

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.