Evidence map›Paper›PMID 38760873›Full record

ArticleCardio-oncology (London, England)2024

Formative research to adapt a cardiac rehabilitation program to breast cancer survivors: the heart health after cancer treatment (HEART-ACT) study.

Alison Chang, Alisa Boyd, Ivan Leung, Evelin Trejo, Niharika Dixit, Jaya Mallidi, Sithu Win, Alexis L Beatty

Abstract read
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In one paragraph

Article in Cardio-oncology (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
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

8 authors.

Alison ChangSchool of Medicine, University of California, San Francisco, USA.
Alisa BoydDepartment of Epidemiology and Biostatistics, University of California, San Francisco, USA.
Ivan LeungDivision of Hematology Oncology, Department of Medicine, University of California, San Francisco, USA.
Evelin TrejoDivision of Hematology Oncology, Department of Medicine, University of California, San Francisco, USA.
Niharika DixitDivision of Hematology Oncology, Department of Medicine, University of California, San Francisco, USA.
Jaya MallidiDepartment of Medicine, University of California, San Francisco, USA.
Sithu WinDepartment of Medicine, University of California, San Francisco, USA.
Alexis L BeattyDepartment of Epidemiology and Biostatistics, University of California, San Francisco, USA. alexis.beatty@ucsf.edu.

Funding

Cancer Registry for Understanding and Improving Survivorship Experiences (CRUISE)R01CA241128 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GOMEZ, SCARLETT L, SARKAR, URMIMALA · 2019 to 2023
$3.2M
NCI NIH HHS R01 CA241128NIH HHS R01CA241128
6 · The paper itself

Abstract

backgroundBreast cancer survivors are disproportionately at risk for cardiovascular disease; exercise-based interventions may improve cardiovascular health. The objective of this formative research is to better understand the needs of patients and barriers to participation in an adapted cardiac rehabilitation program for diverse breast cancer survivors in an urban safety net setting.

methodsWe recruited 30 participants (10 English-speaking, 10 Spanish-speaking, and 10 Cantonese-speaking) who had received treatment with curative intent for breast cancer from an urban safety net hospital between November 9, 2021, to August 30, 2022. Participants completed surveys and interviews about perspectives on health behaviors and participating in an adapted cardiac rehabilitation program. Interviews were qualitatively analyzed using rapid template analysis with pre-selected constructs from the Theory of Planned Behavior, Unified Theory of Acceptance and Use of Technology, and Consolidated Framework for Implementation Research, as well as emergent codes. We developed a Participant User Journey for a program based on responses and conducted human-centered design sessions with 8 participants to iteratively revise the Participant User Journey.

resultsAmong 30 participants, mean age was 56.7 years (standard deviation [SD] 10.2) with 100% female sex assigned at birth; 1 participant withdrew before completing study procedures. Most participants had limited health literacy (18/29, 62%). Mean body mass index was 31.4 (SD 8.3), 21/29 (72%) had blood pressure below 140/90 mmHg, and 12/29 (41%) had blood pressure below 130/80. Mean 6-minute walk distance was 384.9 meters (SD 78.3). The desired benefits of a program included healthy living and prevention of cancer recurrence. Barriers to participation included motivation, social support, transportation, and concerns about exercise safety. Participants emphasized the need for practicality, such as fitting physical activity into daily life and nutrition support, including recipes and shopping lists. Trusted experts and cultural and language concordance were viewed as important aspects of the program.

conclusionsThrough participant interviews and human-centered design sessions, we developed the HEART-ACT program, a 12-week multi-disciplinary program addressing physical activity, nutrition, emotional well-being, cardiovascular risk, survivorship, and other components if indicated (e.g., tobacco cessation). Future research will test the effects of this program on patient-centered outcomes.

Indexed as

Breast cancerCardiac rehabilitationCardio-oncologyNutritionPhysical activitySurvivorship

Identifiers

PMID38760873
PMCPMC11100255

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LicenceCC BY
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Registered trials

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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.