Evidence map›Paper›PMID 40736469›Full record

ArticlePsycho-oncology2025

Exercise That Feels as Good as Possible: Acceptability of an Affect-Based Exercise Prescription Among Stage 0-III Breast Cancer Survivors.

Courtney J Stevens, Carly A Bobak, Kali J Morrissette, Ryan C Thompson, Kathleen Doyle Lyons, Grace M Wallace, Amanda J Emerson, David E Conroy, David M Williams, Mary D Chamberlin and 1 more

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04903249 (Increasing Physical Activity Among Breast Cancer Survivors), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT04903249 nacompletednot on this map

Increasing Physical Activity Among Breast Cancer Survivors: Use of the ORBIT Model to Refine and Test a Novel Approach to Exercise Promotion Based on Affect-regulation

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2021 to 2022Enrolled37ConditionsBreast CancerArmsCore Exercise Promotion Intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

11 authors.

Courtney J StevensDepartment of Psychiatry, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA.ORCID 0000-0002-5696-4904
Carly A BobakGeisel School of Medicine at Dartmouth College, Hanover, New Hampshire, USA.
Kali J MorrissetteDepartment of Psychiatry, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Ryan C ThompsonDepartment of Psychiatry, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Kathleen Doyle LyonsGeisel School of Medicine at Dartmouth College, Hanover, New Hampshire, USA.
Grace M WallaceOffice of Clinical Research, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Amanda J EmersonResearch Computing and Data Services, Information, Technology, & Consulting at Dartmouth College, Hanover, New Hampshire, USA.
David E ConroySchool of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-0204-4093
David M WilliamsDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, USA.
Mary D ChamberlinGeisel School of Medicine at Dartmouth College, Hanover, New Hampshire, USA.
Martha L BruceDepartment of Psychiatry, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA.

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Increasing physical activity among breast cancer survivors: Use of the ORBIT Model to refine and test a novel approach to exercise promotion based on affect-regulationK08CA259632 · NCI · DARTMOUTH-HITCHCOCK CLINIC · PI STEVENS, COURTNEY JOYCE · 2021 to 2025
$860k
NCI NIH HHS K08 CA259632NCI NIH HHS K08CA259632NCI NIH HHS L30 CA253423NCI NIH HHS P30 CA023108
6 · The paper itself

Abstract

backgroundLeaders in the field have called for exercise counseling to become standard of care by 2029. An Affect-based exercise prescription (Affect-Rx) may be a viable strategy for supporting this effort.

aimsGuided by the ORBIT Model for developing behavioral treatments, this Phase 1b study evaluated breast cancer survivors' perceived acceptability of Affect-Rx. Additionally, the feasibility of trial methods and opportunities for protocol refinements were assessed.

methodParticipants were 36 stage 0-III breast cancer survivors within 5 years of completing primary cancer treatment. Demographics were collected at baseline and via medical record review. Affect-Rx was delivered in conjunction with a low-touch, physical activity promotion intervention over videoconference call. At end-of-study, participants rated Affect-Rx using the Treatment Acceptability and Preferences (TAP) Measure. Participants responded to the Stanford L-Cat at baseline and end-of-study. ActiGraph wGT3X-BT accelerometers measured moderate-vigorous physical activity (MVPA) over 10-day periods at baseline and follow-up.

resultsAffect-Rx was rated acceptable (TAP overall M = 3.30, SD = 0.53). Study retention and accelerometer measurement completion was ≥ 80% across time. L-Cat scores were discordant from accelerometer-measured MVPA at baseline.

conclusionsAffect-Rx warrants further testing. The trial methods were feasible; however, physical inactivity verification procedures along with targeted recruitment efforts are needed to support future work. The field needs intervention strategies that can be deployed with limited resources and at low cost to offer survivors exercise counseling support in line with the new National Standards for Cancer Survivorship Care, the affect-based exercise prescription is designed to serve this mission.

trial registrationThe study protocol was registered with ClinicalTrials.gov prior to the initiation of participant recruitment NCT04903249.

Indexed as

AffectBreast NeoplasmsCancer SurvivorsExerciseExercise TherapyPatient Acceptance of Health CareAdultAgedCounselingFeasibility StudiesFemaleHumansMiddle Agedaffect‐based exercise prescriptionbreast neoplasmscancercancer survivorsclinical trials PhaseIexerciseoncologystandard of care

Identifiers

PMID40736469
PMCPMC12412301

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

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.