TY - JOUR
T1 - Translating physical activity interventions for breast cancer survivors into practice
T2 - An evaluation of randomized controlled trials
AU - White, Siobhan M.
AU - McAuley, Edward
AU - Estabrooks, Paul A.
AU - Courneya, Kerry S.
N1 - Funding Information:
Acknowledgements Edward McAuley is supported in part by a Shahid and Ann Carlston Khan Professorship in Applied Health Sciences and a grant from the National Institute on Aging (RO1 AG025667). Kerry S. Courneya is supported by the Canada Research Chairs Program and a Research Team Grant from the National Cancer Institute of Canada (NCIC), with funds from the Canadian Cancer Society (CCS) and the NCIC/CCS Sociobehavioral Cancer Research Network. Paul Estabrooks is supported in part by grants from the National Institute of Diabetes, Digestive, and Kidney Diseases (R01 DK070553; R01 DK071664). We are indebted to two anonymous reviewers and the Editor for their insightful comments on an earlier draft on this manuscript. The authors have no disclosures.
PY - 2009/2
Y1 - 2009/2
N2 - Background: Although physical activity (PA) interventions have been effective for improving health outcomes in breast cancer survivors, little is known relative to their potential for translation into practice. Purpose: This review was designed to provide a quantitative estimate of the reporting of both internal and external validity in recent studies of PA in breast cancer survivors (BCS). Methods: The Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was utilized to assess the reporting of internal and external validity in 25 randomized controlled trials (RCTs) of PA and BCS published between 1998 and 2008. Each trial was evaluated relative to the degree it met criteria for each of the above dimensions. Results: The majority of studies in this review reported dimensions reflecting internal validity. The overall level of detail relative to external validity of PA interventions was rarely reported, limiting the generalizability of study findings. Conclusions: As with many RCTs of health behavior change, detail relative to contextual elements of published PA interventions in BCS is limited. It is recommended that future physical activity interventions in BCS be designed to facilitate scalable and sustainable interventions for improving health outcomes in this population.
AB - Background: Although physical activity (PA) interventions have been effective for improving health outcomes in breast cancer survivors, little is known relative to their potential for translation into practice. Purpose: This review was designed to provide a quantitative estimate of the reporting of both internal and external validity in recent studies of PA in breast cancer survivors (BCS). Methods: The Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was utilized to assess the reporting of internal and external validity in 25 randomized controlled trials (RCTs) of PA and BCS published between 1998 and 2008. Each trial was evaluated relative to the degree it met criteria for each of the above dimensions. Results: The majority of studies in this review reported dimensions reflecting internal validity. The overall level of detail relative to external validity of PA interventions was rarely reported, limiting the generalizability of study findings. Conclusions: As with many RCTs of health behavior change, detail relative to contextual elements of published PA interventions in BCS is limited. It is recommended that future physical activity interventions in BCS be designed to facilitate scalable and sustainable interventions for improving health outcomes in this population.
KW - Breast cancer
KW - External validity
KW - Physical activity interventions
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U2 - 10.1007/s12160-009-9084-9
DO - 10.1007/s12160-009-9084-9
M3 - Article
C2 - 19255819
AN - SCOPUS:62449157217
VL - 37
SP - 10
EP - 19
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
SN - 0883-6612
IS - 1
ER -