title: In the eye of the dragon: women's experience of breast cancer and the occupation of dragon boat racing.
abstract: BACKGROUND
  Women with breast cancer are at risk of developing lymphedema following surgical and/or medical treatment of the disease. Recently, women have challenged traditional advice about limiting upper extremity activity to prevent lymphedema by participation in dragon boat racing.
  
  
  OBJECTIVE
  In this qualitative pilot study, three women were interviewed about the meaningfulness of dragon boat racing in their lives.
  
  
  METHODS
  The women were interviewed twice and their interviews analyzed using thematic analysis.
  
  
  RESULTS
  Seven themes are discussed: attraction of dragon boat racing; physical and emotional well-being; competition; social support; transcendence/connectedness/oneness; re-occurrence of cancer; and, public awareness. Competition enabled the participants to rebuild self-confidence and to regain control over their physical health and emotional well-being. Balancing support and competition was key to finding satisfaction in this occupation. The women did not believe that dragon boat racing affected their risk for developing lymphedema.
  
  
  CONCLUSIONS
  People who engage in the occupation of dragon boat racing find it meaningful and develop new coping strategies. Participating in dragon boat racing can decrease stress and shift the meaning of having breast cancer to a more positive view of the experience.
authors.affiliation: School of Health and Human Performance, Dalhousie University, Halifax, NS. anita.unruh@dal.ca
authors.forename: Anita M
authors.initials: AM
authors.lastname: Unruh
authors.forename: Natalie
authors.initials: N
authors.lastname: Elvin
mesh_terms: D000223:Adaptation, Psychological; D001943:Breast Neoplasms / Q000208:ethnology / Q000534:rehabilitation* / Q000601:surgery*; D002681:China / Q000208:ethnology; D005260:Female; D006801:Humans; D008209:Lymphedema / Q000209:etiology* / Q000517:prevention & control*; D008603:Mental Health; D008875:Middle Aged; D009788:Occupational Therapy; D009790:Occupations; D011788:Quality of Life; D012307:Risk Factors; D012649:Self Concept; D012767:Ships; D012944:Social Support; D013177:Sports