title: Randomized pilot test of a simultaneous stage-matched exercise and diet intervention for breast cancer survivors.
abstract: OBJECTIVE
  To investigate the feasibility and preliminary effects of a simultaneous stage-matched exercise and diet (SSED) intervention in breast cancer survivors.
  
  
  METHODS
  Randomized, controlled trial.
  
  
  METHODS
  Oncology outpatient treatment clinics at the National Cancer Center in South Korea.
  
  
  METHODS
  45 women with breast cancer who completed their cancer therapy.
  
  
  METHODS
  Participants were assigned to the SSED intervention group (n = 23) or a control group (n = 22). Participants in the SSED group received a 12-week individualized intervention promoting prescribed exercise and a balanced diet through stage-matched telephone counseling and a workbook.
  
  
  METHODS
  Program feasibility, behavioral outcomes (stage of motivational readiness for exercise and diet, physical activity, and diet quality), and quality-of-life (QOL) outcomes (functioning and global QOL, fatigue, anxiety, and depression).
  
  
  RESULTS
  Participant evaluations of the SSED intervention indicated that it was feasible and acceptable. All women felt that the overall intervention contents were appropriate, and 95% believed that the intervention helped to promote healthy behaviors. Objective data also supported the SSED intervention's feasibility (i.e., 91% completed the trial and 100% of intervention calls were received). When compared to control, the SSED intervention group showed significantly greater improvement in motivational readiness for exercise and diet, emotional functioning, fatigue, and depression.
  
  
  CONCLUSIONS
  Preliminary results suggest that the SSED intervention delivered via telephone counseling and workbook is feasible and beneficial for positive behavioral and QOL outcomes.
  
  
  CONCLUSIONS
  Nurse-led lifestyle interventions may improve QOL for cancer survivors.
authors.affiliation: Department of Nursing, Inha University, Incheon, South Korea.
authors.forename: Soo Hyun
authors.initials: SH
authors.lastname: Kim
authors.forename: Mi Soon
authors.initials: MS
authors.lastname: Shin
authors.forename: Han Sul
authors.initials: HS
authors.lastname: Lee
authors.forename: Eun Sook
authors.initials: ES
authors.lastname: Lee
authors.forename: Jung Sil
authors.initials: JS
authors.lastname: Ro
authors.forename: Han Sung
authors.initials: HS
authors.lastname: Kang
authors.forename: Seok Won
authors.initials: SW
authors.lastname: Kim
authors.forename: Won Hee
authors.initials: WH
authors.lastname: Lee
authors.forename: Hee Soon
authors.initials: HS
authors.lastname: Kim
authors.forename: Chun Ja
authors.initials: CJ
authors.lastname: Kim
authors.forename: Joohyung
authors.initials: J
authors.lastname: Kim
authors.forename: Young Ho
authors.initials: YH
authors.lastname: Yun
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000451:nursing / Q000523:psychology / Q000628:therapy; D004032:Diet; D015444:Exercise; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D009042:Motivation; D009859:Oncology Nursing / Q000379:methods* / Q000458:organization & administration*; D010045:Outpatients; D015397:Program Evaluation; D011788:Quality of Life; D011795:Surveys and Questionnaires; D017741:Survivors