title: African-American breast cancer survivors' preferences for various types of physical activity interventions: a Sisters Network Inc. web-based survey.
abstract: BACKGROUND
  Needs assessments are essential to developing lifestyle interventions for minority populations. To our knowledge, no physical activity (PA) needs assessment studies have been conducted for African-American (AA) breast cancer survivors. The purpose of this study was to determine the PA intervention preferences of AA breast cancer survivors and determine whether these preferences differ according to medical and sociodemographic factors.
  
  
  METHODS
  AA breast cancer survivors (n = 475, mean age = 54 years) were recruited using ads sent via email and social media sites. Preferences for the mode of intervention delivery were assessed via web-based questionnaires. Descriptive statistics were used to characterize their interests in PA interventions, and subgroup differences were assessed.
  
  
  RESULTS
  About 49 % (142 out of 291) of the participants who completed the survey were obese and 54 % did not meet the recommended guidelines for PA. Most (90 %) participants reported that they could participate in PA, and many (67 %) indicated that they were interested in receiving program materials. Participants expressed the greatest interest in email (50 %)-, web (48 %)-, or mail-based (45 %) over group (39 %), and telephone (10 %). Women also expressed the greatest interest in participating in studies that promoted walking and resistance or strength training. Intervention preferences did not differ significantly (P > 0.05) across sociodemographic or medical factors.
  
  
  CONCLUSIONS
  Most AA breast cancer survivors can participate in PA, and many are interested in interventions that promoted walking and resistance training and were delivered via the email or web. The development of culturally sensitive interventions that provide activities consistent with preferences can assist AA breast cancer survivors to adopt and maintain a healthy lifestyle.
  
  
  CONCLUSIONS
  Despite evidence that AA breast cancer survivors are at increased risk for poor breast cancer-specific outcomes, they are underrepresented in clinical trials promoting positive health behaviors. In this study, we propose to assess their exercise preferences and receptivity to a culturally appropriate PA intervention developed in collaboration with the Sisters Network Inc. Health promotion programs developed in collaboration with a community-based organization may aid in the development of research tools and resources that AA breast cancer survivors are receptive to using.
authors.affiliation: Department of Behavioral and Community Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX, 76017, USA, Raheem.Paxton@unthsc.edu.
authors.forename: Raheem J
authors.initials: RJ
authors.lastname: Paxton
authors.forename: Pratibha
authors.initials: P
authors.lastname: Nayak
authors.forename: Wendell C
authors.initials: WC
authors.lastname: Taylor
authors.forename: Shine
authors.initials: S
authors.lastname: Chang
authors.forename: Kerry S
authors.initials: KS
authors.lastname: Courneya
authors.forename: Leslie
authors.initials: L
authors.lastname: Schover
authors.forename: Kelly
authors.initials: K
authors.lastname: Hodges
authors.forename: Lovell A
authors.initials: LA
authors.lastname: Jones
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy; D016251:CD-ROM; D015897:Comorbidity; D003625:Data Collection; D034742:Electronic Mail; D005260:Female; D006184:Habits; D006301:Health Services Needs and Demand; D006801:Humans; D020407:Internet; D008019:Life Style; D008875:Middle Aged; D009043:Motor Activity; D009765:Obesity / Q000453:epidemiology / Q000523:psychology; D010174:Pamphlets; D010353:Patient Education as Topic / Q000379:methods*; D057240:Patient Preference; D017410:Practice Guidelines as Topic; D011788:Quality of Life; D055070:Resistance Training; D057185:Sedentary Behavior; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D013689:Telephone; D013781:Texas
references.citation: Support Care Cancer. 2012 Aug;20(8):1709-17
references.pmid: 21947412
references.citation: Diabetes Educ. 2004 May-Jun;30(3):502-13
references.pmid: 15208848
references.citation: Occup Med (Lond). 1999 Nov;49(8):556-8
references.pmid: 10658310
references.citation: Am J Health Behav. 2007 Mar-Apr;31(2):193-202
references.pmid: 17269909
references.citation: Cancer Causes Control. 2011 Mar;22(3):427-35
references.pmid: 21184262
references.citation: Psychooncology. 2006 Feb;15(2):174-9
references.pmid: 15937868
references.citation: Womens Health Issues. 2010 Jan-Feb;20(1):43-9
references.pmid: 19944621
references.citation: J Clin Oncol. 2007 Jul 1;25(19):2709-18
references.pmid: 17602076
references.citation: BMJ. 2012 Jan 30;344:e70
references.pmid: 22294757
references.citation: Cancer Nurs. 2012 Jan-Feb;35(1):48-54
references.pmid: 21558852
references.citation: J Clin Oncol. 2006 Jul 20;24(21):3465-73
references.pmid: 16849763
references.citation: Health Educ Behav. 2006 Oct;33(5):604-24
references.pmid: 16923833
references.citation: Cancer Pract. 2002 Jul-Aug;10(4):208-15
references.pmid: 12100105
references.citation: Cancer. 2012 Aug 15;118(16):4024-31
references.pmid: 22252966
references.citation: PLoS One. 2013 Apr 23;8(4):e61854
references.pmid: 23626740
references.citation: Oncol Nurs Forum. 2011 Sep;38(5):E326-34
references.pmid: 21875828
references.citation: Breast J. 2008 Mar-Apr;14(2):182-7
references.pmid: 18282235
references.citation: J Cancer Surviv. 2007 Mar;1(1):27-34
references.pmid: 18648942
references.citation: Ann Epidemiol. 2003 Oct;13(9 Suppl):S107-21
references.pmid: 14575943
references.citation: Psychooncology. 2009 Apr;18(4):412-21
references.pmid: 19241491
references.citation: Cancer Epidemiol Biomarkers Prev. 2005 Jul;14(7):1588-95
references.pmid: 16030088
references.citation: JAMA. 2009 May 13;301(18):1883-91
references.pmid: 19436015
references.citation: Cancer. 2011 Aug 15;117(16):3805-13
references.pmid: 21319157
references.citation: Psychooncology. 2009 Apr;18(4):422-8
references.pmid: 19243089
references.citation: J Cancer Surviv. 2011 Mar;5(1):44-53
references.pmid: 20857227
references.citation: Cancer Nurs. 2006 Jul-Aug;29(4):259-65
references.pmid: 16871091
references.citation: J Cancer Surviv. 2010 Jun;4(2):87-100
references.pmid: 20052559
references.citation: J Nutr. 2007 Oct;137(10):2291-6
references.pmid: 17885013