title: Experiences of breast cancer survivors participating in a tailored exercise intervention -a qualitative study.
abstract: OBJECTIVE
  The aim of the study was to investigate how tailored exercise is experienced by cancer survivors.
  
  
  METHODS
  Twenty-five breast cancer survivors who were recently treated with systemic adjuvant treatments attended tailored exercise classes as a part of a randomized controlled exercise intervention study (Breast Cancer and Exercise, BREX). Focus group discussions with a median of four (range 3-6) participants in each group were conducted to capture their individual experiences of their course of illness, taking part in the exercise trial, the personal meaning of tailored exercise classes and the group.
  
  
  RESULTS
  Attending the intervention in which the focus of attention was on physical rehabilitation was highly valued, since the participants experienced both improved physical fitness and improved coping. Due to altered physical appearance and poor physical fitness, the participants felt that tailored exercise for patients with breast cancer reduced their barrier to start exercising. Peer support from the group was valued, especially that of sharing experiences, receiving psychological support and gaining a sense of normality. A sense of mastery over their disease through participating in the intervention, i.e. better psychological functioning and improved mood, was a consequence of better physical fitness and of meeting other breast cancer survivors. Also participating in the study per se increases a sense of comfort and security with extra medical examinations and follow-up.
  
  
  CONCLUSIONS
  Participating in the tailored exercise group for breast cancer survivors helped patients gain a sense of mastery, restoring their self-esteem and constructing a meaning for their cancer experience and its impact on their lives.
authors.affiliation: Department of Oncology, Helsinki University Central Hospital, P.O.Box 180, 00029 HUS, Finland. tiina.saarto@hus.fi.
authors.forename: Minna-Liisa
authors.initials: ML
authors.lastname: Luoma
authors.forename: Liisa
authors.initials: L
authors.lastname: Hakamies-Blomqvist
authors.forename: Carl
authors.initials: C
authors.lastname: Blomqvist
authors.forename: Riku
authors.initials: R
authors.lastname: Nikander
authors.forename: Mila
authors.initials: M
authors.lastname: Gustavsson-Lilius
authors.forename: Tiina
authors.initials: T
authors.lastname: Saarto
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy*; D005069:Evaluation Studies as Topic; D005081:Exercise Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D011379:Prognosis; D011446:Prospective Studies; D011788:Quality of Life; D015996:Survival Rate; D017741:Survivors / Q000523:psychology*