title: Main outcomes of the Move More for Life Trial: a randomised controlled trial examining the effects of tailored-print and targeted-print materials for promoting physical activity among post-treatment breast cancer survivors.
abstract: BACKGROUND
  Participation in physical activity can improve the health outcomes of breast cancer survivors. To impact public health, broad-reaching sustainable interventions that promote physical activity are needed.
  
  
  OBJECTIVE
  To evaluate the efficacy of two distance-based interventions for promoting physical activity among breast cancer survivors compared with a standard recommendation control.
  
  
  METHODS
  Breast cancer survivors who had finished 'active' cancer treatment were eligible to participate. Participants (n = 330) were randomly assigned to receive one of the following mail-delivered interventions: three computer-tailored newsletters, a previously developed breast cancer-specific physical activity booklet or a pamphlet detailing the public health recommendations for physical activity (control). Primary outcomes were self-reported moderate to vigorous aerobic activity and participant's self-reported resistance training activity at 4 months post-baseline. Secondary outcomes were pedometer step counts, whether or not participants were meeting the physical activity guidelines, time spent in sedentary behaviour, fatigue and health-related quality of life.
  
  
  RESULTS
  Participants randomised into the tailored-print intervention group were three times more likely to commence resistance training and meet the resistance-training guidelines immediately after the intervention than participants allocated to the control group. There were no other significant intervention effects.
  
  
  CONCLUSIONS
  Computer-tailored newsletters may be an effective strategy for enhancing resistance-based physical activity among breast cancer survivors. The null findings relating to other outcomes may be due to ceiling effects (in the case of aerobic activity, fatigue and health-related quality of life) or the sensitivity of the measure used (in the case of sitting time). These issues require further exploration.
authors: School of Human, Health and Social Sciences, Central Queensland University, Rockhampton, Australia.|School of Medicine and Public Health, Priority Research Centre for Health Behaviour, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia.
authors: Camille E
authors: CE
authors: Short
authors: School of Medicine and Public Health, Priority Research Centre for Health Behaviour, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia.
authors: Erica L
authors: EL
authors: James
authors: Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, University of New South Wales, Australia.
authors: Afaf
authors: A
authors: Girgis
authors: Clinical Trials Unit, Hunter Medical Research Institute, School of Medicine and Public Health, University of Newcastle, Callaghan, Australia.
authors: Mario I
authors: MI
authors: D'Souza
authors: School of Education, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia.
authors: Ronald C
authors: RC
authors: Plotnikoff
mesh_terms: D056044:Actigraphy; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000534:rehabilitation*; D015444:Exercise; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D010174:Pamphlets; D055070:Resistance Training; D017741:Survivors; D016896:Treatment Outcome
keywords: behaviour change; cancer; intervention; oncology; physical activity