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 [F] Diseases Research  / PubMed Research Articles  /
Designing more engaging computer-tailored physical activity behaviour change interventions for breast cancer survivors: lessons from the iMove More for Life study.




Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer 2017 Jun 18; ()


Short CE1; James EL2; Rebar AL3; Duncan MJ4; Courneya KS5; Plotnikoff RC6; Crutzen R7; Bidargaddi N8; Vandelanotte C9;

Author Information
  • 1School of Medicine, Freemasons Foundation Centre for Men's Health, University of Adelaide, Adelaide, Australia. Camille.Short@adelaide.edu.au.
  • 2School of Medicine and Public Health, Priority Research Centre for Physical Activity and Nutrition & Priority Research Centre in Health Behaviour, University of Newcastle, Callaghan, Australia.
  • 3School of Human, Health and Social Sciences, Physical Activity Research Group, Central Queensland University, Rockhampton, QLD, Australia.
  • 4School of Education, Priority Research Centre for Physical Activity and Nutrition, Callaghan, University of Newcastle, Callaghan, Australia.
  • 5Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Alberta, Canada.
  • 6School of Education, Priority Research Centre for Physical Activity and Nutrition, Callaghan, University of Newcastle, Callaghan, Australia.
  • 7Department of Health Promotion/CAPHRI, Maastricht University, Maastricht, The Netherlands.
  • 8School of Medicine, Personal Health Informatics Group, Flinders University, Clovelly Park, Australia.
  • 9School of Education, Priority Research Centre for Physical Activity and Nutrition, Callaghan, University of Newcastle, Callaghan, Australia.


BACKGROUND: Participating in regular physical activity is a recommended cancer recovery strategy for breast cancer survivors. However, tailored support services are not widely available and most survivors are insufficiently active to obtain health benefits. Delivering tailored programs via the Internet offers one promising approach. However, recent evaluations of such programs suggest that major improvements are needed to ensure programs meet the needs of users and are delivered in an engaging way. Understanding participants' experiences with current programs can help to inform the next generation of systems.

PURPOSE: The purposes of this study are to explore breast cancer survivor's perspectives of and experiences using a novel computer-tailored intervention and to describe recommendations for future iterations.

METHODS: Qualitative data from a sub-sample of iMove More for Life study participants were analysed thematically to identify key themes. Participants long-term goals for participating in the program were explored by analysing open-ended data extracted from action plans completed during the intervention (n = 370). Participants negative and positive perceptions of the website and recommendations for improvement were explored using data extracted from open-ended survey items collected at the immediate intervention follow-up (n = 156).

RESULTS: The majority of participants reported multi-faceted goals, consisting of two or more outcomes they hoped to achieve within a year. While clear themes were identified (e.g. 'being satisfied with body weight'), there was considerable variability in the scope of the goal (e.g. desired weight loss ranged from 2 to 30 kg). Participants' perceptions of the website were mixed, but clear indications were provided of how intervention content and structure could be improved.

CONCLUSIONS: This study provides insight into how to better accommodate breast cancer survivors in the future and ultimately design more engaging computer-tailored interventions.




Publication Type: Journal Article

This article is licensed under the the National Library of Medicine License. It uses material from the PubMed National Library of Medicine Data.

Last Modified:   2016-03-27

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