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Study Protocol to Investigate the Efficacy of Participation in Qi-Gong by Breast Cancer Survivors

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DOI: 10.4236/jct.2011.25097    4,061 Downloads   7,077 Views   Citations

ABSTRACT

Background: Physical activity improves quality of life and reduces the risks of breast cancer up to 30 - 40 percent. Qi-Gong is a form of exercise widely acknowledged by Asian survivors as health promoting, despite a lack of research evidence. This study aimed to investigate the efficacy of Qi-Gong on the Quality of Life (QOL) of survivors. Methods/ Design: A total of 114 women who had been treated for stage I or II breast cancer at least 12 months previously were randomly assigned to supervised aerobic exercise (n = 38), Qi-Gong exercise (n = 38), or usual care (n = 38). Supervised 1.5 hour exercise sessions took place three times per week for 8 weeks (face to face—once a week and home follow up twice a week). Outcomes included QoL (FACT-G), Functional Assessment of Cancer Therapy-Breast (FACT-B)], distress [Depression Anxiety Stress Scale (DASS)] assessed at baseline and at the 8-week follow-up. Secondary measures included exercise Self Efficacy Scale (ESS), Functional Assessment of Cancer Therapy-Fatigue (FACT-F) and exercise behavior (log) Two way (group × time) repeated measures ANOVA will examine differences between groups over time. Discussion: This research will provide insights on the efficacy of a 8 weeks structured Qi-Gong program designed for quality of life. The details of the Qi-Gong and the placebo (line dancing) over 8 weeks are delineated, with the study protocol for researcher’s replication. The result of the study can contribute towards understanding how Qi-Gong over other physical activity can be used for self managing physical health for people with breast cancer, an increasingly acknowledged chronic condition. Conclusion: Women with breast cancer need to start engaging in physically healthy-active living on a day-to-day basis for prevention of recurrence, mortality and wellbeing. However, many requires professional support with a structured intervention. This design of this study provides a protocol for 8 weeks Qi-Gong with implications on healthy survivorship, and a possible reduction on healthcare costs related to long-term effects and co morbidities that can be prevented via physical activity.

Conflicts of Interest

The authors declare no conflicts of interest.

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S. Lee, S. Loh and L. Murray, "Study Protocol to Investigate the Efficacy of Participation in Qi-Gong by Breast Cancer Survivors," Journal of Cancer Therapy, Vol. 2 No. 5, 2011, pp. 715-724. doi: 10.4236/jct.2011.25097.

References

[1] American Cancer Society, “Breast Cancer Facts and Figures,” ACS, Atlanta, 2005.
[2] A. Bandura, “Social Foundations of Thought and Action: A Social Cognitive Theory,” Prentice-Hall, Englewood Cliffs, 1986.
[3] M. J. Brady, D. F. Cella, F. Mo, A. E. Bonomi, D. S. Tulsky, S. R. Lloyd, S. Deasy, M. Cobleigh and G. Shiomoto, “Reliability and Validity of the Functional Assessment of Cancer Therapy-Breast Quality-of-Life Instrument,” Journal of Clinical Oncology, Vol. 15, No. 3, 1997, pp. 974-986.
[4] M. Cardol, R. De Haan, B. De Jong, G. Van Den Bos and I. De Groot, “Impact on Participation and Autonomy (IPA),” Archives of Physical Medicine and Rehabilitation, Vol. 82, No. 2, 2001, pp. 210-216. doi:10.1053/apmr.2001.18218
[5] Centers for Disease Control and Prevention, “Physical Activity for Everyone,” 2010. http://www.cdc.gov/physicalactivity/everyone/guidlines/index.html
[6] K. Chen and R. Yeung, “Exploratory Studies of Qi-Gong Therapy for Cancer in China,” Integrative Cancer Therapies, Vol. 1, No. 4, 2002, pp. 345-370. doi:10.1177/1534735402238187
[7] L. Clegg, F. Li, B. Hankey, K. Chu and B. K. Edwards, “Cancer Survival among US Whites and Minorities: SEER (Surveillance, Epidemiology, and End Results) Program Population-Based Study,” Archives of Internal Medicine, Vol. 162, 2002.
[8] M. Cohen, “Towards a Framework for Women’s Health,” Patient Education and Counseling, Vol. 33, No. 3, 1998, pp. 187-196. doi:10.1016/S0738-3991(98)00018-4
[9] J. Corbin and A. Strauss, “Unending Work and Care: Managing Chronic Illness at Home,” Jossey-Bass Publishers, San Francisco, 1988.
[10] K. S. Courneya, “Exercise in Cancer Survivors: An Overview of Research,” Medicine & Science in Sports & Exercise, Vol. 35, No. 11, 2003, pp. 1846-1852. doi:10.1249/01.MSS.0000093622.41587.B6
[11] K. S. Courneya, “Exercise and Quality of Life in Cancer Survivors,” In: G. Faulkner and A. Taylor, Eds., Exercise, Health and Mental Health: Emerging Relationships, Rout-ledge, Abingdon, 2005.
[12] K. S. Courneya, J. R. Mackey and D. C. McKenzie, “Exercise for Breast Cancer Survivors: Research Evidence and Clinical Guidelines,” Physician and Sports Medicine, Vol. 30, No. 8, 2002, pp. 33-42. doi:10.3810/psm.2002.08.402
[13] A. J. Daley, H. Crank, J. M. Saxton, N. Mutrie, R. Coleman and A. Roalfe, “Randomized Trial of Exercise Therapy in Women Treated for Breast Cancer,” Journal of Clinical Oncology, Vol. 25, No. 13, 2007, pp. 1713-1721. doi:10.1200/JCO.2006.09.5083
[14] R. K. Dishman, R. W. Motl, J. F. Sallis, A. L. Dunn, A. S. Birnbaum, G. J. Welk, et al., “Self Management Strategies Mediate Self-efficacy and Physical Activity,” American Journal of Preventive Medicine, Vol. 29, No. 1, 2005, pp. 10-18. doi:10.1016/j.amepre.2005.03.012
[15] V. Erickson, M. Pearson, A. Patricia, J. Adams and K. Kahn, “Arm Edema in Breast Cancer Patients,” Journal of the National Cancer Institute, Vol. 93, No. 2, 2001, pp. 96-111. doi:10.1093/jnci/93.2.96
[16] B. Everett, Y. Salamonson and P. M. Davidson, “Bandura’s Exercise Self-Efficacy Scale: Validation in an Australian Cardiac Rehabilitation Setting,” International Journal of Nursing Studies, Vol. 46, No. 6, 2009, pp. 824-829. doi:10.1016/j.ijnurstu.2009.01.016
[17] A. Faulkner, “Strategies for Living: A Report of User-Led Research into People’s Strategies for Living with Mental Distress,” Mental Health Foundation, London, 2000.
[18] C. M. Friedenreich and A. E. Cust, “Physical Activity and Breast Cancer Risk: Impact of Timing, Type and Dose of Activity and Population Subgroup Effects,” British Journal of Sports Medicine, Vol. 42, No. 8, 2008, pp. 636-647. doi:10.1136/bjsm.2006.029132
[19] D. A. Galv?o and R. U. Newton, “Review of Exercise Intervention Studies in Cancer Patients,” Journal of Clinical Oncology, Vol. 23, No. 4, 2005, pp. 899-909. doi:10.1200/JCO.2005.06.085
[20] P. Ganz and E. Hahn, “Implementing a Survivorship Care Plan for Patients with Breast Cancer,” Journal of Clinical Oncology, Vol. 26, No. 5, 2008, pp. 759-767. doi:10.1200/JCO.2007.14.2851
[21] C. Gore-Felton and D. Spiegel, “Enhancing Women’s Lives: The Role of Support Groups among Breast Cancer Patients,” The Journal for Specialists in Group Work, Vol. 24, No. 3, 1999, pp. 274-287. doi:10.1080/01933929908411436
[22] M. D. Holmes, W. Y. Chen, D. Feskanich, et al., “Physical Activity and Survival after Breast Cancer Diagnosis,” Journal of American Medical Association, Vol. 293, No. 20, 2005, pp. 2479-2486. doi:10.1001/jama.293.20.2479
[23] R. Knols, N. K. Aaronson, D. Uebelhart, J. Fransen and G. Aufdemkampe, “Physical Exercise in Cancer Patients during and after Medical Treatment: A Systematic Review of Randomized and Controlled Clinical Trials,” Journal of Clinical Oncology, Vol. 23, No. 16, 2005, pp. 3830-3842. doi:10.1200/JCO.2005.02.148
[24] B. R. Lorraine, J. P. Nola, L. R. David, S. K. Anamaria and B. P. Monika, “Research in Nursing & Health,” Physical Activity, Self-Efficacy, and Perceived Exertion among Adolescents, Vol. 27, No. 6, 2004, pp. 435-446.
[25] S. Lovibond and P. Lovibond, “Manual for the Depression Anxiety Stress Scales,” 2nd Edition, Psychology Foundation, Sydney, 1995.
[26] G. Maskarinec, S. Murphy, D. M. Shumay and H. Kakai, “Dietary Changes among Cancer Survivors,” European Journal of Cancer Care, Vol. 10, No. 1, 2001, pp. 12-20. doi:10.1046/j.1365-2354.2001.00245.x
[27] E. McAuley, “The Role of Efficacy Cognitions in the Prediction of Exercise Behavior in Middleaged Adults,” Journal of Behavioral Medicine, Vol. 15, No. 1, 1992, pp. 65-88. doi:10.1007/BF00848378
[28] E. McAuley and B. Blissmer, “Self-Efficacy Determinants and Consequences of Physical Activity,” Exercise and Sport Sciences Reviews, Vol. 28, No. 2, 2000, pp. 85-88.
[29] A. McTiernan, “Physical Activity after Cancer: Physiologic Outcomes,” Cancer Invest, Vol. 22, No. 1, 2004, pp. 68-81. doi:10.1081/CNV-120027581
[30] National Cancer Registry, “The Second Report of the National Cancer Registry—Cancer incidence in Malaysia,” National Cancer Registry, Ministry of Health, Kuala Lumpur, 2003.
[31] NHMRC, “Psychosocial Clinical Practice Guidelines: Information, Support and Counseling for Women with Breast Cancer,” Commonwealth of Australia, Canberra, 2000.
[32] B. Oh, P. Butow, S. Clarke, P. Beale, N. Pavlakis, E. Kothe, et al., “Impact of Medical Qi-Gong on Quality of Life, Fatigue, Mood and Inflammation in Cancer Patients: A Randomized Controlled Trial,” Annals of Oncology, Vol. 21, No. 3, 2010, pp. 608-614. doi:10.1093/annonc/mdp479
[33] R. L. Petosa, R. Suminski and B. Hortz, “Predicting Vigorous Physical Activity Using Social Cognitive Theory,” American Journal of Health Behaviors, Vol. 27, No. 4, 2003, pp. 301-310.
[34] B. M. Pinto, N. C. Maruyama, M. M. Clark, D. G. Cruess, E. Park and M. Roberts, “Motivation to Modify Lifestyle Risk Behaviors in Women Treated for Breast Cancer,” Mayo Clinic Proceedings, Vol. 77, No. 2, 2002, pp. 122-129. doi:10.4065/77.2.122
[35] L. Q. Rogers, C. Matevey, P. Hopkins-Price, P. Shah, G. Dunnington, and K. S. Courneya, “Exploring Social Cognitive Theory Constructs for Promoting Exercise among Breast Cancer Patients,” Cancer Nursing, Vol. 27, No. 6, 2004, pp. 462-473. doi:10.1097/00002820-200411000-00006
[36] L. Q. Rogers, P. Shah, G. Dunnington, A. Greive, A. Shanmughan, B. Dawson, et al., “Social Cognitive Theory and Physical Activity during Breast Cancer Treatment,” Oncology Nursing Forum, Vol. 32, No. 4, 2005, pp. 807-815. doi:10.1188/05.ONF.807-815
[37] L. S. Rovniak, E. S. Anderson,, R. A. Winett and R. S. Stephens, “Social Cognitive Determinants of Physical Activity in Young Adults: A Prospective Structural Equation Analysis,” Annals of Behavioral Medicine, Vol. 24, No. 2, 2002, pp. 149-157. doi:10.1207/S15324796ABM2402_12
[38] SPSS, “SPSS 16.0 Brief Guide (Vol. 1),” Prentice Hall, Chicago, 2007.
[39] J. K. Vallance, K. S. Courneya, L. M. Taylor, R. C. Plotnikoff and J. R. Mackey, “Development and Evaluation of a Theory-Based Physical Activity Guidebook for Breast Cancer Survivors,” Health Education Behaviour, Vol. 35, No. 2, 2008, pp. 174-189. doi:10.1177/1090198106287693
[40] WHO, “World Health Organization. Innovative Care for Chronic Conditions: Building Blocks for Action: Global Report,” Patient Education and Counseling, 2002. www.who.int/chronic_conditions/en/icccglobalreport.pdf
[41] S. B. Yellen, D. F. Cella, K. Webster, C. Blendowski and E. Kaplan, “Measuring Fatigue and Other Anemia-Related Symptoms with the Functional Assessment of Cancer Therapy (FACT) Measurement System,” Journal of Pain and Symptom Management, Vol. 13, No. 2, 1997, pp. 63-74. doi:10.1016/S0885-3924(96)00274-6

  
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