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Development of an exercise adherence program for breast cancer survivors with cancer-related fatigue—an intervention mapping approach

  • Sue Kim
  • Yun Hee Ko
  • Yoonkyung Song
  • Min Jae Kang
  • Hyojin Lee
  • Sung Hae Kim
  • Justin Y. Jeon
  • Young Up Cho
  • Gihong Yi
  • Jeehee HanEmail author
Original Article

Abstract

Purpose

Cancer-related fatigue (CRF) is the most common and distressing symptom in breast cancer survivors (BCS), with severe impact on quality of life. CRF can be reduced through exercise, but conversely, is also a barrier to exercising. The aim of this article was to apply the intervention mapping protocol (IMP) to develop an exercise adherence intervention for BCS with CRF.

Method

The program was developed using the IMP, which consists of six steps. Based on the data from focus group interviews and literature review, we produced a logic model of change.

Results

Two performance objectives (survivors adopt and maintain exercise and survivors cope with fatigue) and 17 change objectives were generated. Also, we designed theory-based methods of change, and strategies for practical application. A structured program plan that includes intervention content and methods, ranges, and program data was proposed. Finally, an implementation and evaluation plan was developed.

Conclusion

The IMP provided a useful framework to systematically plan an exercise adherence program. This study resulted in a theory and practice-based exercise adherence program, based on behavioral change theories, and practice-based knowledge that fits the needs of BCS with CRF.

Keywords

Breast cancer survivor Cancer-related fatigue Intervention mapping protocol Exercise adherence Social capital 

Abbreviations

CRF

cancer-related fatigue

BCS

breast cancer survivors

IMP

Intervention Mapping Protocol

TPB

Theory of Planned Behavior

Notes

Funding

This research was supported by the Basic Science Research Program through the National Research Foundation for Korea (NRF) funded by the Ministry of Education (grant number 2015R1D1A1A01059846).

Compliance with ethical standards

Ethics approval and consent to participate

An institutional review board exemption was obtained from Severance Hospital, Korea (IRB 4–2017–0164).

Competing interests

The authors declare that they have no competing interests.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Mo-Im Kim Nursing Research Institute, College of NursingYonsei UniversitySeoulSouth Korea
  2. 2.College of NursingYonsei UniversitySeoulSouth Korea
  3. 3.Department of Sports Industry StudiesYonsei UniversitySeoulSouth Korea
  4. 4.Department of Sports Industry StudiesYonsei UniversitySeoulSouth Korea
  5. 5.Exercise Medicine Center for Diabetes and Cancer Patients, ICONSYonsei UniversitySeoulSouth Korea
  6. 6.Division of Breast Surgery, Department of SurgeryYonsei University College of MedicineSeoulSouth Korea
  7. 7.Department of SociologyHallym UniversityChuncheonSouth Korea

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