Understanding Quality of Life and Physical Activity in Black Breast Cancer Survivors

了解黑人乳腺癌幸存者的生活质量和身体活动

基本信息

批准号：
10554655
负责人：
Natasha Renee Burse
金额：
$ 8.1万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-05-17 至 2026-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10554655
关键词：
Address Aerobic Exercise Affect Aftercare Awareness Behavior Behavior Therapy Behavioral Behavioral Medicine Black race Body Composition Body Image Body Weight decreased Breast Cancer Risk Factor Breast Cancer survivor Cancer Death Rates Cancer Etiology Cancer Survivor Caring Cessation of life Communities Control Groups Development Diagnosis Disease Emotional Enrollment Exercise Failure Fatigue Fellowship Fostering Health Health Professional Health behavior Incidence Individual Intervention Interview Knowledge Life Life Experience Lymphedema Measures Medical Methods Obesity Outcome Overweight Pain Pennsylvania Perception Personal Satisfaction Physical activity Physicians Population Psyche structure Quality of life Questionnaires Randomized Controlled Trials Recommendation Recording of previous events Research Research Personnel Research Project Grants Resources Scientific Advances and Accomplishments Sex Functioning Social Well-Being Socioeconomic Factors Structure Surveys Survival Rate Survivors Swelling Target Populations Technology Time Training Tumor Biology United States Volition Walking Weight Well in self Woman Women&apos s Health base black women breast cancer survival cancer diagnosis cancer therapy cancer type clinical practice community partnership design effective therapy ethnic minority exercise intervention exercise program experience health organization improved insight malignant breast neoplasm modifiable behavior obesity risk optimal treatments physical inactivity primary outcome programs racial and ethnic racial disparity sleep quality social social health determinants strength training survivorship treatment effect weight loss intervention

项目摘要

Project Summary/Abstract Breast cancer is the most common type of cancer and the second leading cause of cancer death among women in the United States. With effective treatments and advancements in technology, the proportion of women who survive breast cancer five years and beyond is increasing. Despite the continued progress in survival, black women experience suboptimal five-year breast cancer specific survival, adverse cancer treatment effects (pain and swelling from lymphedema), and quality of life (QOL). Most interventions targeting physical activity (PA) have shown to improve QOL in predominantly white cancer survivors. There are critical gaps in our understanding of PA and QOL among post treatment black women with a history of breast cancer. First, there is not enough evidence to establish whether the effect of PA on QOL is smaller or larger in black women compared to white women. Second, there are limited descriptions of QOL concerns and experiences in relation to PA among black women. This study will address these issues in the following aims by: 1) investigating the effect of PA on social wellbeing, emotional wellbeing, and body image among post treatment black and white breast cancer survivors with lymphedema in the Women In Steady Exercise Research (WISER) Survivor Trial, 2) describing the QOL experiences and concerns in relation to PA among black women with a history of breast cancer in Pennsylvania using semi structured interviews and a narrative approach, and 3) assessing the association between PA, social, emotional, spiritual, mental, and physical wellbeing among black women with a history of breast cancer without lymphedema in the Black Women’s Health Study. The long term objective of this fellowship is to understand this association to increase the potential for medical and health professionals to recommend the use and promote the importance of PA to improve QOL among black women. Another long term objective of this fellowship is to increase awareness on the factors that influence QOL and PA, individual perceptions and descriptions of QOL, and unique QOL concerns and experiences to help improve QOL among black women breast cancer survivors who have worse health outcomes. This fellowship will help to inform clinical practice, refine exercise programs, promote the development of behavioral interventions, and advance scientific knowledge on QOL and PA among black women.

项目摘要/摘要乳腺癌是最常见的癌症类型，也是导致癌症死亡的第二大原因在美国的妇女。通过有效的治疗和技术进步，五年及以后的乳腺癌生存的妇女正在增加。尽管继续取得了持续的进展生存，黑人妇女经历了次优的五年乳腺癌特异性生存，不良癌症治疗效果（淋巴水肿的疼痛和肿胀）和生活质量（QOL）。大多数干预措施针对性体育活动（PA）已证明可以改善主要是白癌存活中的质量。有关键我们对乳腺癌病史的黑人妇女对PA和QOL的理解的差距。首先，没有足够的证据来确定PA对QOL的影响是黑色的还是更大的妇女与白人妇女相比。其次，对QoL的关注和经验的描述有限黑人妇女与PA有关。这项研究将在以下目的中解决这些问题：1）调查PA对治疗后社会健康，情感福祉和身体形象的影响在稳定运动研究中，女性的淋巴水肿的黑色和白色乳腺癌冲浪者（明智的）幸存者试验，2）描述与黑人中PA有关的QoL经验和关注宾夕法尼亚州有乳腺癌病史的妇女使用半结构化访谈和叙述方法和3）评估PA，社会，情感，精神，精神和身体的关联在黑人妇女的乳腺癌病史而没有淋巴水肿的黑人妇女中的健康状况健康研究。该奖学金的长期目标是了解该关联以增加医疗和卫生专业人员的潜力推荐并促进PA的重要性改善黑人妇女的质量。该团契的另一个长期目标是提高人们对影响QOL和PA的因素，QoL的个人看法和描述以及独特的QOL 担心和经验，以帮助改善黑人妇女乳腺癌冲浪者的质量健康结果。该奖学金将有助于为临床实践，完善锻炼计划，促进制定行为干预措施，并提高有关黑人质量和PA的科学知识女性。