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Peer mentors delivering a physical activity intervention for cancer survivors: effects among mentors

机译:对同行导师提供癌症幸存者的身体活动干预:导师之间的影响

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Abstract To further inform implementation efforts of a telephone-based physical activity (PA) intervention for breast cancer survivors, we assessed the PA, fatigue, mood, and quality of life of the peer mentors/coaches who delivered the program. The coaches were volunteers with the American Cancer Society’s Reach to Recovery program. The coaches ( n ?=?18) delivered the PA intervention to 76 breast cancer survivors in a randomized controlled trial. Coaches completed assessments of PA (self-report), motivational readiness for PA, and standardized measures of psychosocial variables at the start of coaching and at study exit. At study exit, they also responded to an open-ended question on the benefits that they accrued from the study. We used generalized linear models to analyze the PA data and psychosocial variables. Chi-squared analyses were used for motivational readiness. The written responses to the open-ended question were analyzed to identify themes. Coaches’ PA exceeded national recommendations at study entry and exit with no significant changes over time. Sixty-one percent were in the maintenance stage of motivational readiness, and 61% remained in the same stage at study exit. Psychosocial functioning also remained stable over time. Qualitative data revealed that the coaches’ gains included helping themselves (with four subthemes) and helping others. Intervention delivery had no unintended negative consequences (PA, motivational readiness, and psychosocial functioning) among coaches. They reported gains that were not reflected in standardized psychosocial assessments. These data support further implementation of peer-delivered PA programs to enhance the reach of interventions.
机译:摘要为了进一步了解实施基于电话的身体活动(PA)干预乳腺癌幸存者的实施,我们评估了送达该计划的同伴导师/教练的PA,疲劳,情绪和生活质量。教练是美国癌症协会的志愿者达到恢复计划。教练(n?=?18)在随机对照试验中递送了PA干预到76乳腺癌幸存者。教练完成了对PA(自我报告),PA的动机准备的评估,以及在教练和学习出口开始时心理社会变量的标准化措施。在学习出口时,他们还回应了一个关于他们从研究中累积的福利的开放式问题。我们使用了广义的线性模型来分析PA数据和心理社会变量。 Chi-Squared分析用于励志准备。分析对开放式问题的书面答复以确定主题。 Coaches的PA超过了学习条目的国家建议,退出,随着时间的推移没有重大变化。在激励准备情况的维持阶段,六十一度百分之六十一度,在研究出口的同一阶段仍保持61%。心理社会功能随着时间的推移也保持稳定。定性数据透露,教练的收益包括帮助自己(有四个次节)并帮助他人。干预交付在教练中没有意外的负面后果(PA,励志准备和心理上作失用)。他们报告了不反映在标准化的心理社会评估中的收益。这些数据支持进一步实现对等交付的PA程序,以增强干预措施的范围。

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