Adaptation of an Evidence-Based Intervention for Appalachian Women: New STEPS (Strength Through Education, Physical fitness and Support) for Breast Health

作者：Gallant Nancy R^*; Corbin Marilyn; Bencivenga Marcyann M; Farnan Michelle; Wiker Nancy; Bressler Andrea; Camacho Fabian; Lengerich Eugene J

来源：Journal of Cancer Education, 2013, 28(2): 275-281.

DOI：10.1007/s13187-012-0445-x

• Breast cancer
• Appalachia
• Physical activity
• Rural
• Strength training

Appalachia is characterized by a high prevalence of individual-level risks for breast cancer, including physical inactivity and postmenopausal obesity. The availability of local, evidence-based programs to improve physical fitness is limited. We adapted an evidence-based intervention, StrongWomen, to improve physical fitness and increase breast cancer knowledge among women 40 years and older in Appalachian Pennsylvania. Utilizing a multi-site, community-based design, we tested the adapted 12-week, supervised program-New STEPS (Strength Through Education, Physical fitness and Support)-among 139 women. The completion rate was 67.6 %. Pre/post scores improved for each of six fitness assessments (P < 0.01). We found differences in overall fitness by study site (P < 0.001), but no differences by age (P = 0.13) or by previous breast cancer diagnosis (P = 0.73). New STEPS is an adapted, evidence-based program that can improve physical fitness and breast cancer awareness among women in Appalachian Pennsylvania. New STEPS may help fill a void in local fitness programs for Appalachian women at risk for breast cancer or breast cancer recurrence.

• 出版日期2013-6