Adaptation of an evidence-based intervention for Appalachian women: New STEPS (Strength through education, physical fitness and support) for breast health

Nancy R. Gallant, Marilyn Corbin, Marcyann M. Bencivenga, Michelle Farnan, Nancy Wiker, Andrea Bressler, Fabian Camacho, Eugene J. Lengerich

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)275-281
Number of pages7
JournalJournal of Cancer Education
Volume28
Issue number2
DOIs
StatePublished - Jun 2013

All Science Journal Classification (ASJC) codes

  • Oncology
  • Public Health, Environmental and Occupational Health

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