Perspective of older African-American and Non-Hispanic white breast cancer survivors from diverse socioeconomic backgrounds toward physical activity: A qualitative study

Cynthia Owusu, Elizabeth Antognoli, Nora Nock, Paul Hergenroeder, Kristina Austin, Elizabeth Bennet, Nathan A. Berger, Stephen Cerne, Katelyn Foraker, Kevin Heine, Ellen Heyman, Halle Moore, Jean Petkac, Mark Schluchter, Kathryn Schmitz, Anastasia Whitson, Susan Flocke

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: We sought to explore the perspective of older breast cancer survivors (BCS) from diverse racial and socioeconomic backgrounds toward physical activity (PA) to inform the design of a PA program that fosters acceptability. Methods: Participants included sixty women, ≥ 65 years, within two years of treatment completion for stage I-III breast cancer. We purposely sampled ≥ ten patients in each race [African-American (AA) and Non-Hispanic White (NHW)] and socioeconomic status (SES) [SES disadvantaged and SES non-disadvantaged] group. Participants completed in-person interviews (n = 60) and follow-up focus groups (n = 45). Thematic analyses were employed. Results: The median age was 71.0 years (range: 65–87 years). Five themes emerged: 1) importance of PA; 2) current PA participants engaged in; 3) influence of race and culture on PA attitudes and beliefs; 4) barriers to PA and facilitators to PA; and 5) PA preferences. Barriers included health issues (43%), particularly cancer treatment side effects such as fatigue. Facilitators included religious faith (38%) and family (50%). Preferences included group exercise (97%) and strength training (80%) due to concerns participants had with diminished upper body strength after cancer treatment. Although AA (59%) and SES non-disadvantaged (78%) participants reported that race and culture influenced their attitudes toward PA, it did not translate to racial and SES differences in preferences. Conclusion: Among older BCS, physical activity preferences were shaped by cancer experience, rather than by race and SES. Physical activity programs for older BCS should focus on addressing cancer treatment-related concerns and should include strength training to ensure PA programs are more acceptable to older BCS.

Original languageEnglish (US)
Pages (from-to)235-242
Number of pages8
JournalJournal of Geriatric Oncology
Volume9
Issue number3
DOIs
StatePublished - May 1 2018

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African Americans
Survivors
Exercise
Breast Neoplasms
Social Class
Resistance Training
Neoplasms
Second Primary Neoplasms
Vulnerable Populations
Focus Groups
Fatigue
Therapeutics
Interviews

All Science Journal Classification (ASJC) codes

  • Oncology
  • Geriatrics and Gerontology

Cite this

Owusu, Cynthia ; Antognoli, Elizabeth ; Nock, Nora ; Hergenroeder, Paul ; Austin, Kristina ; Bennet, Elizabeth ; Berger, Nathan A. ; Cerne, Stephen ; Foraker, Katelyn ; Heine, Kevin ; Heyman, Ellen ; Moore, Halle ; Petkac, Jean ; Schluchter, Mark ; Schmitz, Kathryn ; Whitson, Anastasia ; Flocke, Susan. / Perspective of older African-American and Non-Hispanic white breast cancer survivors from diverse socioeconomic backgrounds toward physical activity : A qualitative study. In: Journal of Geriatric Oncology. 2018 ; Vol. 9, No. 3. pp. 235-242.
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abstract = "Background: We sought to explore the perspective of older breast cancer survivors (BCS) from diverse racial and socioeconomic backgrounds toward physical activity (PA) to inform the design of a PA program that fosters acceptability. Methods: Participants included sixty women, ≥ 65 years, within two years of treatment completion for stage I-III breast cancer. We purposely sampled ≥ ten patients in each race [African-American (AA) and Non-Hispanic White (NHW)] and socioeconomic status (SES) [SES disadvantaged and SES non-disadvantaged] group. Participants completed in-person interviews (n = 60) and follow-up focus groups (n = 45). Thematic analyses were employed. Results: The median age was 71.0 years (range: 65–87 years). Five themes emerged: 1) importance of PA; 2) current PA participants engaged in; 3) influence of race and culture on PA attitudes and beliefs; 4) barriers to PA and facilitators to PA; and 5) PA preferences. Barriers included health issues (43{\%}), particularly cancer treatment side effects such as fatigue. Facilitators included religious faith (38{\%}) and family (50{\%}). Preferences included group exercise (97{\%}) and strength training (80{\%}) due to concerns participants had with diminished upper body strength after cancer treatment. Although AA (59{\%}) and SES non-disadvantaged (78{\%}) participants reported that race and culture influenced their attitudes toward PA, it did not translate to racial and SES differences in preferences. Conclusion: Among older BCS, physical activity preferences were shaped by cancer experience, rather than by race and SES. Physical activity programs for older BCS should focus on addressing cancer treatment-related concerns and should include strength training to ensure PA programs are more acceptable to older BCS.",
author = "Cynthia Owusu and Elizabeth Antognoli and Nora Nock and Paul Hergenroeder and Kristina Austin and Elizabeth Bennet and Berger, {Nathan A.} and Stephen Cerne and Katelyn Foraker and Kevin Heine and Ellen Heyman and Halle Moore and Jean Petkac and Mark Schluchter and Kathryn Schmitz and Anastasia Whitson and Susan Flocke",
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Owusu, C, Antognoli, E, Nock, N, Hergenroeder, P, Austin, K, Bennet, E, Berger, NA, Cerne, S, Foraker, K, Heine, K, Heyman, E, Moore, H, Petkac, J, Schluchter, M, Schmitz, K, Whitson, A & Flocke, S 2018, 'Perspective of older African-American and Non-Hispanic white breast cancer survivors from diverse socioeconomic backgrounds toward physical activity: A qualitative study', Journal of Geriatric Oncology, vol. 9, no. 3, pp. 235-242. https://doi.org/10.1016/j.jgo.2017.12.003

Perspective of older African-American and Non-Hispanic white breast cancer survivors from diverse socioeconomic backgrounds toward physical activity : A qualitative study. / Owusu, Cynthia; Antognoli, Elizabeth; Nock, Nora; Hergenroeder, Paul; Austin, Kristina; Bennet, Elizabeth; Berger, Nathan A.; Cerne, Stephen; Foraker, Katelyn; Heine, Kevin; Heyman, Ellen; Moore, Halle; Petkac, Jean; Schluchter, Mark; Schmitz, Kathryn; Whitson, Anastasia; Flocke, Susan.

In: Journal of Geriatric Oncology, Vol. 9, No. 3, 01.05.2018, p. 235-242.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Perspective of older African-American and Non-Hispanic white breast cancer survivors from diverse socioeconomic backgrounds toward physical activity

T2 - A qualitative study

AU - Owusu, Cynthia

AU - Antognoli, Elizabeth

AU - Nock, Nora

AU - Hergenroeder, Paul

AU - Austin, Kristina

AU - Bennet, Elizabeth

AU - Berger, Nathan A.

AU - Cerne, Stephen

AU - Foraker, Katelyn

AU - Heine, Kevin

AU - Heyman, Ellen

AU - Moore, Halle

AU - Petkac, Jean

AU - Schluchter, Mark

AU - Schmitz, Kathryn

AU - Whitson, Anastasia

AU - Flocke, Susan

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Background: We sought to explore the perspective of older breast cancer survivors (BCS) from diverse racial and socioeconomic backgrounds toward physical activity (PA) to inform the design of a PA program that fosters acceptability. Methods: Participants included sixty women, ≥ 65 years, within two years of treatment completion for stage I-III breast cancer. We purposely sampled ≥ ten patients in each race [African-American (AA) and Non-Hispanic White (NHW)] and socioeconomic status (SES) [SES disadvantaged and SES non-disadvantaged] group. Participants completed in-person interviews (n = 60) and follow-up focus groups (n = 45). Thematic analyses were employed. Results: The median age was 71.0 years (range: 65–87 years). Five themes emerged: 1) importance of PA; 2) current PA participants engaged in; 3) influence of race and culture on PA attitudes and beliefs; 4) barriers to PA and facilitators to PA; and 5) PA preferences. Barriers included health issues (43%), particularly cancer treatment side effects such as fatigue. Facilitators included religious faith (38%) and family (50%). Preferences included group exercise (97%) and strength training (80%) due to concerns participants had with diminished upper body strength after cancer treatment. Although AA (59%) and SES non-disadvantaged (78%) participants reported that race and culture influenced their attitudes toward PA, it did not translate to racial and SES differences in preferences. Conclusion: Among older BCS, physical activity preferences were shaped by cancer experience, rather than by race and SES. Physical activity programs for older BCS should focus on addressing cancer treatment-related concerns and should include strength training to ensure PA programs are more acceptable to older BCS.

AB - Background: We sought to explore the perspective of older breast cancer survivors (BCS) from diverse racial and socioeconomic backgrounds toward physical activity (PA) to inform the design of a PA program that fosters acceptability. Methods: Participants included sixty women, ≥ 65 years, within two years of treatment completion for stage I-III breast cancer. We purposely sampled ≥ ten patients in each race [African-American (AA) and Non-Hispanic White (NHW)] and socioeconomic status (SES) [SES disadvantaged and SES non-disadvantaged] group. Participants completed in-person interviews (n = 60) and follow-up focus groups (n = 45). Thematic analyses were employed. Results: The median age was 71.0 years (range: 65–87 years). Five themes emerged: 1) importance of PA; 2) current PA participants engaged in; 3) influence of race and culture on PA attitudes and beliefs; 4) barriers to PA and facilitators to PA; and 5) PA preferences. Barriers included health issues (43%), particularly cancer treatment side effects such as fatigue. Facilitators included religious faith (38%) and family (50%). Preferences included group exercise (97%) and strength training (80%) due to concerns participants had with diminished upper body strength after cancer treatment. Although AA (59%) and SES non-disadvantaged (78%) participants reported that race and culture influenced their attitudes toward PA, it did not translate to racial and SES differences in preferences. Conclusion: Among older BCS, physical activity preferences were shaped by cancer experience, rather than by race and SES. Physical activity programs for older BCS should focus on addressing cancer treatment-related concerns and should include strength training to ensure PA programs are more acceptable to older BCS.

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DO - 10.1016/j.jgo.2017.12.003

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JO - Journal of Geriatric Oncology

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