Testing the effects of narrative and play on physical activity among breast cancer survivors using mobile apps: Study protocol for a randomized controlled trial

BMC Cancer

Volumn 16, Issue 1, 2016, Pages

  Lyons, Elizabeth J ^a   Baranowski, Tom ^b   Basen Engquist, Karen M ^c   Lewis, Zakkoyya H ^a   Swartz, Maria C ^a   Jennings, Kristofer ^d   Volpi, Elena ^a  

^a UNIVERSITY OF TEXAS MEDICAL BRANCH   (United States)

^b BAYLOR COLLEGE OF MEDICINE   (United States)

^c UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER   (United States)

^d University of Texas Medical Branch School of Medicine   (United States)

Author keywords

Breast cancer; Cancer survivorship; Intervention; Mhealth; Mobile app; Narrative; Physical activity; Video games

Indexed keywords

ADULT; AGED; ANXIETY DISORDER; ARTICLE; BREAST CANCER; CANCER SURVIVOR; CLINICAL ARTICLE; COMPARATIVE EFFECTIVENESS; CONTROLLED STUDY; DEPRESSION; FATIGUE; FEMALE; HUMAN; INTERVENTION STUDY; MOBILE APPLICATION; MOTIVATION; NARRATIVE THERAPY; OBESITY; OUTCOME ASSESSMENT; PHYSICAL ACTIVITY; PHYSICAL CAPACITY; PLAY THERAPY; POSTMENOPAUSE; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; SEDENTARY LIFESTYLE; SELF MONITORING; SLEEP QUALITY; BREAST NEOPLASMS; EXERCISE; MIDDLE AGED; PATHOLOGY; PSYCHOLOGY; SURVIVOR; VIDEO GAME;

AGED; BREAST NEOPLASMS; EXERCISE; FEMALE; HUMANS; MIDDLE AGED; MOBILE APPLICATIONS; MOTIVATION; NARRATIVE THERAPY; POSTMENOPAUSE; QUALITY OF LIFE; SURVIVORS; VIDEO GAMES;

EID: 84960111013     PISSN: None     EISSN: 14712407     Source Type: Journal    
DOI: 10.1186/s12885-016-2244-y     Document Type: Article

References (97)

1. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69-90.
2. Poole L, Hamer M, Wawrzyniak AJ, Steptoe A. The effects of exercise withdrawal on mood and inflammatory cytokine responses in humans. Stress. 2011;14(4):439-47.
3. Ekkekakis P, Parfitt G, Petruzzello SJ. The Pleasure and Displeasure People Feel When they Exercise at Different Intensities Decennial Update and Progress towards a Tripartite Rationale for Exercise Intensity Prescription. Sports Med. 2011;41(8):641-71.
4. Basen-Engquist K, Hughes D, Perkins H, Shinn E, Taylor CC. Dimensions of physical activity and their relationship to physical and emotional symptoms in breast cancer survivors. J Cancer Surviv. 2008;2(4):253-61.
5. Duijts SFA, Faber MM, Oldenburg HSA, van Beurden M, Aaronson NK. Effectiveness of behavioral techniques and physical exercise on psychosocial functioning and health-related quality of life in breast cancer patients and survivors-a meta-analysis. Psychooncology. 2011;20(2):115-26.
6. Loprinzi PD, Cardinal BJ. Effects of physical activity on common side effects of breast cancer treatment. Breast Cancer. 2012;19(1):4-10.
7. Sattelmair J, Pertman J, Ding EL, Kohl HW, Haskell W, Lee IM. Dose Response Between Physical Activity and Risk of Coronary Heart Disease A Meta-Analysis. Circulation. 2011;124(7):789-U784.
8. Lee IM, Rexrode KM, Cook NR, Manson JE, Buring JE. Physical activity and coronary heart disease in women: is "no pain, no gain" passe? JAMA. 2001;285(11):1447-54.
9. Brown JC, Huedo-Medina TB, Pescatello LS, Ryan SM, Pescatello SM, Moker E, LaCroix JM, Ferrer RA, Johnson BT. The efficacy of exercise in reducing depressive symptoms among cancer survivors: a meta-analysis. Plos One. 2012;7(1):e30955.
10. Wen CP, Wai JPM, Tsai MK, Yang YC, Cheng TYD, Lee MC, Chan HT, Tsao CK, Tsai SP, Wu XF. Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet. 2011;378(9798):1244-53.
11. Beasley JM, Kwan ML, Chen WY, Weltzien EK, Kroenke CH, Lu W, Nechuta SJ, Cadmus-Bertram L, Patterson RE, Sternfeld B et al. Meeting the physical activity guidelines and survival after breast cancer: findings from the after breast cancer pooling project. Breast Cancer Res Treat. 2012;131(2):637-43.
12. Chen X, Zheng Y, Zheng W, Gu K, Chen Z, Lu W, Shu XO. The effect of regular exercise on quality of life among breast cancer survivors. Am J Epidemiol. 2009;170(7):854-62.
13. Irwin ML, McTiernan A, Manson JE, Thomson CA, Sternfeld B, Stefanick ML, Wactawski-Wende J, Craft L, Lane D, Martin LW et al. Physical activity and survival in postmenopausal women with breast cancer: results from the women's health initiative. Cancer Prev Res (Phila). 2011;4(4):522-9.
14. Ballard-Barbash R, Friedenreich CM, Courneya KS, Siddiqi SM, McTiernan A, Alfano CM. Physical activity, biomarkers, and disease outcomes in cancer survivors: a systematic review. J Natl Cancer Inst. 2012;104(11):815-40.
15. Blanchard CM, Courneya KS, Stein K. Cancer survivors' adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society's SCS-II. J Clin Oncol. 2008;26(13):2198-204.
16. Lynch BM, Dunstan DW, Healy GN, Winkler E, Eakin E, Owen N. Objectively measured physical activity and sedentary time of breast cancer survivors, and associations with adiposity: findings from NHANES (2003-2006). Cancer Causes Control. 2010;21(2):283-8.
17. Littman AJ, Tang MT, Rossing MA. Longitudinal study of recreational physical activity in breast cancer survivors. J Cancer Surviv. 2010;4(2):119-27.
18. Emery CF, Yang HC, Frierson GM, Peterson LJ, Suh S. Determinants of physical activity among women treated for breast cancer in a 5-year longitudinal follow-up investigation. Psychooncology. 2009;18(4):377-86.
19. Silber JH, Rosenbaum PR, Clark AS, Giantonio BJ, Ross RN, Teng Y, Wang M, Niknam BA, Ludwig JM, Wang W et al. Characteristics associated with differences in survival among black and white women with breast cancer. JAMA. 2013;310(4):389-97.
20. Paxton RJ, Phillips KL, Jones LA, Chang S, Taylor WC, Courneya KS, Pierce JP. Associations among physical activity, body mass index, and health-related quality of life by race/ethnicity in a diverse sample of breast cancer survivors. Cancer. 2012;118(16):4024-31.
21. Brawley OW. Health disparities in breast cancer. Obstet Gynecol Clin North Am. 2013;40(3):513-23.
22. O'Neill SC, DeFrank JT, Vegella P, Richman AR, Henry LR, Carey LA, Brewer NT. Engaging in health behaviors to lower risk for breast cancer recurrence. Plos One. 2013;8(1):e53607.
23. Stacey FG, James EL, Chapman K, Courneya KS, Lubans DR. A systematic review and meta-analysis of social cognitive theory-based physical activity and/or nutrition behavior change interventions for cancer survivors. J Cancer Surviv. 2014. Epub ahead of print.
24. Bluethmann SM, Vernon SW, Gabriel KP, Murphy CC, Bartholomew LK. Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors. Breast Cancer Res Treat. 2015;149(2):331-42.
25. Matthews CE, Wilcox S, Hanby CL, Der Ananian C, Heiney SP, Gebretsadik T, Shintani A. Evaluation of a 12-week home-based walking intervention for breast cancer survivors. Support Care Cancer. 2007;15(2):203-11.
26. Pinto BM, Rabin C, Dunsiger S. Home-based exercise among cancer survivors: adherence and its predictors. Psychooncology. 2009;18(4):369-76.
27. Spark LC, Reeves MM, Fjeldsoe BS, Eakin EG. Physical activity and/or dietary interventions in breast cancer survivors: a systematic review of the maintenance of outcomes. J Cancer Surviv. 2013;7(1):74-82.
28. Vallance J, Plotnikoff RC, Karvinen KH, Mackey JR, Courneya KS. Understanding physical activity maintenance in breast cancer survivors. Am J Health Behav. 2010;34(2):225-36.
29. Pinto BM, Ciccolo JT. Physical activity motivation and cancer survivorship. Recent Results Cancer Res. 2011;186:367-87.
30. Deci EL, Ryan RM. The "what" and "why" of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry. 2000;11(4):227-68.
31. Deci EL, Ryan RM. Intrinsic motivation and self-determination in human behavior. New York, NY: Plenum Press; 1985.
32. Rhodes RE, Fiala B, Conner M. A review and meta-analysis of affective judgments and physical activity in adult populations. Ann Behav Med. 2009;38(3):180-204.
33. Teixeira PJ, Carraca EV, Markland D, Silva MN, Ryan RM. Exercise, physical activity, and self-determination theory: A systematic review. Int J Behav Nutr Phys Act. 2012;9(1):78.
34. Silva MN, Vieira PN, Coutinho SR, Minderico CS, Matos MG, Sardinha LB, Teixeira PJ. Using self-determination theory to promote physical activity and weight control: a randomized controlled trial in women. J Behav Med. 2010;33(2):110-22.
35. West DS, Gorin AA, Subak LL, Foster G, Bragg C, Hecht J, Schembri M, Wing RR, Program to Reduce Incontinence by Diet, Exercise Research Group. A motivation-focused weight loss maintenance program is an effective alternative to a skill-based approach. Int J Obes (Lond). 2011;35(2):259-69.
36. Gorin AA, Powers TA, Koestner R, Wing RR, Raynor HA. Autonomy Support, Self-Regulation, and Weight Loss. Health Psychol. 2013. Epub ahead of print.
37. Green MC. Narratives and cancer communication. J Commun. 2006;56:S163-83.
38. Green MC, Brock TC, Kaufman GE. Understanding media enjoyment: The role of transportation into narrative worlds. Commun Theory. 2004;14(4):311-27.
39. van Laer T, de Ruyter K, Visconti LM, Wetzels M. The Extended Transportation-Imagery Model: A Meta-Analysis of the Antecedents and Consequences of Consumers' Narrative Transportation. J Consum Res. 2014;40(5):797-817.
40. Bollinger S, Kreuter MW. Real-time moment-to-moment emotional responses to narrative and informational breast cancer videos in African American women. Health Educ Res. 2012;27(3):537-43.
41. McQueen A, Kreuter MW, Kalesan B, Alcaraz KI. Understanding narrative effects: the impact of breast cancer survivor stories on message processing, attitudes, and beliefs among African American Women. Health Psychol. 2011;30(6):674-82.
42. Gabriel S, Young AF. Becoming a vampire without being bitten: the narrative collective-assimilation hypothesis. Psychol Sci. 2011;22(8):990-4.
43. Duncan LR, Hall CR, Wilson PM, Rodgers WM. The use of a mental imagery intervention to enhance integrated regulation for exercise among women commencing an exercise program. Motiv Emotion. 2012;36(4):452-64.
44. Chan CKY, Cameron LD. Promoting physical activity with goal-oriented mental imagery: a randomized controlled trial. J Behav Med. 2012;35(3):347-63.
45. Green MC, Brock TC. The role of transportation in the persuasiveness of public narratives. J Pers Soc Psych. 2000;79(5):701-21.
46. Stanley DM, Cumming J. Are we having fun yet? Testing the effects of imagery use on the affective and enjoyment responses to acute moderate exercise. Psychol Sport Exerc. 2010;11(6):582-90.
47. Stanley DM, Cumming J, Standage M, Duda JL. Images of exercising: Exploring the links between exercise imagery use, autonomous and controlled motivation to exercise, and exercise intention and behavior. Psychol Sport Exerc. 2012;13(2):133-41.
48. Klimmt C, Hefner D, Vorderer P, Roth C, Blake C. Identification with video game characters as automatic shift of self-perceptions. Media Psychol. 2010;13(4):323-38.
49. Przybylski AK, Weinstein N, Murayama K, Lynch MF, Ryan RM. The ideal self at play: the appeal of video games that let you be all you can be. Psychol Sci. 2012;23(1):69-76.
50. Hefner D, Klimmt C, Vorderer P. Identification with the player character as determinant of video game enjoyment. Entertainment Computing - ICEC 2007. 2007;4740:39-48.
51. Kaufman GF, Libby LK. Changing beliefs and behavior through experience-taking. J Pers Soc Psych. 2012;103(1):1-19.
52. de Graaf A, Hoeken H, Sanders J, Beentjes JWJ. Identification as a mechanism of narrative persuasion. Comm Res. 2012;39(6):802-23.
53. Murphy ST, Frank LB, Chatterjee JS, Baezconde-Garbanati L. Narrative versus nonnarrative: the role of identification, transportation, and emotion in reducing health disparities. J Commun. 2013;63(1):116-37.
54. Moyer-Guse E, Nabi RL. Explaining the effects of narrative in an entertainment television program: overcoming resistance to persuasion. Hum Commun Res. 2010;36(1):26-52.
55. Pavlas D, Jentsch F, Salas E, Fiore SM, Sims V. The play experience scale: development and validation of a measure of play. Hum Factors. 2012;54(2):214-25.
56. Stenros J. In defence of a magic circle: the social and mental boundaries of play. In: Proceedings of DiGRA Nordic 2012 Conference: Local and Global-Games in Culture and Society: 2012. 2012.
57. Lyons EJ. Cultivating engagement and enjoyment in exergames using feedback, challenge, and rewards. Games Health J. 2015;4(1):12-8.
58. Przybylski AK, Rigby CS, Ryan RM. A motivational model of video game engagement. Rev Gen Psychol. 2010;14(2):154.
59. Rhodes RE, Warburton DER, Bredin SSD. Predicting the effect of interactive video bikes on exercise adherence: An efficacy trial. Psychol Health Med. 2009;14(6):631-40.
60. Monedero J, Lyons EJ, O'Gorman DJ. Interactive video game cycling leads to higher energy expenditure and is more enjoyable than conventional exercise in adults. Plos One. 2015;10(3), e0118470.
61. Lyons EJ, Tate DF, Ward DS, Ribisl KM, Bowling JM, Kalyanaraman S. Engagement, enjoyment, and energy expenditure during active video game play. Health Psychol. 2013.
62. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101.
63. Vandelanotte C, De Bourdeaudhuij I. Acceptability and feasibility of a computer-tailored physical activity intervention using stages of change: project FAITH. Health Educ Res. 2003;18(3):304-17.
64. Vandelanotte C, De Bourdeaudhuij I, Brug J. Acceptability and feasibility of an interactive computer-tailored fat intake intervention in Belgium. Health Promot Int. 2004;19(4):463-70.
65. Lyons EJ, Tate DF, Ward DS. The better the story, the bigger the serving: narrative transportation increases snacking during screen time in a randomized trial. Int J Behav Nutr Phys Act. 2013;10(1):60.
66. Census 2010 Quickfacts Galveston County, Texas [ http://www.census.gov/quickfacts/table/PST045215/00,48167 ].
67. Warburton DE, Gledhill N, Jamnik VK, Bredin SS, McKenzie DC, Stone J, Charlesworth S, Shephard RJ. Evidence-based risk assessment and recommendations for physical activity clearance: Consensus Document 2011. Appl Physiol Nutr Metab. 2011;36 Suppl 1:S266-98.
68. Chan AW, Tetzlaff JM, Altman DG, Dickersin K, Moher D. SPIRIT 2013: new guidance for content of clinical trial protocols. Lancet. 2013;381(9861):91-2.
69. Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;340:c332.
70. Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, Eccles MP, Cane J, Wood CE. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an International Consensus for the Reporting of Behavior Change Interventions. Ann Behav Med. 2013;46(1):81-95.
71. Bjork S, Holopainen J. Patterns in game design. Hingham, MA: Charles River Media; 2004.
72. Midtgaard J. Theoretical and practical outline of the Copenhagen PACT narrative-based exercise counselling manual to promote physical activity in post-therapy cancer survivors. Acta Oncol. 2013;52(2):303-9.
73. Tudor-Locke C, Camhi SM, Troiano RP. A catalog of rules, variables, and definitions applied to accelerometer data in the National Health and Nutrition Examination Survey, 2003-2006. Prev Chronic Dis. 2012;9, E113.
74. Stewart AL, Mills KM, King AC, Haskell WL, Gillis D, Ritter PL. CHAMPS physical activity questionnaire for older adults: outcomes for interventions. Med Sci Sports Exerc. 2001;33(7):1126-41.
75. Pinto BM, Papandonatos GD, Goldstein MG, Marcus BH, Farrell N. Home-based physical activity intervention for colorectal cancer survivors. Psychooncology. 2013;22(1):54-64.
76. Rikli RE, Jones CJ. Senior fitness test manual. 2nd ed. Champaign, IL: Human Kinetics; 2013.
77. Brady MJ, Cella DF, Mo F, Bonomi AE, Tulsky DS, Lloyd SR, Deasy S, Cobleigh M, Shiomoto G. Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. J Clin Oncol. 1997;15(3):974-86.
78. Victorson D, Barocas J, Song J, Cella D. Reliability across studies from the functional assessment of cancer therapy-general (FACT-G) and its subscales: a reliability generalization. Qual Life Res. 2008;17(9):1137-46.
79. Yost KJ, Eton DT, Garcia SF, Cella D. Minimally important differences were estimated for six Patient-Reported Outcomes Measurement Information System-Cancer scales in advanced-stage cancer patients. J Clin Epidemiol. 2011;64(5):507-16.
80. Anderson DF, Cychosz CM. Development of an exercise identity scale. Percept Mot Skills. 1994;78(3):747-51.
81. Vlachopoulos SP, Kaperoni M, Moustaka FC. The relationship of self-determination theory variables to exercise identity. Psychol Sport Exerc. 2011;12(3):265-72.
82. Zafeiridou MP, Sarafi VD, Vlachopoulos SP. The mediating role of exercise identity in the relationship of exercise motivational regulations with strenuous, moderate and mild exercise. J Sports Med Phys Fitness. 2014;54(6):816-27.
83. Markland D, Tobin V. A modification to the behavioural regulation in exercise questionnaire to include an assessment of amotivation. J Sport Exerc Psychol. 2004;26(2):191-6.
84. Wilson PM, Rodgers WM, Loitz CC, Scime G. "It's who I am...really!" The importance of integrated regulation in exercise contexts. J Appl Biobehav Res. 2006;11(2):79-104.
85. Lu AS, Thompson D, Baranowski J, Buday R, Baranowski T. Story immersion in a health videogame for childhood obesity prevention. Games Health J. 2012;1(1):37-43.
86. Schneider EF, Lang A, Shin M, Bradley SD. Death with a story - How story impacts emotional, motivational, and physiological responses to first-person shooter video games. Hum Commun Res. 2004;30(3):361-75.
87. Gammage KL, Hall CR, Rodgers WM. More about exercise imagery. Sport Psychologist. 2000;14(4):348-59.
88. Vlachopoulos SP, Ntoumanis N, Smith AL. The basic psychological needs in exercise scale: translation and evidence for cross-cultural validity. Int J Sport Exerc Psychol. 2010;8:394-412.
89. Common terminology criteria for adverse events (CTCAE) [ http://evs.nci.nih.gov/ftp1/CTCAE/CTCAE_4.03_2010-06-14_QuickReference:5x7.pdf ].
90. Vallance JK, Courneya KS, Plotnikoff RC, Yasui Y, Mackey JR. Randomized controlled trial of the effects of print materials and step pedometers on physical activity and quality of life in breast cancer survivors. J Clin Oncol. 2007;25(17):2352-9.
91. Rogers LQ, Hopkins-Price P, Vicari S, Pamenter R, Courneya KS, Markwell S, Verhulst S, Hoelzer K, Naritoku C, Jones L et al. A randomized trial to increase physical activity in breast cancer survivors. Med Sci Sports Exerc. 2009;41(4):935-46.
92. Pinto BM, Papandonatos GD, Goldstein MG. A randomized trial to promote physical activity among breast cancer patients. Health Psychol. 2013;32(6):616-26.
93. Rogers LQ, Hopkins-Price P, Vicari S, Markwell S, Pamenter R, Courneya KS, Hoelzer K, Naritoku C, Edson B, Jones L et al. Physical activity and health outcomes three months after completing a physical activity behavior change intervention: persistent and delayed effects. Cancer Epidemiol Biomarkers Prev. 2009;18(5):1410-8.
94. Vallance JK, Courneya KS, Plotnikoff RC, Dinu I, Mackey JR. Maintenance of physical activity in breast cancer survivors after a randomized trial. Med Sci Sport Exerc. 2008;40(1):173-80.
95. Stevens J, Taber DR, Murray DM, Ward DS. Advances and controversies in the design of obesity prevention trials. Obesity (Silver Spring). 2007;15(9):2163-70.
96. de Boer MR, Waterlander WE, Kuijper L, Steenhuis IH, Twisk JW. Testing for baseline differences in randomized controlled trials: an unhealthy research behavior that is hard to eradicate. Int J Behav Nutr Phys Act. 2015;12(1):4.
97. Meier A, Lyons EJ, Frydman G, Forlenza M, Rimer BK. How cancer survivors provide support on cancer-related internet mailing lists. J Med Internet Res. 2007;9(2):e12.