■适应的身体活动计划在减少身体,与乳腺癌相关的社会和心理副作用,但是它们可以被有效采用的程度,实施和维护不清楚。本研究的目的是根据以下5个关键,使用该框架来指导计划的规划和评估:有效性,收养,实施和维护(RE-AIM)框架,用于评估法语缩写RIPOSTE(重建,图像desoi,姿势,Oncologie,Santé,Thérapie,Escrime)字面意思是英语(重建,自我形象,姿势,肿瘤学,健康,Therapy,击剑)。该计划是一项创新的干预措施,旨在通过围栏改善乳腺癌手术患者的生活质量(QoL)。
■进行了收敛混合方法试点研究,以初步评估试点计划的不同RE-AIM维度。刚刚接受浸润性乳腺癌手术的24名参与者随机分为两组:一组在纳入后立即开始(早期RIPOSTE组),另一组在纳入后3个月开始(延迟RIPOSTE组)。参与者在纳入时和项目结束时回答了一份关于QoL的问卷,肩部功能容量,疲劳,焦虑抑郁和身体活动。
■RIPOSTE计划主要能够吸引年轻和充满活力的参与者,被独创性的击剑所吸引,并热衷于改善自己的身体状况。关于有效性,我们的结果表明QoL有改善的趋势,肩部功能容量,疲劳和焦虑抑郁状态,即使早期RIPOSTE组和延迟RIPOSTE组之间没有任何显着差异。
■合作,小组内部的交流和凝聚力极大地促进了该计划的通过,而学校假期的中断是主要障碍。干预措施实施得适度良好,遵守方案是合适的。
■RIPOSTE是一个可接受且有效的计划,用于使乳腺癌幸存者参与体育锻炼,需要进行更大规模的测试以调查其有效性,但有可能在全球范围内转移和扩大。
UNASSIGNED: Adapted physical activity programs have shown promising results in reducing the physical, social and psychological side effects associated with breast cancer, but the extent to which they can be effectively adopted, implemented and maintained is unclear. The aim of this study is to use the framework to guide the planning and evaluation of programs according to the 5 following keys: Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework to evaluate a fencing program under the French acronym RIPOSTE (Reconstruction, Image de soi, Posture, Oncologie, Santé, Thérapie, Escrime) literally in English (Reconstruction, Self-Image, Posture, Oncology, Health, Therapy, Fencing). This program is an innovative intervention focused on improving the quality of life (QoL) of breast cancer surgery patients through fencing.
UNASSIGNED: A convergent mixed methods pilot study was conducted to preliminary evaluate the different RE-AIM dimension of the pilot program. Twenty-four participants who have just undergone surgery for invasive breast cancer were randomly allocated in two groups: one group started immediately after their inclusion (Early RIPOSTE group) and the other started 3 months following their inclusion (Delayed RIPOSTE group). Participants answered a questionnaire at inclusion and at the end of the program on QoL, shoulder functional capacity, fatigue, anxiety-depression and physical activity.
UNASSIGNED: RIPOSTE program was able to reach mainly young and dynamic participants, attracted by the originality of fencing and keen to improve their physical condition. Regarding effectiveness, our results suggest a trend to the improvement of QoL, shoulder functional capacity, fatigue and anxiety-depression state, even without any significant differences between the Early RIPOSTE group and the Delayed RIPOSTE group.
UNASSIGNED: The cooperation, exchanges and cohesion within the group greatly facilitated the adoption of the program, whereas interruptions during school vacations were the main barriers. The intervention was moderately well implemented and adherence to the protocol was suitable.
UNASSIGNED: RIPOSTE is an acceptable and effective program for involving breast cancer survivors in physical activity, that needs to be tested at a larger scale to investigate its effectiveness, but has the potential to be transferred and scaled up worldwide.