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Effects of exercise intervention in breast cancer patients: is mobile health (mHealth) with pedometer more effective than conventional program using brochure?

  • Clinical trial
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Abstract

Purpose

To investigate and compare the effects of mobile health (mHealth) and pedometer with conventional exercise program using a brochure on physical function and quality of life (QOL).

Methods

The study was a prospective, quasi-randomized multicenter trial where 356 patients whose cancer treatment had been terminated were enrolled. All patients were instructed to perform a 12-week regimen of aerobic and resistance exercise. The mHealth group received a pedometer and a newly developed smartphone application to provide information and monitor the prescribed exercises. Those in the conventional group received an exercise brochure. Physical measurements were conducted at baseline, 6 weeks, and 12 weeks. Self-reported physical activity (international physical activity questionnaire-short form), general QOL (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30), and breast cancer-specific QOL (Quality of Life Questionnaire Breast Cancer Module 23) were assessed at baseline and 12 weeks. A user satisfaction survey was assessed in the mHealth group.

Results

Basic characteristics were not different between the two groups except for age and previous radiotherapy. Physical function, physical activity, and QOL scores were significantly improved regardless of the intervention method, and changes were not significantly different between the two groups. Additionally, the mean Likert scale response for overall satisfaction with the service was 4.27/5 in the mHealth group.

Conclusions

Overall, both the mHealth coupled with pedometer and conventional exercise education using a brochure were effective in improving physical function, physical activity, and QOL. This study provides a basis of mHealth research in breast cancer patients for progressing further developing field, although superiority of the mHealth over the conventional program was not definitely evident.

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Acknowledgements

This research was supported by the National Information Society Agency (NIA) funded by the Ministry of Science, ICT and Future Planning (Smart After Care Service for Cancer and Cardiac Disease).

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Authors and Affiliations

  1. Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81, Ilwon-ro, Gangnam-gu, Seoul, 06351, Korea

    Kyeong Eun Uhm & Ji Hye Hwang

  2. Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, Korea

    Kyeong Eun Uhm

  3. Department of Rehabilitation Medicine, National Cancer Center, Gyeonggi-do, Korea

    Ji Sung Yoo & Seung Hyun Chung

  4. Institute for Integrative Medicine, International St. Mary’s Hospital, Catholic Kwandong University, Incheon, Korea

    Jong Doo Lee, Ilkyun Lee & Joong Il Kim

  5. Department of Surgery, International St. Mary’s Hospital, Catholic Kwandong University, Incheon, Korea

    Ilkyun Lee

  6. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

    Se Kyung Lee & Seok Jin Nam

  7. Department of Urology, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Korea

    Yong Hyun Park & Ji Youl Lee

Authors
  1. Kyeong Eun Uhm
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  2. Ji Sung Yoo
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  3. Seung Hyun Chung
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  4. Jong Doo Lee
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  5. Ilkyun Lee
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  10. Ji Youl Lee
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Corresponding authors

Correspondence to Ji Youl Lee or Ji Hye Hwang.

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The authors declare that they have no conflicts of interest.

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Informed consent was obtained from all individual participants included in the study.

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Uhm, K.E., Yoo, J.S., Chung, S.H. et al. Effects of exercise intervention in breast cancer patients: is mobile health (mHealth) with pedometer more effective than conventional program using brochure?. Breast Cancer Res Treat 161, 443–452 (2017). https://doi.org/10.1007/s10549-016-4065-8

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  • DOI: https://doi.org/10.1007/s10549-016-4065-8

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