Group-based exercise interventions for increasing physical activity in cancer survivors: a systematic review of face-to-face randomized and non-randomized trials
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To increase physical activity (PA), interventions based on group dynamics may be superior to interventions that target aggregates of people but do not have formal strategies to enhance cohesion. This review examined the extent to which group dynamics processes have been integrated within exercise and/or PA interventions in cancer survivors, and explored the implementation and effectiveness of these interventions for increasing PA.
A systematic review was conducted of English articles published January 2005–March 13, 2017 using the electronic databases PsycINFO, CINAHL, and PubMed Medline (National Library of Medicine). Studies in adult cancer survivors that had a controlled or uncontrolled experimental design, included face-to-face exercise, had a group-based component, and reported PA pre- and post-intervention were included. Self-reported PA effect sizes were estimated for pre- to post-intervention, separately for studies that implemented ≥ 1 group dynamics strategy versus none.
Twenty-three studies were reviewed, 34.8% (n = 8) included ≥ 1 group dynamics strategy (M = 1.6 ± 0.7, range = 1–3). Most interventions were delivered in a healthcare or rehabilitation setting by an exercise professional, and face-to-face exercise dose ranged from 72.0–6000.0 min. PA effect size ranged from 0.3–1.2 for studies that implemented ≥ 1 group dynamics strategy versus 0.4–2.4 for those with none. Studies reviewed lacked detailed examples of group dynamics strategies, and none measured group cohesion.
The additional benefit of group dynamics–based interventions for increasing PA in cancer survivors remains unclear. More research is needed to enhance the generalizability of face-to-face exercise interventions, and determine how to maximize the potential of including group dynamics strategies.
KeywordsPhysical activity Intervention studies Group structure Cancer survivor
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 2.American Cancer Society (2016) Cancer treatment & survivorship: facts & figures 2016–2017. In: Editor (ed)^(eds) Book Cancer treatment & survivorship: facts & figures 2016–2017, CityGoogle Scholar
- 4.Basen-Engquist K, Alfano CM, Maitin-Shepard M, Thomson CA, Schmitz KH, Pinto BM, Stein K, Zucker DS, Syrjala KL, Fallon E, Doyle C, Demark-Wahnefried W (2017) Agenda for translating physical activity, nutrition, and weight management interventions for cancer survivors into clinical and community practice. Obesity (Silver Spring) 25(Suppl 2):S9–S22CrossRefGoogle Scholar
- 7.Broderick JM, Guinan E, Kennedy MJ, Hollywood D, Courneya KS, Culos-Reed SN, Bennett K, DM OD, Hussey J (2013) Feasibility and efficacy of a supervised exercise intervention in de-conditioned cancer survivors during the early survivorship phase: the PEACH trial. J Cancer Surviv 7:551–562CrossRefPubMedGoogle Scholar
- 10.Buffart LM, Kalter J, Sweegers MG, Courneya KS, Newton RU, Aaronson NK, Jacobsen PB, May AM, Galvao DA, Chinapaw MJ, Steindorf K, Irwin ML, Stuiver MM, Hayes S, Griffith KA, Lucia A, Mesters I, van Weert E, Knoop H, Goedendorp MM, Mutrie N, Daley AJ, McConnachie A, Bohus M, Thorsen L, Schulz KH, Short CE, James EL, Plotnikoff RC, Arbane G, Schmidt ME, Potthoff K, van Beurden M, Oldenburg HS, Sonke GS, van Harten WH, Garrod R, Schmitz KH, Winters-Stone KM, Velthuis MJ, Taaffe DR, van Mechelen W, Kersten MJ, Nollet F, Wenzel J, Wiskemann J, Verdonck-de Leeuw IM, Brug J (2017) Effects and moderators of exercise on quality of life and physical function in patients with cancer: an individual patient data meta-analysis of 34 RCTs. Cancer Treat Rev 52:91–104CrossRefPubMedGoogle Scholar
- 11.Burke SM, Carron AV, Eys MA, Ntoumanis N, Estabrooks PA (2006) Group versus individual approach? A meta-analysis of the effectiveness of interventions to promote physical activity. Sport & Exercise Psychology Review 2:13–29Google Scholar
- 26.Estabrooks PA (2007) Group integration intervention in exercise. Theory, practice and future directions. In: Beauchamp MR, Eys MA (eds) Group dynamics in exercise and sport psychology. Routledge, New York, pp 141–156Google Scholar
- 28.Estabrooks PA, Smith-Ray RL, Dzewaltowski DA, Dowdy D, Lattimore D, Rheaume C, Ory MG, Bazzarre T, Griffin SF, Wilcox S (2011) Sustainability of evidence-based community-based physical activity programs for older adults: lessons from active for life. Transl Behav Med 1:208–215CrossRefPubMedPubMedCentralGoogle Scholar
- 30.Estabrooks PA, Harden SM, Johnson SB, Pardo KA (2014) Group integration interventions in exercise: theory, practice, and future directions. In: Beauchamp MR, Eys MA (eds) Group dynamics in exercise and sport psychology. Routledge, New YorkGoogle Scholar
- 31.Eys M, Kim J (2017) Team building and group cohesion in the context of sport and performance psychology. In: Editor (ed)^(eds) Book Team building and group cohesion in the context of sport and performance psychology. Oxford University Press, CityGoogle Scholar
- 35.Harden SM, McEwan D, Sylvester BD, Kaulius M, Ruissen G, Burke SM, Estabrooks PA, Beauchamp MR (2015) Understanding for whom, under what conditions, and how group-based physical activity interventions are successful: a realist review. BMC Public Health 15:958CrossRefPubMedPubMedCentralGoogle Scholar
- 36.Higgins JPT, Green S (2011) Cochrane handbook for systematic reviews of interventions version 5.1.0. In: Editor (ed)^(eds) Book Cochrane handbook for systematic reviews of interventions version 5.1.0, CityGoogle Scholar
- 40.Lewin K (1939) Experiments in social space Harvard. Educ Rev 9:21–32Google Scholar
- 43.Midtgaard J, Tveteras A, Rorth M, Stelter R, Adamsen L (2006) The impact of supervised exercise intervention on short-term postprogram leisure time physical activity level in cancer patients undergoing chemotherapy: 1- and 3-month follow-up on the body & cancer project. Palliat Support Care 4:25–35CrossRefPubMedGoogle Scholar
- 45.National Cancer Institute (2017) Annual report to the nation 2017: special section: survival. In: Editor (ed)^(eds) Book Annual report to the nation 2017: special section: survival, CityGoogle Scholar
- 49.Rogers LQ, Hopkins-Price P, Vicari S, Pamenter R, Courneya KS, Markwell S, Verhulst S, Hoelzer K, Naritoku C, Jones L, Dunnington G, Lanzotti V, Wynstra J, Shah L, Edson B, Graff A, Lowy M (2009) A randomized trial to increase physical activity in breast cancer survivors. Med Sci Sports Exerc 41:935–946CrossRefPubMedGoogle Scholar
- 50.Rogers LQ, Courneya KS, Anton PM, Hopkins-Price P, Verhulst S, Vicari SK, Robbs RS, Mocharnuk R, McAuley E (2015) Effects of the BEAT Cancer physical activity behavior change intervention on physical activity, aerobic fitness, and quality of life in breast cancer survivors: a multicenter randomized controlled trial. Breast Cancer Res Treat 149:109–119CrossRefPubMedGoogle Scholar
- 52.Saarto T, Penttinen HM, Sievanen H, Kellokumpu-Lehtinen PL, Hakamies-Blomqvist L, Nikander R, Huovinen R, Luoto R, Kautiainen H, Jarvenpaa S, Idman I, Utriainen M, Vehmanen L, Jaaskelainen AS, Elme A, Ruohola J, Palva T, Vertio H, Rautalahti M, Fogelholm M, Blomqvist C, Luoma ML (2012) Effectiveness of a 12-month exercise program on physical performance and quality of life of breast cancer survivors. Anticancer Res 32:3875–3884PubMedGoogle Scholar
- 62.Suh EE, Kim H, Kang J, Kim H, Park KO, Jeong BL, Park SM, Jeong SY, Park KJ, Lee K, Jekal M (2013) Outcomes of a culturally responsive health promotion program for elderly Korean survivors of gastrointestinal cancers: a randomized controlled trial. Geriatr Nurs 34:445–452CrossRefPubMedGoogle Scholar
- 63.Sweegers MG, Altenburg TM, Chinapaw MJ, Kalter J, Verdonck-de Leeuw IM, Courneya KS, Newton RU, Aaronson NK, Jacobsen PB, Brug J, Buffart LM (2018) Which exercise prescriptions improve quality of life and physical function in patients with cancer during and following treatment? A systematic review and meta-analysis of randomised controlled trials. Br J Sports Med 52:505–513CrossRefPubMedGoogle Scholar