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Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial
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Suyoun Maeng, Jungok Yu
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J Korean Acad Nurs 2024;54(2):250-265. Published online May 31, 2024
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DOI: https://doi.org/10.4040/jkan.23119
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 Abstract
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- Purpose
This study aimed to develop an app-based self-management program based on the transtheoretical model (TTM) for breast cancer survivors’ exercise practice, as well as to investigate the program’s effects on the stage of change for exercise, exercise self-efficacy, exercise decisional balance, exercise amount, and body composition.
Methods
This non-randomized controlled study included 52 participants (26 in each of the experimental and control groups, respectively). An app-based self-management program based on the TTM was conducted with the experimental group for a 12-week period. The program comprised three components: individual coaching for each stage of change for exercise based on TTM, amount of exercise and body composition monitoring, and online self-help meetings.
Results
Compared with the control group, the experimental group had significantly higher stages of change for exercise (p < .001), exercise self-efficacy (p < .001), exercise decisional balance (p = .002), exercise amount (p < .001), and body composition (body weight [p = .006], body mass index [p = .005], and body fat percentage [p = .010]) immediately and four weeks after the intervention.
Conclusion
An appbased self-management program based on the TTM improves exercise behaviors in breast cancer survivors and provides physical benefits.
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Citations
Citations to this article as recorded by  - Feasibility and acceptability of ExerciseGuideUK for those living with and beyond lung cancer: a mixed methods study
Jordan Curry, Mark Pearson, Camille E. Short, Corneel Vandelanotte, Holly E. L. Evans, Michael Lind, Cynthia C. Forbes
Supportive Care in Cancer.2026;[Epub] CrossRef - Trajectories of behavior change motivation among general hospital patients following proactive automatized multi-behavior change intervention
Maike Kuehnel, Anne Moehring, Anika Tiede, Filipa Krolo-Wicovsky, Caroline Timm, Sophie Baumann, Ulrich John, Jennis Freyer-Adam
General Hospital Psychiatry.2026; 102: 51. CrossRef - Effects of a mobile health coaching intervention on symptom experience, self-management, and quality of life in breast cancer survivors: A quasi-experimental study
Jin-Hee Park, Sun Hyoung Bae, Yong Sik Jung, Min Hee Hur, Ji Young Kim, Su Jin Jung
Medicine.2025; 104(12): e41894. CrossRef
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