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  • Title: Exercise preference patterns, resources, and environment among rural breast cancer survivors.
    Author: Rogers LQ, Markwell SJ, Courneya KS, McAuley E, Verhulst S.
    Journal: J Rural Health; 2009; 25(4):388-91. PubMed ID: 19780920.
    Abstract:
    CONTEXT: Rural breast cancer survivors may be at increased risk for inadequate exercise participation. PURPOSE: To determine for rural breast cancer survivors: (1) exercise preference "patterns," (2) exercise resources and associated factors, and (3) exercise environment. METHODS: A mail survey was sent to rural breast cancer survivors identified through a state cancer registry, and 483 (30%) responded. FINDINGS: The majority (96%) were white, with mean education of 13 (+/-2.5) years and mean 39.0 (+/-21.5) months since diagnosis. Most participants (67%) preferred face-to-face counseling from an exercise specialist (27%) or other individual (40%). A third (31%) preferred home-based exercise with non face-to-face counseling from someone other than an exercise specialist. Participants preferring face-to-face counseling were more apt to prefer supervised exercise (38% vs 9%, P < 0.001) at a health club (32% vs 8%, P < 0.001). Home exercise equipment was reported by 63%, with 97% reporting home telephone and 67% reporting Internet access. Age, education, self-efficacy, treatment status, and exercise behavior were associated with exercise resources. The physical environment was often not conducive to exercise but a low crime rate and high trust in neighbors was reported. CONCLUSIONS: Rural health education programs encouraging exercise should offer multiple programming options while considering the physical environment and capitalizing on available resources and beneficial social environmental characteristics.
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