1. Offer programs at community centers (e.g., The Gathering Place) not at hospital-based centers |
2. Provide both exercise and support group programs |
3. Provide group exercise to enhance social support but maintain attentiveness to individual comorbidities as well as individual fitness, functional and strength levels |
4. Provide a variety of different aerobic (e.g., dance, hula hoop) and resistance training exercises |
5. Provide nutritional and clinical counseling in the support group to better address dietary, complementary alternative medicine and treatment side-effect issues |
6. Provide frequent updates on progress in strength, fitness, function and body composition |
7. Offer transportation services for those in need |
8. Provide training, as needed, to ensure the entire program team is knowledgeable of and sensitive to the particular needs of African-American breast cancer survivors |