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. Author manuscript; available in PMC: 2023 Apr 1.
Published in final edited form as: J Cancer Surviv. 2021 Mar 13;16(2):233–256. doi: 10.1007/s11764-021-01013-x

Table 2.

Intervention Goals, Measures and Findings

Author/Year Intervention Name Intervention Goals Measures Key Findings
Anton et al. 2013 Strong Survivors Nutrition and Exercise Program for Cancer Survivors and Caregivers (SS) Diet
Provide education on basic nutrition in the management of many physical and psychosocial issues related to cancer survivorship and cancer caregiving

Physical Activity Educate survivors and caregivers on the techniques and importance of exercise in the management of the many physical and psychosocial issues related to cancer survivorship and cancer caregiving
Diet & Physical Activity
Semi-structured interview guide, with questions regarding participant experience in the program, including benefits and drawbacks; physical activity and nutrition behaviors, barriers, facilitators and changes; and influence of program on caregiving experience
Caregivers
Caregivers reported that the program helped them spend more quality time with the care recipient; caregivers derived physical and psychological benefits from the program; the program served as an additional source of support for caregivers; and, the program helped to improve caregiver skills and abilities.

Survivors
Not reported
Barber 2013 FitSTEPS for Life® (FSFL) Physical Activity
Improve self-efficacy for physical activity, physical activity behavior, and perceptions of social support for physical activity participation
Physical Activity
-Social Support and Exercise Survey (Sallis)
-Exercise Confidence Survey (Sallis)
-8-Foot Up-and-Go
-Medical Outcomes Survey Short Form 8 (SF-8)
Survivors and Caregivers
Higher physical QoL among caregivers; No significant differences in social support, self-efficacy for PA, PA, or mental QOL in cancer survivors or their caregivers at the one-month follow-up visit.
Cadmus-Bertram et al. 2019 NR Physical Activity
To increase survivors’ and supporters’ physical activity

Weight: Though not part of the specific study goal, weight change was reported
Physical Activity
ActiGraph GT3X+ accelerometer

Weight
Digital scale
Survivors and Support Partners*
Increase in physical activity, daily steps among survivors and support partners in the intervention; Intervention group lost 1.8kg compared with the comparison group.

*results not separated by group
Conlon et al. 2015 Bronx Oncology Living Daily (BOLD) Healthy Living (BHL) Program Diet & Physical Activity
To support behavior change that reduces cancer survivor diabetes risk and improves their health-related quality of life and increase community capacity to support the health of survivors transitioning from active treatment.
Quality of Life
2 items from 36-Item Short Form Health Survey (SF-36)

Weight
Anthropometric measurements of height, weight, and waist circumference
Survivors and Family Members
There were no statistically significant changes in BMI; however, mean waist circumference significantly improved among participants in the 12-week program. Most participants reported that the program helped them to meet their short-term goals.
Demark-Wahnefried et al. 2014 DAMES (Daughters And MothErS Against Breast Cancer) Weight
Promote weight loss in overweight and obese mothers recently diagnosed with breast cancer and their daughters who were also overweight or obese.
Diet
-24-hour dietary recalls using the interactive Nutrition Data System Revised software
-Healthy Eating Index

Physical Activity
-Cardiopulmonary exercise test (CPET)
-Leisure-Time Exercise Questionnaire

Clinical Assessments
Height, weight, BMI, systolic and diastolic blood pressure, cardiopulmonary exercise test to assess exercise capacity (VO2peak), oxyhemoglobin saturation.

Health-Related Quality of Life
36-Item Short Form Health Survey (SF-36)

Self-Efficacy
2 items developed by study team.

Social Support
Sallis et al. validated scales measuring social support for diet and exercise change.
Survivors (Mothers)
There were significant reductions in BMI, weight and waist circumference among mothers in the individual arm vs. the control arm. Mothers in the individual arm lost a clinically-significant amount of weight.

Daughters
There were significant reductions in waist circumference among daughters in the individual vs. the control arm. Daughters in the individual arm lost a clinically-significant amount of weight.

Dyads
Compared to dyads in the control group, dyads in the individual and team arms reported more physical activity per week and exercise capacity.
James et al. 2015






Supplemental article: Stacey et al. 2016
The Exercise and Nutrition Routine Improving Cancer Health (ENRICH) Diet, Physical Activity, & Weight
To improve pedometer-assessed PA, weight, and subsequently body mass index, and vegetable consumption
Diet
Food frequency questionnaire (FFQ)

Physical Activity
Sealed pedometer to measure step counts during various types of physical activity.

Self-Efficacy
9-item scale (Plotnikoff, et al.)

Behavior Goals
1-item scale (Courneya, et al.)

Outcome Expectations
5-item scale (Plotnikoff, et al.)

Impediments
5-item scale (Plotnikoff, et al.)

Social Support
2-item scale (Courneya, et al.)
Survivors and Carers*
There was a significant increase in mean daily steps and daily vegetable consumption. Higher step count at follow-ups vs. baseline intervention group; lower step count at follow-ups vs. baseline in control groups. Weight loss was also reported at follow-ups. Behavioral goals were a significant mediator.

*results not separated by group
Knobf et al. 2018 Healthy Sisters - Intervention for Women of Color Breast Cancer Survivors (WCBCS) Physical Activity & Diet
Improve functional ability, quality of life, and health lifestyle behaviors, including physical activity and nutrition.
Physical Activity & Diet
The Health Promoting Lifestyle Profile II (assesses health responsibility, physical activity, nutrition, interpersonal relations, spiritual growth, and stress management)

Functional Ability
Medical Outcomes Short Form (MOS-SF36)

Quality of Life
The Functional Assessment of Cancer Therapy-Breast (Version 4) (FACT-B)

Empowerment
Self-Efficacy for Exercise Scale
Survivors
There were significant increases in self-efficacy to engage in physical activity, health lifestyle behaviors (overall), physical activity, nutrition, and stress management.

Family Members
There were significant increases in healthy lifestyle behaviors (overall), nutrition, and health responsibility.
Manne et al. 2019








Supplemental article:
Myers-Virtue et al. 2015
General Health and Wellness (GHW) Diet & Physical Activity
To improve the adoption and maintenance of a healthy lifestyle through nutrition education and goal setting, and engaging in regular physical activity.
Diet
An 8-item self-report assessment (Borger, et al.)

Physical Activity
Godin Leisure Time Exercise Questionnaire

Partner Support
A 5-item measure (Butterfield and Lewis, 2002)

Cancer-Related Distress
The Impact of Events Scale (IES; Horwitz, et al.)

Depression
The Patient Health Questionnaire-9 (PHQ-9)

General Psychological Adjustment
The Mental Health Inventory-38 (Veit & Ware,)
Survivors and Partners
Baseline findings* showed significant adherence for meeting physical activity guidelines but in terms of fruit and vegetable guidelines, there was no statistical significance.

*baseline findings from the supplemental article were not as a result of intervention effects. Manne et al, on the other hand, did not report intervention effects for lifestyle behaviors.
Pisu et al. 2017 Restoring Health in You (and Your Partner) through Movement (RHYTHM) Physical Activity Increase physical activity and improve relationship functioning and quality of life. Physical Activity
Godin Leisure Time Exercise Questionnaire

Functional Capacity
6 Minute Walk Test

Quality of Life
36-Item Short Form Health Survey (SF-36)

Relationship Functioning
-Dyadic Trust Scale
-Dyadic Adjustment Scale (DAS-7)
-3-item Perceived Self-Disclosure Scale
Survivors
Improved physical activity, functional capacity, mental quality of life, vitality, social functioning, and mental health among survivors in treatment vs. control group.

Partners
No significant differences between treatment and control groups.
Porter et al. 2018 Move2Health Physical Activity
Increase physical activity by leveraging partner social support for behavior change.
Physical Activity
Godin Leisure-Time Exercise Questionnaire

Partner Support
A 15-item scale that measures partner support for exercise habits (Sallis, et al.)

Quality of Life
Functional Assessment of Cancer Therapy-General (FACT-G physical wellbeing subscale; survivors)
Survivors and Partners
Dyadic communication skills and communal coping enhanced greater participation in physical activity. Survivors and partners reported improved physical activity and physical well-being.
Ross Zahavich et al. 2012 Yoga Thrive Physical Activity
Increase physical activity adherence by incorporating social support
Physical Activity
Godin’s Leisure Score Index (LSI) of the Godin Leisure Time Exercise Questionnaire

Quality of Life
-Functional Assessment of Cancer Therapy–Prostate Scale (FACT-P; survivors)
-Short Form Health Survey (SF-12; support persons)

Fatigue
-Functional Assessment of Cancer Therapy–Fatigue scale (FACT-F; survivors)
-Fatigue Severity Scale (FSS; support persons)

Perceived Social Support
Social Provisions Scale (SPS; survivors only)

Fitness
Canadian Physical Activity, Fitness and Lifestyle Approach (CPAFLA; survivors only)

Stress, Mood & Fatigue Thermometer
Thermometer Scale
Survivors and Support Persons
Improved stress, fatigue and mood; no significant changes in quality of life or fatigue. Higher perceived social support among survivors when survivor and support person participated together.
St. George et al. 2019 NR Diet
Dietary intake of at least 2.5 cups per day of fruits and vegetables

Physical Activity
Engage in regular physical activity (≥ 150 minutes of moderate activity per week)

Weight
Achieve and maintain a healthy weight (i.e., “normal” BMI)
Diet
Block Fruit/Vegetable/Fiber and Fat Intake Screeners
Physical Activity
-International Physical Activity Questionnaire – Short Form (IPAQ-SF)
-Metabolic equivalent of task (MET) scores for moderate and vigorous physical activity

Weight
Body-mass index (BMI)

Family Functioning
Family Environment Scale (FES)
Survivors
Low fruit intake, moderate vegetable intake, and high levels of moderate physical activity was reported among survivors.

Family Members
Not reported
Stoutenberg et al. 2015 Integrated Wellness Program Diet
To engage in an active learning process that improves participants’ knowledge and self-efficacy in making healthy dietary decisions.

Physical Activity:
To improve participants’ knowledge and self-efficacy in making healthy decisions to engage in physical activity.
Diet
-Self-Efficacy and Eating Habits Survey
-Starting the Conversation (STC, an eight-item simplified food frequency instrument)

Physical Activity
-Godin Leisure–Time Survey
-Self-Efficacy and Exercise Habits Survey

Sleep
The Pittsburgh Sleep Quality Index (PSQI)

Quality of Life
Short-Form Health Survey (SF-36)
Survivors and Caregivers*
Increased self-efficacy in adopting healthy dietary behaviors; no significant result was reported in physical activity attitudes.

*results not separated by group
Winters-Stone et al. 2016 The Exercise Together Project Physical Activity & Weight
To facilitate partnered exercise as an activity for improving muscle strength, bone mass, body composition, and relationship quality.
Physical Activity
-Physical Performance Battery (PPB)
-CHAMPS questionnaire
-1-repetition maximum test (1-RM)

Weight
Body composition (lean and fat mass)

Fatigue
Piper Fatigue Scale

Depression
Center for Epidemiological Studies-Depression (CES-D)

Mental & Physical Health
Short-Form 36
Survivors
-Increase in moderate-vigorous intensity physical activity

Partners
-No significant increase in physical activity was reported
-Slight increase in lean mass was reported
There was an overall decrease in percentage body fat*

*result not separated by group