Abstract

Up to 90% of breast cancer survivors report low levels of physical activity (pa) and spend approximately 70% of the day in sedentary behaviour. Survivors might not be receiving information about the health benefits of pa and the consequences of sedentary behaviour in the context of their cancer. The primary purpose of the present study was to evaluate cancer centres for pa and sedentary behaviour information and infrastructure. A secondary aim was to evaluate the quality of the information that is accessible to breast cancer survivors in cancer centres. A built-environment scan of the 14 regional cancer centres in Ontario and an evaluation of the text materials about pa available at the cancer centres were completed. Data analyses included descriptive statistics, proportions, and inter-rater reliability. The infrastructure of the cancer centres provided few opportunities for dissemination of information related to pa through signs and printed notices. Televisions were present in all waiting rooms, which could provide a unique opportunity for dissemination of information about pa and sedentary behaviour. Text materials were rated as trustworthy, used some behaviour change techniques (for example, information about the consequences of lack of pa, barrier identification, and setting graded tasks), and were aesthetically pleasing. These findings represent areas for knowledge dissemination both for the centre and for resources that could be further improved.

Highlights

  • Breast cancer is the most common cancer diagnosis in Canadian women[1], leading to a large and growing population of bca survivors

  • Televisions were present in all waiting rooms, which could provide a unique opportunity for dissemination of information about pa and sedentary behaviour

  • The environmental scan of each cancer centre was completed in a median of 20.8 ± 8.4 minutes

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Summary

Introduction

Breast cancer (bca) is the most common cancer diagnosis in Canadian women[1], leading to a large and growing population of bca survivors (defined from the time of diagnosis until end of life[2]). Improvement in physical activity (pa) and reduction in sedentary behaviour both have health and survival benefits for bca survivors[3,4,5], but upward of 90% of survivors are not active enough to gain health benefits[3,6,7]. The combination of increased sedentary behaviour and physical inactivity is a unique health risk that is common among cancer survivors[4,10]. Efforts are needed to help bca survivors increase their pa and decrease their levels of sedentary behaviour[3,6]. Survivors might not be receiving information about the health benefits of pa and the consequences of sedentary behaviour in the context of their cancer. The primary purpose of the present study was to evaluate cancer centres for pa and sedentary behaviour information and infrastructure. A secondary aim was to evaluate the quality of the information that is accessible to breast cancer survivors in cancer centres

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