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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 
- 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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Effects of a Physical Activity Program using Exergame with Elderly Women
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Jungok Yu, Jungsoon Kim
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J Korean Acad Nurs 2015;45(1):84-96. Published online February 15, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.1.84
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Abstract
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- Abstract
Purpose
This study was done to investigate the motivational, physical and affective benefits of exergaming in community dwelling older adult women.
Methods
The research design was a nonequivalent control group pre-test and post-test design. Sixty-one older adult women over the age of 65 were recruited from 6 community senior centers to participate in the 8 week exercise intervention or control group. Six centers were divided into one of three groups: exergame, qigong exercise, or control. The exergame and the qigong exercise group received 16 sessions, scheduled twice a week, with each session lasting 50 minutes. Test measures were completed before and after the 8 week intervention period for all participants. Measures included: Grip strength, chair stand, 6 m walking, balance, geriatric depression scale, vitality and intrinsic motivation.
Results
There were significant improvements in the exergame and qigong exercise group for grip strength, chair stand, 6m walking, balance, vitality and intrinsic motivation at the end the 8-week program compared with the control group.
Conclusion
The exergame could be an effective alternative for older adult women to group exercise classes.
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Citations
Citations to this article as recorded by 
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Byeong Hwan Jeon The Asian Journal of Kinesiology.2025; 27(3): 55. CrossRef - Effects of Taiji Stick exercise on strength, balance, and activities of daily living in older adults: a randomized controlled trial
Longfei Cao, Xiaoxiao Dong, Kai Qi, Chunhui Zhou, Aiguo Chen Frontiers in Public Health.2025;[Epub] CrossRef - Current Trends of Exercise Programs for Improving Cognitive Function in Older Adults
Jae-Hyun Lee, Wooyeon Jo, Jaeho Jin, Yaxiong Zheng, Soyoon Lee, Se-Yeon Jang, Minseo Kim, Young-Jin Moon, Hye Gwang Jeong, Sang Ki Lee Exercise Science.2024; 33(3): 254. CrossRef - Factors Associated with Intention of Sustainable Use in Players of the Wii Fit or Smartphone-Based Fitness Applications
Jea Woog Lee, Sung Je Park, Doug Hyun Han International Journal of Human–Computer Interaction.2024; 40(4): 999. CrossRef - The Effects of Active Video Game Exercise Based on Self-Determination Theory on Physical Fitness and Cognitive Function in Older Adults
Chenglei Zhao, Chenxi Zhao, Yunfeng Li, Minmin Zhao, Lin Wang, Jiawei Guo, Longhai Zhang, Yuliang Sun, Xintong Ye, Wenfei Zhu Journal of Clinical Medicine.2022; 11(14): 3984. CrossRef - Trend Analysis of Adapted Physical Education and Exercise Rehabilitation Using Martial Arts for the Elderly in South Korea: A Systematic Review
Jaehyuk Lee Korean Journal of Clinical Geriatrics.2021; 22(1): 15. CrossRef - Effects of Exergames on Physical Fitness in Middle-Aged and Older Adults in Taiwan
Tzu-Cheng Yu, Che-Hsien Chiang, Pei-Tzu Wu, Wen-Lan Wu, I-Hua Chu International Journal of Environmental Research and Public Health.2020; 17(7): 2565. CrossRef - Design and implementation of invention learning curriculum-based serious game contents
JunHee Yoon, JungYoon Kim New Review of Hypermedia and Multimedia.2019; 25(3): 205. CrossRef - The Effects of Utilizing Smartphone Application Peer Support on Health Behavior and Body Mass Index among Breast Cancer Survivors
Gaeun Park, Haejung Lee, Hyun Yul Kim Journal of Korean Academy of Nursing.2019; 49(5): 550. CrossRef - Effect of a Comprehensive Health Care Program on Blood Pressure, Blood Glucose, Body Composition, and Depression in Older Adults Living Alone: A Quasi-Experimental Pretest–Posttest Study
Eun Jeong Hwang, In Ok Sim International Journal of Environmental Research and Public Health.2019; 17(1): 220. CrossRef - The Effect of a Dementia Preventive Intervention based on Motivational Interviewing among the Elderly over 75 Years of Age in Nursing Homes
Hyun Mi Jo, Suk-Sun Kim Journal of Korean Academy of Community Health Nursing.2017; 28(3): 260. CrossRef
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