The group cohesion factor of a dragon boat race training prgramme following treatment for breast cancer in the UK
Notice bibliographique
Résumé
Background \nThere is increasing evidence that exercise and physical activity after breast cancer treatment can attenuate treatment related side effects and accelerate both physical and psychological recovery. However, the numbers of survivors engaging in physical activity and exercise after completion of treatment are low owing to lack of motivation and self-discipline, and to over cautious advice from health-care professionals. Dragon Boat Racing is a team sport that has been adopted recently by breast cancer survivors, which was first evaluated for its safety and beneficial effects on arm lymphoedema in Canada by McKenzie in 1996. \nGroup cohesion is an important factor in team based training, which impacts performance in athletes. Amongst breast cancer survivors this factor can be viewed as a mechanism for active social support and potentially provide a significant motivational force which supports adherence to a beneficial structured exercise programme. \nAim and Method \nA single cohort longitudinal study was designed to explore group cohesiveness from participating in a 20 week Dragon Boat Race Training Programme with fellow breast cancer survivors culminating in a competitive race. A progressive exercise training programme was designed to develop sport specific fitness. Opened ended questionnaires and complementary focus groups were used to gather qualitative data from a sample of 13 self selected women at four time points: baseline, 6 weeks, 20 weeks, and 3 months post intervention. All participants were at least 3 months post treatment (excluding hormone therapy) for primary breast cancer and ranged between 36-72 years of age. Four women had clinically diagnosed mild arm lymphoedema. Scientific and ethical reviews were obtained. \nResults \nExceptional motivational support was recounted by participants and reflected in training adherence rates up to 94%. From self reports, adherence was due to commitment, partner support, group support, responsibility to the group and camaraderie. Participants felt that the Dragon Boat race training experience provided fitness, fun, laughter, pride and a sense of belonging. The most beneficial aspect of being part of the group was being with likeminded people, friendship, regularity and encouragement. Difficulties included family commitments and sometimes self motivation when energy levels were low and body was aching. \nConclusion \nExceptional group cohesion was attributed to assisting the high levels of motivation and adherence to the training programme. Upon completion, most women expressed the desire to continue exercising regularly. \nThis structured, team-based group training programme has useful implications for health care professionals and breast cancer survivors to assist rehabilitation and promote an active lifestyle.
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Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,002 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
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