Rebecca Speck, MPH

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Effects of a strength training intervention on
body image and quality of life in breast cancer
survivors the PAL trial

• Rebecca Speck, MPH
• Department of Defense Breast Cancer Research
  Program Predoctoral Trainee
• University of Pennsylvania

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Overview

• PAL study
• Methods and measures
• Results
• Baseline characteristics
• Change in BIRS
• Correlations
• What does this mean?

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QOL-related Measures

• Body Image
• Body Image and Relationships Scale
• General QOL
• Fatigue
• Sleep Quality
• Life Satisfaction

• Social Support
• Self Esteem
• Optimism/Pessimism
• Depression

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Methods-Data Analyses

• Baseline characteristics and QOL measures
• Means, sd, frequencies
• Percent change (12-month) test of comparison
• Student t-tests and Wilcoxin signed rank
• Group analysis via Kruskal-Wallis
• Spearman correlations

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Covariates Group Analysis

• Age
• BMI
• Race
• Marital status
• Education
• Change in strength

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Physical Composite Score
Mental Composite Score
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Baseline Appearance Sexuality
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12 month percent changesdid not differ by
lymphedema status!
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BIRS percent change-12 month
Txleft Controlright statistically
significant
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Group AnalysisKruskal-Wallis p-values
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Correlations-Strength Changes
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Correlations-QOL-related measures
rho (p-value)
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Summary Findings

• Significant differences in Tx vs. Control
  12-month changes
• BIRS total score
• Strength Health
• Appearance Sexuality
• Generalizable-minimal subgroup differences
• No strong correlations with general QOL measures

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What does this mean?

• Women were already doing pretty well!
• BIRS captures unique QOL components
• Participation in strength training intervention
  improves attitudes of
• Health
• Physical strength
• Sexuality
• Appearance
• Clinical relevance in unclear

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Acknowledgements
CO-INVESTIGATORS

Andrea Troxel, ScD, Andrea Cheville, MD, MSCE,
Russell Localio, JD, PhD RESEARCH
STAFFAmy Rogerino, MPH, Cathy Bryan, M.Ed.,
Damali Mason, M.Ed., Lorita Grant, MSW,
MPH CANCER REGISTRARSRobin Otto, Craig
Edelman, Homer Wilcox, all hospital based
registrars LYMPHEDEMA EVALUATION TREATMENT


Penn Therapy and Fitness
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Thank you!