Background Physical activity (PA) improves physical and psychological health in cancer survivors. This study evaluated Active Living After Cancer (ALAC), a community-based program to improve PA, physical function, and quality of life (QOL) in minority and medically underserved cancer survivors and their caregivers. Methods Participants completed 12 weekly ALAC sessions and assessments of PA, physical functioning, and QOL at baseline and follow-up (week 12). Paired samples t-tests were used to assess changes in outcomes over time. Results 540 cancer survivors (M age = 61.1 years, SD = 11.3) and 87 caregivers (M age = 62.3 years, SD = 13.1) were enrolled. Most were women (91.4%), Hispanic (61.1%) or non-Hispanic Black (19.3%), and medically underserved (86.4%). The percent of cancer survivors meeting PA recommendations increased from 28.9% to 60.2% (d = 0.75), and the number of sit-to-stand repetitions in a 30-second period increased from 12.3 to 14.3 (d = 0.39) from 0-12 weeks. Cancer survivors reported significant improvements in physical (T-score Δ = 1.7, d = 0.06) and mental (T-score Δ = 2.3, d = 0.31) health-related QOL. Caregivers also improved their PA, physical function, and QOL, and there were no statistically significant differences between breast and other cancer survivors and between cancer survivors and caregivers. Conclusions The ALAC program demonstrated increased PA, physical function, and QOL in medically underserved cancer survivors and their caregivers. Furthermore, ALAC was successfully implemented by community partners and serves as a good model for reaching medically underserved cancer survivors and improving survivorship. Additional efforts are warranted to further extend reach, improve cancer survivorship, and reduce cancer health disparities among underserved cancer survivors.

中文翻译：

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将癌症后的积极生活扩展到服务不足的癌症幸存者及其护理人员

背景 体力活动 (PA) 可改善癌症幸存者的身心健康。这项研究评估了癌症后积极生活 (ALAC)，这是一项基于社区的计划，旨在改善少数族裔和医疗服务不足的癌症幸存者及其护理人员的 PA、身体机能和生活质量 (QOL)。方法 参与者每周完成 12 次 ALAC 会议，并在基线和随访（第 12 周）时对 PA、身体机能和 QOL 进行评估。配对样本 t 检验用于评估结果随时间的变化。结果 纳入了 540 名癌症幸存者（中号年龄 = 61.1 岁，SD = 11.3）和 87 名护理人员（中号年龄 = 62.3 岁，SD = 13.1）。大多数是女性（91.4%）、西班牙裔（61.1%）或非西班牙裔黑人（19.3%），并且医疗服务不足（86.4%）。符合 PA 建议的癌症幸存者百分比从 28.9% 增加到 60.2% (d = 0.75)，30 秒内从坐到站的重复次数从 0-12.3 增加到 14.3 (d = 0.39)。 12周。癌症幸存者报告身体（T 分数 Δ = 1.7，d = 0.06）和精神（T 分数 Δ = 2.3，d = 0.31）健康相关生活质量显着改善。护理人员也改善了他们的 PA、身体功能和生活质量，并且乳腺癌和其他癌症幸存者之间以及癌症幸存者和护理人员之间没有统计学上的显着差异。结论 ALAC 计划证明，医疗服务不足的癌症幸存者及其护理人员的 PA、身体功能和生活质量有所提高。此外，ALAC 已由社区合作伙伴成功实施，并成为接触医疗服务不足的癌症幸存者和提高生存率的良好模式。需要付出额外的努力来进一步扩大覆盖范围，提高癌症生存率，并减少服务不足的癌症幸存者之间的癌症健康差异。