Abstract P5-09-10: Preferences in educational topics of interest for women with breast cancer: Does income level influence topic preferences?

Abstract Purpose: To ensure that people with breast cancer receive materials and programs that fit their needs for education, information, and support by identifying clinical, treatment, demographic, socioeconomic, and emotional characteristics targeting their specific needs and concerns. Respondents and Methods: Women diagnosed with breast cancer responded to an online 80-question survey to identify educational and support needs. Participants self-reported income level and were asked to rate their level of interest in 35 educational topics, including treatment issues and practical, financial, and psychosocial concerns. Potential ratings were "Not Interested," "Interested," and "Very Interested." This analysis examined whether income level was associated with interest level in these topics. Interest ratings were collapsed into "Not Interested and "Very Interested or Interested." Contingency tables were generated, and phi coefficients were calculated to determine bivariate association. A false discovery rate adjustment was applied to the significance threshold (p &amp;lt; .021) to account for multiple comparisons. Results: The response rate for each item/topic was approximately 75.1% (2,625/3,496). Topics that received high levels of interest, regardless of income, included prevention of other illnesses after cancer and new treatment and research. However, higher income was negatively associated with interest in clinical trials (p &amp;lt; .01), dating (p &amp;lt; .001), pain management (p &amp;lt; .001), and health insurance (p &amp;lt; .001). It was positively associated with interest in sexuality (p &amp;lt; .001) and parenting issues (p = .02). Conclusions: Income can be a determining factor in women's preferences for breast cancer educational topics. Women across all income levels agree that prevention of other illnesses after cancer and staying informed about new treatments and research are of great interest, but topic preferences for women with incomes of &amp;lt;$50k annually differed from those with higher income levels. In this analysis, lower income women were more interested in clinical trials, dating, pain management, and health insurance, and were less interested than women with higher incomes in sexuality and parenting issues. Lower income women are often diagnosed with higher staged cancers and have poorer outcomes overall. They may have less access to information about the clinical trials process and be less likely to ask about trial availability. Marginal insurance may drive their interest in pain management since they have fewer resources to manage their discomfort and other treatment side effects. Understanding the unique educational needs of lower income women and developing interventions targeted to address them could encourage greater participation in clinical trials for which they would qualify, appropriate pain management and enhanced access to resources to alleviate insurance concerns. Attention should be paid to differences in the educational needs of lower income women. Empowering them by meeting these needs could enhance quality of life and may improve overall outcomes. Citation Format: Swiger KD, Guglielmino JE, Labban JD, Rugo HS, Domchek SM, Anders CK, Nelson HCM, Hanson AA, Dinerman H, Henry CC. Preferences in educational topics of interest for women with breast cancer: Does income level influence topic preferences?. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P5-09-10.</jats:p

Abstract P5-09-09: Preferences in educational topics of interest for women with breast cancer: Does age influence topic preferences?

Abstract Purpose: To ensure that people with breast cancer receive materials and programs that fit their needs for education, information, and support by identifying clinical, treatment, demographic, socioeconomic, and emotional characteristics targeting their specific needs and concerns. Respondents and Methods: Women diagnosed with breast cancer responded to an online 80-question survey to identify education and support needs. Participants self-reported age at time of the survey, and were asked to rate their level of interest in 35 educational topics, including treatment issues and practical, financial, and psychosocial concerns. Potential ratings were "Not Interested," "Interested," and "Very Interested." This analysis examined whether age was associated with interest level in these topics. Point biserial correlations were calculated to determine bivariate association. Interest ratings were collapsed into "Not Interested" and "Very Interested or Interested," and the age variable was continuous (mean = 53.37 years; standard deviation = 10.65). A false discovery rate adjustment was applied to the significance threshold (p &amp;lt; .029) to account for multiple comparisons. Results: The response rate to each item/topic was approximately 75.4% (2,636/3,496). Topics that received high levels of interest, regardless of age, included new treatments and research and long-term health impacts. However, advancing age was negatively associated with interest in fertility preservation (p &amp;lt; .001), career and work (p &amp;lt; .001), early menopause (p &amp;lt; .001), and breast reconstruction (p &amp;lt; .001). Advancing age was positively associated with interest in hospice and end-of-life care (p &amp;lt; .001) and communication with your doctor and healthcare team (p &amp;lt; .01). Conclusions: Age can be a determining factor in women's preferences for breast cancer educational topics. All women, regardless of age, agreed that staying informed about new treatments and research and long-term health impacts are of great interest. Younger women, as might be expected, were significantly more interested than older women in fertility preservation, career and work, early menopause, and breast reconstruction, while older women were significantly more interested in hospice and end-of-life care and communicating with their doctor and healthcare team. Understanding the impact of age on educational topic preference could enable the healthcare team to focus on those issues of greatest interest at a time when face-to-face interactions continue to be reduced, maximizing the effectiveness of these interactions by tailoring discussion to the individual's educational concerns. Living Beyond Breast Cancer and several other breast cancer organizations have some age-specific educational materials and programs available. Oncology practices and cancer centers might consider reviewing them in light of these data, which point to the need to enhance these face-to-face interactions and overall quality of life. Citation Format: Swiger KD, Guglielmino JE, Labban JD, Rugo HS, Domchek SM, Anders CK, Nelson HCM, Hanson AA, Dinerman H, Henry CC. Preferences in educational topics of interest for women with breast cancer: Does age influence topic preferences?. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P5-09-09.</jats:p

Acute Exercise and Motor Memory Consolidation: The Role of Exercise Intensity

A single bout of high intensity aerobic exercise (~90% VO2peak) was previously demonstrated to amplify off-line gains in skill level during the consolidation phase of procedural memory. High intensity exercise is not always a viable option for many patient groups or in a rehabilitation setting where low to moderate intensities may be more suitable. The aim of this study was to investigate the role of intensity in mediating the effects of acute cardiovascular exercise on motor skill learning. We investigated the effects of different exercise intensities on the retention (performance score) of a visuomotor accuracy tracking task. Thirty six healthy male subjects were randomly assigned to one of three groups that performed either a single bout of aerobic exercise at 20 min post motor skill learning at 45% (EX45), 90% (EX90) maximal power output (Wmax) or rested (CON). Randomization was stratified to ensure that the groups were matched for relative peak oxygen consumption (ml O2/min/kg) and baseline score in the tracking task. Retention tests were carried out at 1 (R1) and 7 days (R7) post motor skill learning. At R1, changes in performance scores were greater for EX90 compared to CON (p<0.001) and EX45 (p = 0.011). The EX45 and EX90 groups demonstrated a greater change in performance score at R7 compared to the CON group (p = 0.003 and p<0.001, respectively). The change in performance score for EX90 at R7 was also greater than EX45 (p = 0.049). We suggest that exercise intensity plays an important role in modulating the effects that a single bout of cardiovascular exercise has on the consolidation phase following motor skill learning. There appears to be a dose-response relationship in favour of higher intensity exercise in order to augment off-line effects and strengthen procedural memory