Narrative Visualization for Breast Cancer Survivors' Physical Activity

Women breast cancer survivors could benefit from increased physical activity but are in need
of greater motivation to be active. Interventions that use wearable activity monitors and
mobile apps have shown promise in the short-term, but use drops off over time. Reports have
suggested that users find the step data provided to be unclear and not very personally
meaningful. The ultimate purpose of this line of research is to test whether enhanced
motivational feedback, using scrapbooks, can increase motivation for activity. The scrapbooks
will target integrated regulation, which is a type of motivation related to personal identity
and values. Participants who receive this intervention will draw their step graph, add
photographs and stickers an explanations to the graph, and answer reflection questions daily.
Before testing the effects of this intervention on physical activity, the investigators must
first ensure that the materials and procedures are feasible and acceptable. This small pilot
study will allow the research team to iteratively test scrapbook materials and improve upon
them for use in future studies. The investigators will compare an intervention using the
enhanced materials to an intervention using only the wearable device, app, and a standard
step log without scrapbook or reflection components. In addition to the primary outcome of
feasibility (use of the scrapbook), the investigators will also explore the effects of the
intervention on steps, motivational and values-related outcomes, and various aspects of
feasibility and acceptability.

Inclusion Criteria:

- Age between 55 and 79 years

- Female

- Self-reported diagnosis of breast cancer

- BMI between 18 and 40 kg/m2

- Willingness to be randomized to any condition

- Participant is able to walk for exercise

- Able to read and understand English

- Daily access to a smartphone or similar device compatible with Garmin app

- PAR-Q+ indicates that physical activity would be safe (with note from physician
required if any heart-related questions are endorsed)

Exclusion Criteria:

- Participant is active (150 minutes or more activity per week)

- Major health interventions (surgery, radiation, chemo) within the past 6 months

- Stroke, hip fracture, hip or knee replacement, or spinal surgery in the past 6 months

- History of orthopedic complications that would prevent optimal participation

- No active recurrence of cancer

- Self-reported smoker

- Reports psychological issues that would interfere with study completion (dementia,
schizophrenia)

- Reports hospitalization within the past year due to psychiatric problem(s)

- Plans to be out of town for more than 2 weeks at a time during study period

- Clinical judgement concerning safety

- Currently participating in an organized commercial or research exercise program

- Another member of the household is a participant or staff member on this trial

- Current use of a wearable activity monitor