{"doi":"10.1007/s00520-026-10358-x","title":"Breast cancer survivors’ perspectives on a clinical decision tool to support individualized exercise prescriptions and discussions","abstract":"<jats:title>Abstract</jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose</jats:title>\n                    <jats:p>To examine breast cancer survivors’ perspectives on the prototype (paper-draft) of a clinical decision tool to support individualized exercise prescriptions and discussions within clinical settings.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods</jats:title>\n                    <jats:p>A sample of ≥90 female breast cancer survivors aged ≥35 years across the U.S. were recruited to complete an online survey that collected data on survivors’ characteristics and perspectives of a prototype of the tool. Survey items were adapted from validated pre-existing instruments and refined via cognitive interviews.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Results</jats:title>\n                    <jats:p>Ninety-eight of the 142 individuals screened were deemed eligible and completed the survey. Most breast cancer survivors agreed that a tool would be useful (84.7%) and increase confidence to discuss exercise with a healthcare provider (74.5%). Among tool uses, the highest agreement was found for education (84.1%) and encouragement to exercise (79.3%). Improving the ability to do everyday tasks (74.0%), quality-of-life (72.6%), and energy (71.4%) were rated as the top exercise benefits to include in a tool. Agreement on tool usefulness, uses, and inputs varied by survivors’ demographic, clinical, and contextual characteristics. For example, agreement that a tool would increase their confidence to discuss exercise was lower among younger survivors (&lt;50 years, 67.7%) than older survivors (≥50 years, 78.5%).</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions</jats:title>\n                    <jats:p>An evidence-based clinical decision tool offering individualized exercise information could support exercise prescriptions and discussions within clinical settings. However, a one-size-fits-all tool may not address existing disparities in exercise participation. Further research among underserved women is needed.</jats:p>\n                  </jats:sec>","journal":"Supportive Care in Cancer","year":2026,"id":638183,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":927035,"name":"Kaitlyn M. Wojcik","orcid":"0009-0004-7290-6343","position":1,"is_corresponding":false},{"id":1042936,"name":"Eleanor M. Kerr","orcid":"0000-0001-9390-4655","position":2,"is_corresponding":false},{"id":1470846,"name":"Ilse Rivera","orcid":"0009-0000-4366-4083","position":3,"is_corresponding":false},{"id":1383847,"name":"Emma Tian","orcid":"0000-0001-6594-4780","position":4,"is_corresponding":false},{"id":1657431,"name":"Jacob D. Schneider","orcid":"0009-0009-6707-8674","position":5,"is_corresponding":false},{"id":1122665,"name":"Rachelle Brick","orcid":"0000-0001-7099-7799","position":6,"is_corresponding":false},{"id":231465,"name":"Charles E. Matthews","orcid":"0000-0001-8037-3103","position":7,"is_corresponding":false},{"id":281787,"name":"Kosuke Tamura","orcid":"0000-0002-4920-2856","position":8,"is_corresponding":false},{"id":404085,"name":"Laura Q. Rogers","orcid":"0000-0003-4216-8381","position":9,"is_corresponding":false},{"id":278737,"name":"Wendy Demark‐Wahnefried","orcid":"0000-0001-5241-932X","position":10,"is_corresponding":false},{"id":825326,"name":"Richard L. Street","orcid":"0000-0001-7392-9927","position":11,"is_corresponding":false},{"id":292840,"name":"Jinani Jayasekera","orcid":"0000-0001-9212-7225","position":12,"is_corresponding":false},{"id":1657428,"name":"Oliver W. A. Wilson","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Breast cancer survivors’ perspectives on a clinical decision tool to support individualized exercise prescriptions and discussions","abstract":"<jats:title>Abstract</jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose</jats:title>\n                    <jats:p>To examine breast cancer survivors’ perspectives on the prototype (paper-draft) of a clinical decision tool to support individualized exercise prescriptions and discussions within clinical settings.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods</jats:title>\n                    <jats:p>A sample of ≥90 female breast cancer survivors aged ≥35 years across the U.S. were recruited to complete an online survey that collected data on survivors’ characteristics and perspectives of a prototype of the tool. Survey items were adapted from validated pre-existing instruments and refined via cognitive interviews.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Results</jats:title>\n                    <jats:p>Ninety-eight of the 142 individuals screened were deemed eligible and completed the survey. Most breast cancer survivors agreed that a tool would be useful (84.7%) and increase confidence to discuss exercise with a healthcare provider (74.5%). Among tool uses, the highest agreement was found for education (84.1%) and encouragement to exercise (79.3%). Improving the ability to do everyday tasks (74.0%), quality-of-life (72.6%), and energy (71.4%) were rated as the top exercise benefits to include in a tool. Agreement on tool usefulness, uses, and inputs varied by survivors’ demographic, clinical, and contextual characteristics. For example, agreement that a tool would increase their confidence to discuss exercise was lower among younger survivors (&lt;50 years, 67.7%) than older survivors (≥50 years, 78.5%).</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions</jats:title>\n                    <jats:p>An evidence-based clinical decision tool offering individualized exercise information could support exercise prescriptions and discussions within clinical settings. However, a one-size-fits-all tool may not address existing disparities in exercise participation. Further research among underserved women is needed.</jats:p>\n                  </jats:sec>","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"41606253","pmcid":"PMC12852301","openalex_id":"https://openalex.org/W7125903361","authors":[],"funders":[{"funder_name":"Division of Intramural Research at the National Institute on Minority Health and Health Disparities (NIMHD) of the National Institutes of Health","grant_id":"ZIA MD000022, PI: Jayasekera","title":null},{"funder_name":"National Institute on Minority Health and Health Disparities (NIMHD) of the National Institutes of Health","grant_id":"1 ZIJ MD000009-07","title":null},{"funder_name":"Division of Intramural Research at the NIMHD of the NIH","grant_id":"ZIA MD000020, PI: Tamura","title":null},{"funder_name":"Intramural NIH HHS","grant_id":"ZIA MD000022","title":null},{"funder_name":"Intramural NIH HHS","grant_id":"ZIJ MD000009","title":null},{"funder_name":"Intramural NIH HHS","grant_id":"ZIA MD000020","title":null}],"total_grants":6,"fwci":0.0,"citation_percentile":0.07042783,"influential_citations":0,"citation_trend":[],"oa_status":"hybrid","license":"cc-by","oa_locations":[{"url":"https://link.springer.com/content/pdf/10.1007/s00520-026-10358-x.pdf","host_type":"journal"},{"url":"https://link.springer.com/content/pdf/10.1007/s00520-026-10358-x.pdf","host_type":"publisher"},{"url":"https://link.springer.com/article/10.1007/s00520-026-10358-x","host_type":"publisher"},{"url":"https://doi.org/10.1007/s00520-026-10358-x","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/41606253","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12852301/","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12852301","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12852301/pdf/520_2026_Article_10358.pdf","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC12852301","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC12852301?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Cancer survivorship and care","Cancer Risks and Factors","Cancer-related cognitive impairment studies","Humans","Female","Breast Neoplasms","Middle Aged","Aged","Adult","Quality of Life","Exercise Therapy","Surveys and Questionnaires","Aged, 80 and over","Decision Support Systems, Clinical","Cancer Survivors","Exercise","Survivors","Decision Support Techniques"],"mesh_terms":["Cancer Survivors","Adult","Aged","Aged, 80 and over","Breast Neoplasms","Decision Support Techniques","Exercise Therapy","Female","Humans","Middle Aged","Quality of Life","Surveys and Questionnaires","United States","Exercise","Survivors","Decision Support Systems, Clinical"],"keywords":["Breast cancer","Medical prescription","Exercise prescription","Pain medicine","Nursing research","Alternative medicine","Clinical decision support system","Physical activity","Clinical Decision Support Systems","Breast Cancer Patients","Exercise Referral","Exercise Discussion"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Gender equality"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"doi"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-06T20:15:21.603401Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}