{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T15:28:06Z","timestamp":1776871686461,"version":"3.51.2"},"reference-count":40,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Leaders in the field have called for exercise counseling to become standard of care by 2029. An Affect\u2010based exercise prescription (Affect\u2010Rx) may be a viable strategy for supporting this effort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Guided by the ORBIT Model for developing behavioral treatments, this Phase 1b study evaluated breast cancer survivors' perceived acceptability of Affect\u2010Rx. Additionally, the feasibility of trial methods and opportunities for protocol refinements were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Participants were 36 stage 0\u2013III breast cancer survivors within 5\u00a0years of completing primary cancer treatment. Demographics were collected at baseline and via medical record review. Affect\u2010Rx was delivered in conjunction with a low\u2010touch, physical activity promotion intervention over videoconference call. At end\u2010of\u2010study, participants rated Affect\u2010Rx using the Treatment Acceptability and Preferences (TAP) Measure. Participants responded to the Stanford L\u2010Cat at baseline and end\u2010of\u2010study. ActiGraph wGT3X\u2010BT accelerometers measured moderate\u2010vigorous physical activity (MVPA) over 10\u2010day periods at baseline and follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Affect\u2010Rx was rated acceptable (TAP overall\n                      <jats:italic>M<\/jats:italic>\n                      \u00a0=\u00a03.30, SD\u00a0=\u00a00.53). Study retention and accelerometer measurement completion was \u2265\u00a080% across time. L\u2010Cat scores were discordant from accelerometer\u2010measured MVPA at baseline.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Affect\u2010Rx warrants further testing. The trial methods were feasible; however, physical inactivity verification procedures along with targeted recruitment efforts are needed to support future work. The field needs intervention strategies that can be deployed with limited resources and at low cost to offer survivors exercise counseling support in line with the new National Standards for Cancer Survivorship Care, the affect\u2010based exercise prescription is designed to serve this mission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      The study protocol was registered with\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/ClinicalTrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      prior to the initiation of participant recruitment NCT04903249\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70225","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:44:32Z","timestamp":1753886672000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exercise That Feels as Good as Possible: Acceptability of an Affect\u2010Based Exercise Prescription Among Stage 0\u2013III Breast Cancer Survivors"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5696-4904","authenticated-orcid":false,"given":"Courtney J.","family":"Stevens","sequence":"first","affiliation":[{"name":"Department of Psychiatry Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"},{"name":"Geisel School of Medicine at Dartmouth College  Hanover New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carly A.","family":"Bobak","sequence":"additional","affiliation":[{"name":"Geisel School of Medicine at Dartmouth College  Hanover New Hampshire USA"},{"name":"Research Computing and Data Services Information Technology, &amp; Consulting at Dartmouth College  Hanover New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kali J.","family":"Morrissette","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan C.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen Doyle","family":"Lyons","sequence":"additional","affiliation":[{"name":"Geisel School of Medicine at Dartmouth College  Hanover New Hampshire USA"},{"name":"Department of Occupational Therapy MGH Institute of Health Professions  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace M.","family":"Wallace","sequence":"additional","affiliation":[{"name":"Office of Clinical Research Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda J.","family":"Emerson","sequence":"additional","affiliation":[{"name":"Research Computing and Data Services Information Technology, &amp; Consulting at Dartmouth College  Hanover New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0204-4093","authenticated-orcid":false,"given":"David E.","family":"Conroy","sequence":"additional","affiliation":[{"name":"School of Kinesiology University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary D.","family":"Chamberlin","sequence":"additional","affiliation":[{"name":"Geisel School of Medicine at Dartmouth College  Hanover New Hampshire USA"},{"name":"Department of Medicine Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha L.","family":"Bruce","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"},{"name":"Geisel School of Medicine at Dartmouth College  Hanover New Hampshire USA"},{"name":"Dartmouth Institute for Health Policy and Clinical Practice at Dartmouth College  Lebanon New Hampshire USA"},{"name":"Department of Community and Family Medicine Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.23.01959"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010020\u201005342\u2010y"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/CNCR.30641"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/FPSYG.2020.568331\/BIBTEX"},{"key":"e_1_2_11_6_1","first-page":"121","volume-title":"Affective Determinants of Health Behavior","author":"Williams D. 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