{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:26:17Z","timestamp":1791383177519,"version":"4.3.3"},"reference-count":103,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Division of Intramural Research at the National Institute on Minority Health and Health Disparities (NIMHD) of the National Institutes of Health","award":["ZIA MD000022, PI: Jayasekera"],"award-info":[{"award-number":["ZIA MD000022, PI: Jayasekera"]}]},{"name":"National Institute on Minority Health and Health Disparities (NIMHD) of the National Institutes of Health","award":["1 ZIJ MD000009-07"],"award-info":[{"award-number":["1 ZIJ MD000009-07"]}]},{"name":"Division of Intramural Research at the NIMHD of the NIH","award":["ZIA MD000020, PI: Tamura"],"award-info":[{"award-number":["ZIA MD000020, PI: Tamura"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine breast cancer survivors\u2019 perspectives on the prototype (paper-draft) of a clinical decision tool to support individualized exercise prescriptions and discussions\u00a0within clinical settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A sample of \u226590 female breast cancer survivors aged \u226535 years across the U.S. were recruited to complete an online survey that collected data on survivors\u2019 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\u2019 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 (\u226550 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>","DOI":"10.1007\/s00520-026-10358-x","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T01:27:33Z","timestamp":1769650053000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Breast cancer survivors\u2019 perspectives on a clinical decision tool to support individualized exercise prescriptions and discussions"],"prefix":"10.1007","volume":"34","author":[{"given":"Oliver W. 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