{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T19:34:56Z","timestamp":1772825696808,"version":"3.50.1"},"reference-count":45,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Research Center for Psychological Science"},{"name":"Faculty of Psychology"},{"DOI":"10.13039\/501100005765","name":"University of Lisbon","doi-asserted-by":"publisher","award":["UIDB\/04527\/2020"],"award-info":[{"award-number":["UIDB\/04527\/2020"]}],"id":[{"id":"10.13039\/501100005765","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005765","name":"University of Lisbon","doi-asserted-by":"publisher","award":["UIDP\/04527\/2020"],"award-info":[{"award-number":["UIDP\/04527\/2020"]}],"id":[{"id":"10.13039\/501100005765","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Survivors of breast cancer are an important target for health promotion interventions, and physical activity (PA) is recommended with benefits being well established. More and more behavior theory guided interventions are planned and tailored to the individuals, targeting specifics needs and personal characteristics. We aimed to test the effectiveness of two behavior change techniques [coping planning (CP) and self-monitoring (SM)] for promoting PA in survivors of breast cancer, using a single-case design. In a powerful multiple sample N-of-1 RCT, 10 women post-breast cancer (M = 52.8 years) were randomly assigned to four experimental conditions (CP and\/or SM, control) for 60 days and their daily step count was observed. The overall effects were analyzed using multilevel time-series with random intercepts. Time-series regression models and supplementary pairwise analyses were conducted for individuals. Multilevel analyses showed significant effects of CP and SM. Single-case analyses showed that six participants walked significantly more on the intervention days, that combined interventions were effective for five participants, but two participants had better results with the other two conditions. Combined self-regulatory techniques were more effective in promoting PA however, individual variability should be considered in future studies with survivors of breast cancer.<\/jats:p>\n               <jats:p>Retrospectively registered: https:\/\/osf.io\/eakjy\/?view_only=81bf3dc084a0410a8ea28265e0f3c360, 31-01-2023.(raise query)<\/jats:p>","DOI":"10.1093\/heapro\/daad075","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T12:52:47Z","timestamp":1689771167000},"source":"Crossref","is-referenced-by-count":3,"title":["Promoting physical activity within breast cancer survivors using behavior change techniques: <i>N<\/i>-of-1 randomized controlled trials"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5267-5040","authenticated-orcid":false,"given":"Margarida","family":"Sequeira","sequence":"first","affiliation":[{"name":"CICPSI, Department of Psychology, Faculdade de Psicologia, Universidade de Lisboa , Lisbon , Portugal"},{"name":"CIIAS, Department of Physiotherapy, Escola Superior de Sa\u00fade, Instituto Polit\u00e9cnico de Set\u00fabal , Setubal , Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3406-3985","authenticated-orcid":false,"given":"C\u00edcero","family":"Pereira","sequence":"additional","affiliation":[{"name":"ICS, Department of Psychology, Instituto de Ci\u00eancias Sociais da Universidade de Lisboa , Lisbon , Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6048-3778","authenticated-orcid":false,"given":"Maria-Jo\u00e3o","family":"Alvarez","sequence":"additional","affiliation":[{"name":"CICPSI, Department of Psychology, Faculdade de Psicologia, Universidade de Lisboa , Lisbon , Portugal"}]}],"member":"286","published-online":{"date-parts":[[2023,7,19]]},"reference":[{"key":"2023071912524142000_CIT0001","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1200\/EDBK_238267","article-title":"Building personalized cancer follow-up care pathways in the United States: lessons learned from implementation in England, Northern Ireland, and Australia","volume":"3","author":"Alfano","year":"2019","journal-title":"American Society of Clinical Oncology Educational Book"},{"key":"2023071912524142000_CIT0002","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1080\/08870446.2011.609595","article-title":"Examining predictors of physical activity among inactive middle-aged women: an application of the health action process approach","volume":"2","author":"Barg","year":"2012","journal-title":"Psychology and Health"},{"key":"2023071912524142000_CIT0003","first-page":"324","article-title":"Health behavior change in older adults: testing the health action process approach at the inter- and intraindividual level","author":"Bierbauer","year":"2017","journal-title":"Applied Psychology: Health and Well-Being"},{"key":"2023071912524142000_CIT0004","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1007\/s10549-014-3255-5","article-title":"Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors","volume":"14","author":"Bluethmann","year":"2015","journal-title":"Breast Cancer Research and Treatment"},{"key":"2023071912524142000_CIT0005","first-page":"CD010192","article-title":"Interventions for promoting habitual exercise in people living with and beyond cancer","volume":"201","author":"Bourke","year":"2013","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"2023071912524142000_CIT0006","first-page":"394","article-title":"Global Cancer Statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"6","author":"Bray","year":"2018","journal-title":"CA: A Cancer Journal For Clinicians"},{"key":"2023071912524142000_CIT0007","doi-asserted-by":"crossref","first-page":"2375","DOI":"10.1249\/MSS.0000000000002116","article-title":"Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable","volume":"5","author":"Campbell","year":"2019","journal-title":"Medicine and Science in Sports and Exercise"},{"key":"2023071912524142000_CIT0008","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1080\/19317611.2016.1158764","article-title":"Stage-based computer-delivered interventions to increase condom use in young men","volume":"2","author":"Carvalho","year":"2016","journal-title":"International Journal of Sexual Health"},{"key":"2023071912524142000_CIT0009","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1348\/135910710X518324","article-title":"Social cognitive determinants of physical activity among retired older individuals: an application of the health action process approach","volume":"1","author":"Caudroit","year":"2011","journal-title":"British Journal of Health Psychology"},{"key":"2023071912524142000_CIT0010","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1007\/s00520-017-3964-5","article-title":"Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review","volume":"2","author":"Clifford","year":"2018","journal-title":"Supportive Care in Cancer"},{"key":"2023071912524142000_CIT0011","article-title":"Recomenda\u00e7\u00f5es nacionais para diagn\u00f3stico e tratamento do cancro da mama","author":"Coordena\u00e7\u00e3o Nacional para as Doen\u00e7as Oncol\u00f3gicas","year":"2009"},{"key":"2023071912524142000_CIT0012","first-page":"979","article-title":"Developing and evaluating complex interventions: the new Medical Research Council guidance","volume":"33","author":"Craig","year":"2008","journal-title":"Bmj"},{"key":"2023071912524142000_CIT0013","doi-asserted-by":"crossref","first-page":"5125","DOI":"10.2147\/CMAR.S170064","article-title":"Behavior change techniques for increasing physical activity in cancer survivors: a systematic review and meta-analysis of randomized controlled trials","volume":"1","author":"Finne","year":"2018","journal-title":"Cancer Management and Research"},{"key":"2023071912524142000_CIT0014","first-page":"1","article-title":"Exercise for women receiving adjuvant therapy for breast cancer","author":"Furmaniak","year":"2016","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"2023071912524142000_CIT0015","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1111\/bjhp.12084","article-title":"Will is not enough: coping planning and action control as mediators in the prediction of fruit and vegetable intake","volume":"1","author":"Godinho","year":"2014","journal-title":"British Journal of Health Psychology"},{"key":"2023071912524142000_CIT0016","first-page":"1","article-title":"Implementation intention and action planning interventions in health contexts: state of the research and proposals for the way forward","author":"Hagger","year":"2014","journal-title":"Applied Psychology: Health and Well-Being"},{"key":"2023071912524142000_CIT0017","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1093\/her\/cyt083","article-title":"Understanding barriers to exercise implementation 5-year post-breast cancer diagnosis: a large-scale qualitative study","volume":"2","author":"Hefferon","year":"2013","journal-title":"Health Education Research"},{"key":"2023071912524142000_CIT0018","first-page":"1","article-title":"Determinants of exercise adherence and maintenance among cancer survivors: a systematic review","volume":"1","author":"Kampshoff","year":"2014","journal-title":"International Journal of Behavioral Nutrition and Physical Activity"},{"key":"2023071912524142000_CIT0019","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1080\/17437199.2018.1435299","article-title":"How can interventions increase motivation for physical activity? A systematic review and meta-analysis","volume":"1","author":"Knittle","year":"2018","journal-title":"Health Psychology Review"},{"key":"2023071912524142000_CIT0020","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1080\/08870446.2017.1293057","article-title":"N-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change","volume":"3","author":"Kwasnicka","year":"2017","journal-title":"Psychology and Health"},{"key":"2023071912524142000_CIT0021","doi-asserted-by":"crossref","first-page":"101570","DOI":"10.1016\/j.psychsport.2019.101570","article-title":"N-of-1 methods: a practical guide to exploring trajectories of behaviour change and designing precision behaviour change interventions","volume":"4","author":"Kwasnicka","year":"2020","journal-title":"Psychology of Sport and Exercise"},{"key":"2023071912524142000_CIT0022","first-page":"103239","article-title":"Physical activity for women with breast cancer after adjuvant therapy","volume":"10","author":"Lahart","year":"2018","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"2023071912524142000_CIT0023","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1037\/hea0000300","article-title":"A dual-process model of older adults\u2019 sedentary behavior","volume":"3","author":"Maher","year":"2016","journal-title":"Health Psychology"},{"key":"2023071912524142000_CIT0024","first-page":"1","article-title":"Validation of self-quantification Xiaomi band in a clinical sleep unit","volume":"2","author":"Mart\u00ednez-Mart\u00ednez","year":"2020","journal-title":"Proceedings"},{"key":"2023071912524142000_CIT0025","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1037\/a0016136","article-title":"Effective techniques in healthy eating and physical activity interventions: a meta-regression Susan","volume":"2","author":"Michie","year":"2009","journal-title":"Health Psychology"},{"key":"2023071912524142000_CIT0026","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s12160-013-9486-6","article-title":"The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions","volume":"4","author":"Michie","year":"2013","journal-title":"Annals of Behavioral Medicine"},{"key":"2023071912524142000_CIT0027","volume-title":"Mplus User\u2019s Guide","author":"Muth\u00e9n","year":"2017","edition":"8th edition"},{"key":"2023071912524142000_CIT0028","doi-asserted-by":"crossref","first-page":"e219","DOI":"10.1016\/S2468-2667(21)00302-9","article-title":"Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts","author":"Paluch","year":"2022","journal-title":"The Lancet Public Health"},{"key":"2023071912524142000_CIT0029","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1037\/a0035290","article-title":"Physical activity among adults with obesity: testing the health action process approach","volume":"5","author":"Parschau","year":"2014","journal-title":"Rehabilitation Psychology"},{"key":"2023071912524142000_CIT0030","doi-asserted-by":"crossref","first-page":"2391","DOI":"10.1249\/MSS.0000000000002117","article-title":"American College of Sports Medicine roundtable report on physical activity, sedentary behavior, and cancer prevention and control","volume":"5","author":"Patel","year":"2019","journal-title":"Medicine and Science in Sports and Exercise"},{"key":"2023071912524142000_CIT0031","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1002\/pon.3866","article-title":"The health action process approach applied to African American breast cancer survivors","volume":"2","author":"Paxton","year":"2016","journal-title":"Psycho-Oncology"},{"key":"2023071912524142000_CIT0032","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.gaitpost.2021.04.015","article-title":"Accuracy of Xiaomi Mi Band 2.0, 3.0 and 4.0 to measure step count and distance for physical activity and healthcare in adults over 65 years","volume":"8","author":"Pino-Ortega","year":"2021","journal-title":"Gait and Posture"},{"key":"2023071912524142000_CIT0033","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1037\/a0032853","article-title":"Does theory influence the effectiveness of health behavior interventions? Meta-analysis","volume":"3","author":"Prestwich","year":"2014","journal-title":"Health Psychology"},{"key":"2023071912524142000_CIT0034","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1007\/s10865-009-9209-4","article-title":"Effect of a brief, regular telephone intervention by paraprofessionals for type 2 diabetes","volume":"3","author":"Sacco","year":"2009","journal-title":"Journal of Behavioral Medicine"},{"key":"2023071912524142000_CIT0035","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1037\/a0016088","article-title":"Predicting behavioral intentions and physical exercise: a test of the health action process approach at the intrapersonal level","volume":"2","author":"Scholz","year":"2009","journal-title":"Health Psychology"},{"key":"2023071912524142000_CIT0036","first-page":"1","article-title":"Modeling health behavior change: how to predict and modify the adoption and maintenance of health behaviors","volume":"5","author":"Schwarzer","year":"2008","journal-title":"Applied Psychology"},{"key":"2023071912524142000_CIT0037","article-title":"Health action process approach","volume-title":"Predicting and Changing Health Behaviour\u2014Research and Practice with Social Cognition Models","author":"Schwarzer","year":"2015","edition":"3rd edition"},{"key":"2023071912524142000_CIT0038","doi-asserted-by":"crossref","first-page":"v8","DOI":"10.1093\/annonc\/mdv298","article-title":"Primary breast cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up","volume":"2","author":"Senkus","year":"2015","journal-title":"Annals of Oncology"},{"key":"2023071912524142000_CIT0039","first-page":"1","article-title":"The practice of physical activity after breast cancer treatments: a qualitative study among Portuguese women","volume":"1","author":"Sequeira","year":"2022","journal-title":"Frontiers in Psychology"},{"key":"2023071912524142000_CIT0040","doi-asserted-by":"crossref","DOI":"10.1007\/s12529-022-10140-3","article-title":"Predicting physical activity in survivors of breast cancer: the health action process approach at the intrapersonal level","author":"Sequeira","year":"2022","journal-title":"International Journal of Behavioral Medicine"},{"key":"2023071912524142000_CIT0041","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1093\/abm\/kax026","article-title":"N-of-1 randomized intervention trials in health psychology: a systematic review and methodology critique","volume":"5","author":"Shaffer","year":"2018","journal-title":"Annals of Behavioral Medicine"},{"key":"2023071912524142000_CIT0043","first-page":"149","article-title":"A systematic review of rehabilitation and exercise recommendations in oncology guidelines","volume":"7","author":"Stout","year":"2021","journal-title":"CA: A Cancer Journal For Clinicians"},{"key":"2023071912524142000_CIT0044","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1080\/17437199.2017.1343680","article-title":"Dynamic modelling of N-of-1 data: powerful and flexible data analytics applied to individualised studies","volume":"1","author":"Vieira","year":"2017","journal-title":"Health Psychology Review"},{"key":"2023071912524142000_CIT0045","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1037\/hea0000728","article-title":"A meta-analysis of the health action process approach","volume":"3","author":"Zhang","year":"2019","journal-title":"Health Psychology"},{"key":"2023071912524142000_CIT0046","doi-asserted-by":"crossref","DOI":"10.35566\/power","volume-title":"Practical Statistical Power Analysis Using Webpower and R","author":"Zhang","year":"2018"}],"container-title":["Health Promotion International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/heapro\/article-pdf\/38\/4\/daad075\/50911101\/daad075.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/heapro\/article-pdf\/38\/4\/daad075\/50911101\/daad075.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T12:53:55Z","timestamp":1689771235000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/heapro\/article\/doi\/10.1093\/heapro\/daad075\/7226380"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,19]]},"references-count":45,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,8,1]]}},"URL":"https:\/\/doi.org\/10.1093\/heapro\/daad075","relation":{},"ISSN":["0957-4824","1460-2245"],"issn-type":[{"value":"0957-4824","type":"print"},{"value":"1460-2245","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,8,1]]},"published":{"date-parts":[[2023,7,19]]},"article-number":"daad075"}}