{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:00:17Z","timestamp":1791558017686,"version":"4.3.4"},"reference-count":85,"publisher":"Public Library of Science (PLoS)","issue":"1","license":[{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ateneum of Urbino","award":["DR. n. 226\/2021 19\/05\/2021"],"award-info":[{"award-number":["DR. n. 226\/2021 19\/05\/2021"]}]},{"name":"Postdoctoral Fellowship","award":["DR n. 38\/2019 27\/02\/2019"],"award-info":[{"award-number":["DR n. 38\/2019 27\/02\/2019"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Introduction<\/jats:title>\n<jats:p>The COVID-19 pandemic induced an extraordinary impact on public mental health to a degree not completely understood, especially in vulnerable populations such as breast cancer (BC) survivors. In this study, we described the short- (after 3-month) and long- (after 12-month) term effects of a multidisciplinary home-based lifestyle intervention in Italian women BC survivors during the first year of COVID-19 pandemic.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Materials and methods<\/jats:title>\n<jats:p>In total, 30 Italian BC survivors with risk factors for recurrence took part in the ongoing MoviS trial (protocol: NCT 04818359). Between January 2020 and January 2021, a 3-month lifestyle intervention based on psychological counseling, nutrition, and exercise was carried out. Participants were asked to fill out psychological questionnaires for the assessment of quality of life (QoL) indicators (European Organization for Research and Treatment of Cancer QoL, EORTC-QLQ-C30) and psychological health measures such as fatigue (Brief Fatigue Inventory, BFI), distress (Distress Thermometer, DT and Psychological Distress Inventory, PDI), cancer-related fatigue (Verbal Rating Scale, VRS), and mood states (Profile of Mood States Questionnaire, POMS). IBM SPSS Statistical Software version 27.0 and R Project for Statistical Computing version 4.2.1 were used to process data. All participants were assessed at four time points: T0 (baseline), T1 (3-month), and follow-up at T2 and T3 (6- and 12-month, respectively) to measure primary (quality of life indicators) and secondary (psychological health) outcomes. Friedman non parametric test and Wilcoxon signed rank test (with Bonferroni correction) were conducted to investigate the statistically significant differences in psychometric scores and between assessment times.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Compared to baseline (T0), at T1 most of the QoL indicators (i.e., symptoms of fatigue and general health) were improved (<jats:italic>p<\/jats:italic> &lt; 0.017) with the exception of a worsening in participants\u2019 social functioning ability. Also, perception of severity of fatigue, distress, cancer-related fatigue, depression, and anger enhanced. Compared to baseline (T0), at T3 we mainly observed a stable condition with T0-T1 pairwise comparison, however other secondary outcomes (i.e., fatigue mood state, confusion, and anxiety) significantly improved.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Discussion<\/jats:title>\n<jats:p>Our preliminary findings support the proposal of this lifestyle intervention for BC survivors. Despite the home-confinement due to the COVID-19 pandemic, the intervention surprisingly improved QoL indicators and psychological health of the participants.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0296163","type":"journal-article","created":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T19:28:15Z","timestamp":1704223695000},"page":"e0296163","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["Home-based lifestyle intervention for breast cancer survivors: A surprising improvement in the quality of life during the first year of COVID-19 pandemic"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3796-7202","authenticated-orcid":true,"given":"Denise","family":"Vagnini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0582-1575","authenticated-orcid":true,"given":"Valentina","family":"Natalucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3133-8210","authenticated-orcid":true,"given":"Sara","family":"Moi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana","family":"Vallorani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Pietrelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea Rocco","family":"Panico","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Ferri Marini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3134-4511","authenticated-orcid":true,"given":"Francesco","family":"Lucertini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giosu\u00e8","family":"Annibalini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Sisti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco Bruno Luigi","family":"Rocchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8380-7736","authenticated-orcid":true,"given":"Vincenzo","family":"Catalano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuela","family":"Saita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Emili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Barbieri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,1,2]]},"reference":[{"issue":"9","key":"pone.0296163.ref001","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1093\/infdis\/jiac136","article-title":"Global Prevalence of Post-Coronavirus Disease 2019 (COVID-19) 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Cohen","year":"1988","edition":"2"},{"issue":"21","key":"pone.0296163.ref051","first-page":"19","article-title":"The need to report effect size estimates revisited. An overview of some recommended measures of effect size","volume":"1","author":"TE Tomczak M","year":"2014","journal-title":"Trends in sport sciences"},{"key":"pone.0296163.ref052","volume-title":"SPSS survival manual: A Step by Step Guide to Data Analysis using SPSS for Windows.","author":"J. Pallant","year":"2007","edition":"3"},{"issue":"1","key":"pone.0296163.ref053","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/s10549-020-05522-8","article-title":"Symptom cluster of pain, fatigue, and psychological distress in breast cancer survivors: prevalence and characteristics","volume":"180","author":"E Bjerkeset","year":"2020","journal-title":"Breast Cancer Res Treat"},{"issue":"1","key":"pone.0296163.ref054","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.clbc.2020.07.011","article-title":"Cancer-related Fatigue in Breast Cancer Survivors: A Review.","volume":"21","author":"A Ruiz-Casado","year":"2021","journal-title":"Clin Breast Cancer"},{"issue":"2","key":"pone.0296163.ref055","doi-asserted-by":"crossref","first-page":"48","DOI":"10.7812\/TPP\/14-241","article-title":"Breast cancer survivorship: a comprehensive review of long-term medical issues and lifestyle recommendations","volume":"19","author":"BI Bodai","year":"2015","journal-title":"Perm J"},{"issue":"2","key":"pone.0296163.ref056","article-title":"Effects of Activity Tracker-Based Counselling and Live-Web Exercise on Breast Cancer Survivors during Italy COVID-19 Lockdown","volume":"6","author":"A Di Blasio","year":"2021","journal-title":"J Funct Morphol Kinesiol"},{"issue":"3","key":"pone.0296163.ref057","doi-asserted-by":"crossref","first-page":"1903","DOI":"10.1007\/s00520-021-06669-w","article-title":"Delivering exercise medicine to cancer survivors: has COVID-19 shifted the landscape for how and who can be reached with supervised group exercise?","volume":"30","author":"KM Winters-Stone","year":"2022","journal-title":"Support Care Cancer"},{"issue":"10","key":"pone.0296163.ref058","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.1093\/ptj\/pzaa141","article-title":"Exercising in Isolation? The Role of Telehealth in Exercise Oncology During the COVID-19 Pandemic and Beyond.","volume":"100","author":"KA Bland","year":"2020","journal-title":"Phys Ther"},{"issue":"1","key":"pone.0296163.ref059","doi-asserted-by":"crossref","first-page":"e25317","DOI":"10.2196\/25317","article-title":"Physical Activity, Mental Health, and Technology Preferences to Support Cancer Survivors During the COVID-19 Pandemic: Cross-sectional Study","volume":"7","author":"JM Faro","year":"2021","journal-title":"JMIR Cancer."},{"key":"pone.0296163.ref060","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.breast.2017.04.012","article-title":"The course of cancer related fatigue up to ten years in early breast cancer patients: What impact in clinical practice?.","volume":"34","author":"A Fabi","year":"2017","journal-title":"Breast (Edinburgh, 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