{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:44:22Z","timestamp":1785545062701,"version":"3.56.0"},"reference-count":29,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Breast cancer remains the most prevalent cancer among women globally. Adjuvant therapies can cause adverse effects that compromise physical and mental health. Exercise may mitigate these effects; however, many breast cancer survivors remain insufficiently active.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This pilot study aimed to test the effectiveness of a 7-week theory-informed tele-exercise intervention for breast cancer survivors in Hong Kong.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We developed a 12-week theory-informed tele-exercise intervention for breast cancer survivors in Hong Kong; this pilot tested a 7-week abbreviated version. In this 2-group randomized controlled pilot trial, 34 individuals were assessed for eligibility, and 27 were randomized; 24 completed baseline and were included in the modified intention-to-treat analyses (12 per group). The intervention comprised a progressively supervised group-based tele-exercise intervention transitioning to unsupervised sessions, combined with psychological counseling. Outcomes were guided by the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework, with emphasis on feasibility, acceptability, and preliminary effects.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Recruitment was 79.4% (27\/34) and baseline-to-post retention was 100% (24\/24), with satisfactory attendance (87.7%) and compliance (85.3%) in the intervention group. Acceptability was high. Preliminary signals of improvement were observed in cardiorespiratory fitness (primary outcome), lower-extremity strength, balance, affected-side shoulder range of motion, and health-related quality of life.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This pilot supports the feasibility and acceptability of tele-exercise for breast cancer rehabilitation and provides preliminary evidence to justify a larger trial with longer follow-up to assess sustained effects and broader applicability.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/79564","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T15:50:06Z","timestamp":1777305006000},"page":"e79564-e79564","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of a Home-Based and Group-Based Tele-Exercise Program for Breast Cancer Survivors: Pilot Randomized Controlled Trial"],"prefix":"10.2196","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0439-4804","authenticated-orcid":false,"given":"Yang","family":"Gao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9945-2557","authenticated-orcid":false,"given":"Yan","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3840-3039","authenticated-orcid":false,"given":"Xueying","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3740-6148","authenticated-orcid":false,"given":"Oi Kwan","family":"Chun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6491-715X","authenticated-orcid":false,"given":"Brigitte Kim Yook","family":"Fung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2885-3369","authenticated-orcid":false,"given":"Wai Wun Sara","family":"Fung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"R1","unstructured":"Breast cancer. World Health Organization. Apr 16, 2026. URL: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/breast-cancer [Accessed 01-06-2026]"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011292.pub2","article-title":"Physical activity for women with breast cancer after adjuvant therapy","volume":"1","author":"Lahart","journal-title":"Cochrane Database Syst Rev"},{"key":"R3","unstructured":"Breast cancer. Centre for Health Protection. Jan 23, 2026. 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