City of Hope Medical Center
This clinical trial evaluates whether a prehabilitation program is feasible for breast cancer patients receiving neoadjuvant systemic treatment before surgery. Many people with breast cancer have problems during and after treatment. These issues can make daily activities harder and make it harder for a person to enjoy daily life. Some people with breast cancer already have other health problems, like joint pain or nerve problems, which can make these symptoms worse. Research shows that being stronger and more active before and during treatment may help people do better during cancer care and recover more easily. However, many patients do not get this type of support early enough. Prehabilitation is a program that helps patients get ready for cancer treatment and surgery. It may include help with medical care, exercise, food and nutrition, and mental health. The goal is to help patients stay as strong and healthy as possible before surgery. Starting prehabilitation during neoadjuvant systemic treatment before surgery may help breast cancer patients feel better, stay stronger and recover more easily during treatment.
PRIMARY OBJECTIVES: I. Determine feasibility based on exercise as evaluated by adherence (\> 70%). II. Assess feasibility of nutrition and mind/spirit practice by measuring adherence (\> 70% of enrolled patients for the preoperative study period). SECONDARY OBJECTIVES: I. Evaluate physical measures: six minute walk test, Duke Activity Status Index, 30-second sit to stand, Patient Reported Outcomes Measurement Information System (PROMIS) Cancer Function Brief 3 Dimensional (3D) Profile, body composition, and Quick Disabilities of Arm, Shoulder, and Hand (QuickDASH). II. Assess exercise beha…
Inclusion Criteria: * PATIENT INCLUSION: * Documented informed consent of the participant and/or legally authorized representative * Willingness to comply with a physiatry consultation, start a tailored training program, and follow-up assessments * Age: \>= 18 years * Able to read and write in English * A diagnosis of breast cancer planned for curative intent neoadjuvant systemic treatment (NST) with a goal of breast cancer surgery * Plan to start NST at City of Hope Orange County * HEALTHCARE TEAM INCLUSION: * Willingness to complete the Healthcare Team Feedback Survey * \> 18 years old * Ph…
Participate in aerobic exercise
Ancillary studies
Attend physiatry consultation
Receive prehabilitation education
Ancillary studies
Receive nutritional guidance
Ancillary studies
Receive psychospiritual care
Ancillary studies
Receive referral(s)
Participate in resistance exercise
Receive psychospiritual care
Receive tailored prescriptions and recommendations