Saint Pee Sur Nivelle

Researchers are evaluating the effectiveness of an integrative program called ADA, which combines physical activity, nutrition, and supportive care to improve the quality of life for women who have survived breast cancer. This pragmatic cluster randomized trial compares the ADA intervention to usual care and aims to provide evidence on how well such interventions work in real-life settings. The study particularly focuses on women who have completed most cancer treatments but may still be experiencing long-term effects affecting their physical and mental health. The ADA intervention consists of a 12-week program featuring one-hour adapted physical activity sessions combined with relaxation and deep breathing exercises. Participants receive short nutrition information sheets, attend workshops on mobility and nutrition, set personal motivational challenges, and receive follow-up calls for support and individualization. They also have access to an online space with helpful resources. The control group will receive usual care involving weekly adapted physical activity sessions based on current recommendations for cancer survivors. Participants will be involved for at least 12 months, with assessments at 3, 6, and 12 months after starting the intervention. Researchers will measure health-related quality of life as the primary outcome at 12 months, along with secondary outcomes including physical activity levels, fatigue, motivation, sedentary behavior, relationship to food, and self-efficacy. The study includes group activities, questionnaires, and motivational check-ins to monitor progress and adherence throughout the trial.