A Dyadic Exercise Intervention to Reduce Psychological Distress Among Lesbian, Gay, and XXXX .

@entity308 @entity5 @entity458 @entity487 @entity7047 @entity489
PURPOSE: Studies have found disparities in @entity458 between lesbian and gay @entity5 survivors and their heterosexual counterparts. Exercise and partner support are shown to reduce distress. However, exercise interventions haven't been delivered to lesbian and gay survivors with support by caregivers included. METHODS: In this pilot randomized controlled trial (RCT), ten lesbian and gay and twelve heterosexual survivors and their caregivers were randomized as dyads to: @entity487 , a survivor-only, 6-week, home-based, aerobic and resistance training program (EXCAP(    )); or @entity489 , a dyadic version of the same exercise program involving both the survivor and caregiver. Psychological distress, partner support, and exercise adherence, were measured at baseline and post-intervention (6 weeks later). We used t-tests to examine group differences between lesbian/gay and heterosexual survivors and between those randomized to survivor-only or @entity7047 . RESULTS: Twenty of the twenty-two recruited survivors were retained post-intervention. At baseline, lesbian and gay survivors reported significantly higher @entity308 (P   =   .03) and fewer average steps walked (P   =   .01) than heterosexual survivors. Post-intervention, these disparities were reduced and we detected no significant differences between lesbian/gay and heterosexual survivors. Participation in @entity7047 resulted in a significantly greater reduction in @entity308 than participation in survivor-only exercise for all survivors (P   =   .03). No statistically significant differences emerged when looking across arm (survivor-only vs. dyadic) by subgroup (lesbian/gay vs. heterosexual). CONCLUSION: Exercise may be efficacious in ameliorating disparities in @entity458 among lesbian and gay @entity5 survivors, and @entity7047 may be efficacious for survivors of diverse sexual orientations. Larger trials are needed to replicate these findings.
