Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar 21:15:397-410.
doi: 10.2147/IJWH.S386405. eCollection 2023.

Predictive Model of Functional Exercise Compliance of Patients with Breast Cancer Based on Decision Tree

Zebing Luo #  1   2 , Baolin Luo #  3 , Peiru Wang  4 , Jinhua Wu  5 , Chujun Chen  6 , Zhijun Guo  1 , Yiru Wang  1
Affiliations

Predictive Model of Functional Exercise Compliance of Patients with Breast Cancer Based on Decision Tree

Zebing Luo et al. Int J Womens Health. .

Abstract

Objective: Regular functional exercise can help recover the functions of upper limb for patients with breast cancer. By finding the influencing factors of functional exercise compliance and constructing a predictive model, patients with a poor functional exercise compliance can be better identified. This study aims to find out the factors influencing the functional exercise compliance of patients with breast cancer and build a predictive model based on decision tree.

Methods: Convenience sampling was used at two tertiary hospitals in Shantou from August 2020 to March 2021. Data of patients with breast cancer patient was obtained from questionnaires and based on demographics, Constant-Murley Score, Functional Exercise Compliance Scale for Postoperative Breast Cancer Patients, Champion Health Belief Model Scale, Social Support Rating Scale, Disease Perception Questionnaire and Family Care Index Questionnaire. Possible influencing factors of functional exercise compliance were analyzed using correlation analysis as well as univariate and binary logistic regression analysis through SPSS v25, and a CHAID decision tree was used to construct a predictive model on training, validation and test sets via SPSS Modeler v18 at a ratio of 6:2:2. Prediction accuracy, sensitivity, specificity and AUC were used to analyze the efficacy of the predictive model.

Results: A total of 227 valid samples were collected, of which 145 were assessed with a poor compliance (63.9%). According to a logistic regression analysis, perceived benefits, time after surgery and self-efficacy were influencing factors. The prediction accuracy, sensitivity, specificity and AUC of the predictive model, based on a CHAID decision tree analysis, were 70.73%, 57.1%, 77.8% and 0.81 respectively.

Conclusion: The predictive model, based on a CHAID decision tree analysis, had a moderate predictive efficacy, which could be used as a clinical auxiliary tool for clinical nurses to predict patients' functional exercise compliance.

Keywords: breast cancer; decision tree; functional exercise; predictive model.

PubMed Disclaimer

Conflict of interest statement

Yiru Wang has received research funding that is not related to the content of the present manuscript. The other authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
The CHAID decision tree of functional exercise compliance.
Figure 2
Figure 2
ROC curves for the training set, test set and validation set.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Jansen L, Holleczek B, Kraywinkel K, et al. Divergent patterns and trends in breast cancer incidence, mortality and survival among older women in Germany and the United States. Cancer. 2020;12: 2419. doi:10.3390/cancers12092419. - DOI - PMC - PubMed
    1. Zhou K, Wang W, An J, Li M, Li J, Li X. Effects of progressive upper limb exercises and muscle relaxation training on upper limb function and health-related quality of life following surgery in women with breast cancer: a clinical randomized controlled trial. Ann Surg Oncol. 2019;26(7):2156–2165. doi:10.1245/s10434-019-07305-y - DOI - PubMed
    1. Xin YH, Hu CY, Xiao CR, Liu Y, Sun HP. Application of staged rehabilitation video exercise in functional exercise after breast cancer surgery. Chin J Rehabil Med. 2018;33(4):469–471.
    1. Zhang HT, Li Y, Chen R, Zhang LJ, Qin HY. Longitudinal study of limb functional exercise compliance after breast cancer surgery. Chin J Pract Nurs. 2020;36(20):1554–1559.
    1. Chang L, Zhang S, Yan Z, Li C, Zhang Q, Li Y. Symptom burden, family resilience, and functional exercise adherence among postoperative breast cancer patients. Asia Pac J Oncol Nurs. 2022;9(11):100129. doi:10.1016/j.apjon.2022.100129 - DOI - PMC - PubMed