Time-site Differences In Cancer Survivors Ratings Of Distress Due To Covid-19 And Exercise Clinics Closure

PURPOSE: To determine differences and 6-month changes in Cancer survivor reported levels of distress relating to COVID-19 pandemic closure Exercise Rehabilitation Clinics at three sites: Pacific Island site (S 1, n = 50), Urban 2, 102) Rural (S3, 14). METHODS: Survivors (n 166; 89% female, 87% white, 46% Breast Cancer) who participated structured exercise prior the completed a modified NCCN Distress Thermometer March 2020 (T1) September (T2). Clinic Concern categories were added existing categories. Ratings, identification Problem Concerns, correlations determined. RESULTS: Sites S2 (4.38) S3 (4.77) met mean clinical (>4) while S1 did not (3.64). All ratings decreased slightly T1 (N 50) T2 115) with no significant or time differences. Emotional (46%) Closure (48%) most frequently identified Concerns. 2 X ANOVA Site (F 3.086 P .048, df 2) Time 7.521 .007, 1) Physical Post-Hoc Tukey HSD sites 1 vs 3. 6.987 .001, Concerns noted (2 3). 9.044 .003 1,) Post-hoc A trend Family 2.267, .107, post-Hoc 2. Multiple Significant Site, Distress. had time, Correlations 2-time correlations. Category occurred all sites, times other CONCLUSIONS: Overall (S3) survivors higher more concerns (avg 34%) (4.38; 26%) Islanders (22%) also lowest rating (3.64), warrants investigation. Multi-factorial Contributions Clinical was confirmed primary contributor. lack correlation suggests it contributes less than expected. However, Emotion-Exercise associations does contribute well-being.