An eHealth Intervention to Increase Physical Activity and Healthy Eating in Older Adult Cancer Survivors: Summative Evaluation Results
| Autor: | Mary S. McCabe, Elyse Shuk, Paul Krebs, Katie Williams, Michelle Iocolano, Jonathan Shtaynberger, Jamie S. Ostroff |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Cancer Research
medicine.medical_specialty Alternative medicine prostatic neoplasms food and nutrition 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Intervention (counseling) breast neoplasms medicine eHealth 030212 general & internal medicine Original Paper business.industry survivors Cancer medicine.disease 3. Good health Oncology Summative assessment 030220 oncology & carcinogenesis Physical therapy Brief intervention diet business Social cognitive theory |
| Zdroj: | JMIR cancer |
| ISSN: | 2369-1999 |
| DOI: | 10.2196/cancer.6435 |
| Popis: | Background: A healthy lifestyle is associated with improved quality of life among cancer survivors, yet adherence to health behavior recommendations is low. Objective: This pilot trial developed and tested the feasibility of a tailored eHealth program to increase fruit and vegetable consumption and physical activity among older, long-term cancer survivors. Methods: American Cancer Society (ACS) guidelines for cancer survivors were translated into an interactive, tailored health behavior program on the basis of Social Cognitive Theory. Patients (N=86) with a history of breast (n=83) or prostate cancer (n=3) and less than 5 years from active treatment were randomized 1:1 to receive either provider advice, brief counseling, and the eHealth program (intervention) or advice and counseling alone (control). Primary outcomes were self-reported fruit and vegetable intake and physical activity. Results: About half (52.7%, 86/163) of the eligible patients consented to participate. The most common refusal reasons were lack of perceived time for the study (32/163) and lack of interest in changing health behaviors (29/163). Furthermore, 72% (23/32) of the intervention group reported using the program and most would recommend it to others (56%, 14/25). Qualitative results indicated that the intervention was highly acceptable for survivors. For behavioral outcomes, the intervention group reported increased fruit and vegetable consumption. Self-reported physical activity declined in both groups. Conclusions: The brief intervention showed promising results for increasing fruit and vegetable intake. Results and participant feedback suggest that providing the intervention in a mobile format with greater frequency of contact and more indepth information would strengthen treatment effects. [JMIR Cancer 2017;3(1):e4] |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|