Feasibility and Acceptability of a Web-Based Dietary Intervention with Text Messages for Colorectal Cancer: A Randomized Pilot Trial
Autor: | Christine Miaskowski, Yoshimi Fukuoka, Vivian N Liu, Louis X Wong, Chloe E. Atreya, Marissa B Savoie, Erin L. Van Blarigan, Jeffrey A. Meyerhardt, Angela Laffan, Alan Paciorek, Stacey A. Kenfield, Li Zhang, June M. Chan, Hilary Chan, Katherine Van Loon, Alan P. Venook, Andrea Grace Bocobo |
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Rok vydání: | 2019 |
Předmět: |
0301 basic medicine
Male Colorectal cancer Epidemiology Pilot Projects Medical and Health Sciences 0302 clinical medicine 7.1 Individual care needs Cancer Survivors Interquartile range Cancer education.field_of_study Cross-Over Studies Pilot trial Middle Aged Diet Records Colo-Rectal Cancer Treatment Outcome Oncology 030220 oncology & carcinogenesis Female Colorectal Neoplasms Internet-Based Intervention medicine.medical_specialty Population Clinical Trials and Supportive Activities MEDLINE Article 03 medical and health sciences Clinical Research Intervention (counseling) medicine Humans education Nutrition Text Messaging business.industry Prevention Anthropometry medicine.disease Circulating biomarkers 030104 developmental biology Good Health and Well Being Physical therapy Feasibility Studies Patient Compliance Management of diseases and conditions Patient Participation business Digestive Diseases |
Zdroj: | Cancer Epidemiol Biomarkers Prev Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, vol 29, iss 4 |
ISSN: | 1538-7755 |
Popis: | Background: Diet is associated with colorectal cancer survival. Yet, adherence to nutrition guidelines is low among colorectal cancer survivors. Methods: We conducted a pilot trial among colorectal cancer survivors to evaluate a 12-week remote dietary intervention. Participants received print materials and were randomized (1:1) to intervention (website, text messages) or wait-list control. Primary outcomes included feasibility and acceptability. We also explored change in diet from 0 to 12 and 24 weeks and change from 0 to 12 weeks in anthropometry and circulating biomarkers (Trial Registration: NCT02965521). Results: We randomized 50 colorectal cancer survivors (25 intervention, 25 control). Retention was 90% at 12 weeks and 84% at 24 weeks. Participants had a median age of 55 years and were 66% female, 70% non-Hispanic white, and 96% had a college degree. The intervention arm responded to a median 15 (71%) of 21 text messages that asked for a reply [interquartile range (IQR) = 8, 19] and visited the website a median of 13 (15%) days (IQR = 1, 33) of the 84 study days. Conclusions: We developed a Web-based dietary intervention for colorectal cancer survivors. Our pilot results suggest that colorectal cancer survivors may engage more with text messages than a study website. Research to improve tailoring of text messages, while maintaining scalability, is needed. Impact: Remote dietary interventions using text messages may be feasible for colorectal cancer survivors. See all articles in this CEBP Focus section, “Modernizing Population Science.” |
Databáze: | OpenAIRE |
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