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
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