CanPrevent: a telephone-delivered intervention to reduce multiple behavioural risk factors for colorectal cancer.
CanPrevent: a telephone-delivered intervention to reduce multiple behavioural risk factors for colorectal cancer.
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DOI：
10.1186/1471-2407-12-560
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发表时间：
2012-11-27
期刊：
影响因子：
3.8
通讯作者：
Aitken JF
中科院分区：
文献类型：
--
作者：
Hawkes AL;Patrao TA;Green A;Aitken JF
这项先导性研究旨在测试电话传递的多种健康行为改变干预措施对结直肠癌幸存者亲属的可接受性和短期有效性。通过媒体发布招募了22名结直肠癌幸存者的一级亲属的社区样本。在基线和6周(干预后)收集数据。结果测量包括健康行为(体育活动、看电视、饮食、饮酒、体重指数、腰围和吸烟)、与健康相关的生活质量(简表36)和感知的结直肠癌风险。还测量了干预满意度水平。干预措施包括六次电话健康辅导课程，一本参与者手册和一个计步器。它侧重于结直肠癌的行为风险因素[体力活动、饮食(食用红肉和加工肉、水果和蔬菜)、饮酒、体重控制和吸烟]以及结直肠癌风险。从基线到6周，观察到了中等强度体力活动(150.7分钟)、加工肉类摄入量(−1.2份/周)、蔬菜摄入量(1份/天)、酒精摄入量(−0.4标准饮品/天)、身体质量指数(−1.4公斤/平方米)和腰围(−5.1厘米)的改善。身体(3.3)和精神(4.4)与健康相关的生活质量也有改善。此外，与基线相比，参与者更有可能在干预后达到澳大利亚的建议：中等强度的体力活动(27.3比59.1%)；水果摄入量(68.2比81.8%)；蔬菜摄入量(4.6比18.2%)；饮酒(59.1比72.7%)；身体质量指数(31.8比45.5%)和腰围(18.2比27.3%)。在6周时，参与者更有可能相信结直肠癌的诊断与家族史有关，并且在参加CanPrevent后，他们感觉到的一生中患结直肠癌的风险降低了。干预保留率为100%，参与者报告说它是高度可接受的，他们会向其他有结直肠癌风险的人推荐。通过这种干预方法实现的积极行为改变有可能对结直肠癌和其他癌症或慢性病的进展产生影响。需要一项大规模的随机对照试验来确认这项可接受性和短期有效性研究的积极结果。ACTRN12612000516886
This pilot study aimed to test the acceptability and short-term effectiveness of a telephone-delivered multiple health behaviour change intervention for relatives of colorectal cancer survivors. A community-based sample of 22 first-degree relatives of colorectal cancer survivors were recruited via a media release. Data were collected at baseline and at six weeks (post-intervention). Outcome measures included health behaviours (physical activity, television viewing, diet, alcohol, body mass index, waist circumference and smoking), health-related quality of life (Short Form-36) and perceived colorectal cancer risk. Intervention satisfaction levels were also measured. The intervention included six telephone health coaching sessions, a participant handbook and a pedometer. It focused on behavioural risk factors for colorectal cancer [physical activity, diet (red and processed meat consumption, fruit and vegetable intake), alcohol, weight management and smoking], and colorectal cancer risk. From baseline to six weeks, improvements were observed for minutes moderate-vigorous physical activity (150.7 minutes), processed meat intake (−1.2 serves/week), vegetable intake (1 serve/day), alcohol intake (−0.4 standard drinks/day), body mass index (−1.4 kg/m2), and waist circumference (−5.1 cm). Improvements were also observed for physical (3.3) and mental (4.4) health-related quality of life. Further, compared with baseline, participants were more likely to meet Australian recommendations post-intervention for: moderate-vigorous physical activity (27.3 vs 59.1%); fruit intake (68.2 vs 81.8%); vegetable intake (4.6 vs 18.2%); alcohol consumption (59.1 vs 72.7%); body mass index (31.8 vs 45.5%) and waist circumference (18.2 vs 27.3%). At six weeks participants were more likely to believe a diagnosis of CRC was related to family history, and there was a decrease in their perceived risk of developing CRC in their lifetime following participation in CanPrevent. The intervention retention rate was 100%, participants reported that it was highly acceptable and they would recommend it to others at risk of colorectal cancer. Positive behaviour change achieved through this intervention approach has the potential to impact on the progression of CRC and other cancers or chronic diseases. A large scale randomised controlled trial is required to confirm the positive results of this acceptability and short-term effectiveness study. ACTRN12612000516886
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