DEVELOPMENT, FEASIBILITY, AND ACCEPTABILITY OF A BEHAVIORAL WEIGHT AND SYMPTOM MANAGEMENT INTERVENTION FOR BREAST CANCER SURVIVORS AND INTIMATE PARTNERS.
DEVELOPMENT, FEASIBILITY, AND ACCEPTABILITY OF A BEHAVIORAL WEIGHT AND SYMPTOM MANAGEMENT INTERVENTION FOR BREAST CANCER SURVIVORS AND INTIMATE PARTNERS.
复制标题
DOI：
10.48252/jcr57
复制
发表时间：
2022
影响因子：
--
通讯作者：
Keefe FJ
中科院分区：
文献类型：
--
作者：
Dorfman CS;Somers TJ;Shelby RA;Winger JG;Patel ML;Kimmick G;Craighead L;Keefe FJ
体重增加在乳腺癌幸存者中很常见，并与疾病进展、复发和死亡率相关。传统的行为程序无法解决症状（即，疼痛、疲劳、痛苦），这可能会干扰减肥，并未能利用夫妇体重相关健康行为的一致性。本研究的目的是开发和检查的可行性和可接受性的行为体重和症状管理干预乳腺癌幸存者和他们的亲密伴侣。对N = 14对超重/肥胖夫妇进行了访谈，以制定干预措施。干预的可行性和可接受性进行了检查，通过单臂试点试验（N = 12对夫妇）。研究了幸存者和伴侣的干预目标变化模式。来自访谈的主题被用来开发12个会话的夫妇为基础的干预，其中包括传统的行为体重管理干预，食欲意识培训，认知和行为症状管理协议的组成部分。夫妇们还共同努力设定目标，制定健康行为改变计划，并调整减肥的系统和关系障碍。这些例子是根据乳腺癌幸存者和伴侣的经验和症状管理需求量身定制的。干预措施证明了可行性（损耗：8%;会话完成率：88%）和可接受性（满意度）。幸存者和伴侣经历了体重减轻和身体活动，饮食行为，情绪困扰和自我效能的改善。幸存者的疲劳和疼痛有所改善。乳腺癌幸存者和伴侣的行为体重和症状管理干预是可行的，可接受的，并且可能有效。
Weight gain is common for breast cancer survivors and associated with disease progression, recurrence, and mortality. Traditional behavioral programs fail to address symptoms (i.e., pain, fatigue, distress) experienced by breast cancer survivors that may interfere with weight loss and fail to capitalize on the concordance in weight-related health behaviors of couples. This study aimed to develop and examine the feasibility and acceptability of a behavioral weight and symptom management intervention for breast cancer survivors and their intimate partners. Interviews were conducted with N=14 couples with overweight/obesity to develop the intervention. Intervention feasibility and acceptability were examined through a single-arm pilot trial (N=12 couples). Patterns of change in intervention targets were examined for survivors and partners. Themes derived from interviews were used to develop the 12-session couple-based intervention, which included components from traditional behavioral weight management interventions, appetite awareness training, and cognitive and behavioral symptom management protocols. Couples also worked together to set goals, create plans for health behavior change, and adjust systemic and relationship barriers to weight loss. Examples were tailored to the experiences and symptom management needs of breast cancer survivors and partners. The intervention demonstrated feasibility (attrition: 8%; session completion: 88%) and acceptability (satisfaction). Survivors and partners experienced reductions in weight and improvements in physical activity, eating behaviors, emotional distress, and self-efficacy. Survivors evidenced improvements in fatigue and pain. A behavioral weight and symptom management intervention for breast cancer survivors and partners is feasible, acceptable, and is potentially efficacious.