Embedding lifestyle interventions into cancer care: has telehealth narrowed the equity gap?
Embedding lifestyle interventions into cancer care: has telehealth narrowed the equity gap?
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DOI：
10.1093/jncimonographs/lgac028
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发表时间：
2023-05-04
期刊：
影响因子：
--
通讯作者：
Salerno, Elizabeth A.
中科院分区：
文献类型：
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作者：
Dennett, Amy M.;Hirko, Kelly A.;Salerno, Elizabeth A.
以能量平衡为目标的生活方式干预措施（即饮食、锻炼）对于优化癌症幸存者的健康和福祉至关重要。尽管有好处，但获得这些干预措施的机会有限，特别是在服务不足的人群中，包括老年人、少数民族人口以及生活在农村和偏远地区的人们。远程医疗有改善公平性和增加获取机会的潜力。本文概述了使用远程医疗支持将生活方式干预纳入癌症护理的优势和挑战。我们描述了两项最近的研究：GO-EXCAP 和 weSurvive，作为对服务不足的人群（老年人和农村癌症幸存者）进行远程医疗生活方式干预的例子，并为未来的实施提供实用建议。在癌症生存期间使用远程医疗提供的生活方式干预的创新方法为减轻癌症负担提供了巨大的潜力。
Lifestyle interventions targeting energy balance (ie, diet, exercise) are critical for optimizing the health and well-being of cancer survivors. Despite their benefits, access to these interventions is limited, especially in underserved populations, including older people, minority populations and those living in rural and remote areas. Telehealth has the potential to improve equity and increase access. This article outlines the advantages and challenges of using telehealth to support the integration of lifestyle interventions into cancer care. We describe 2 recent studies, GO-EXCAP and weSurvive, as examples of telehealth lifestyle intervention in underserved populations (older people and rural cancer survivors) and offer practical recommendations for future implementation. Innovative approaches to the use of telehealth-delivered lifestyle intervention during cancer survivorship offer great potential to reduce cancer burden.