Detailed methods of two home-based vegetable gardening intervention trials to improve diet, physical activity, and quality of life in two different populations of cancer survivors.
Detailed methods of two home-based vegetable gardening intervention trials to improve diet, physical activity, and quality of life in two different populations of cancer survivors.
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DOI：
10.1016/j.cct.2016.08.014
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发表时间：
2016-09
影响因子：
2.2
通讯作者：
Demark-Wahnefried W
中科院分区：
文献类型：
--
作者：
Cases MG;Frugé AD;De Los Santos JF;Locher JL;Cantor AB;Smith KP;Glover TA;Cohen HJ;Daniel M;Morrow CD;Moellering DR;Demark-Wahnefried W
癌症幸存者遭受长期不良影响，降低健康相关的生活质量（QOL）和身体功能，迫切需要开发有效，持久和可传播的干预措施。收获健康，一个以家庭为基础的蔬菜园艺干预，为这些领域带来了希望。本报告介绍了方法和招聘经验，从两个随机对照可行性试验，采用了等待名单控制的设计。与合作推广主园丁合作交付，这种干预提供了一对一的指导癌症幸存者在规划和维护三个季节性菜园超过12个月。主要目的是确定干预的可行性和可接受性;次要目的是探索对饮食、身体活动和功能以及QOL的客观和主观测量的影响，并检查与潜在影响相关的参与者因素。一项试验仅在居住在阿拉巴马州伯明翰大都市区（BBCS）的82名女性乳腺癌幸存者中进行;另一项试验在亚拉巴马的46名年龄≥60岁的老年癌症幸存者中进行（ASCS）。有效率分别为32.6%（BBCS）和52.3%（ASCS）。两项试验均超过了其累积目标的80%。不合格的主要原因是切除>10个淋巴结（水肿风险因素），缺乏医生批准，以及不愿意被随机分配到等待名单。迄今为止，“收获促进健康”的招募和实施似乎是可行的。虽然这两项研究都遇到了征聘方面的挑战，但所吸取的经验教训可以为今后更大规模的研究提供借鉴。蔬菜园艺干预措施对癌症幸存者有兴趣，并可能提供获得生活技能的机会，从而改善整体健康和生活质量。
Cancer survivors suffer from long-term adverse effects that reduce health-related quality of life (QOL) and physical functioning, creating an urgent need to develop effective, durable, and disseminable interventions. Harvest for Health, a home-based vegetable gardening intervention, holds promise for these domains. This report describes the methods and recruitment experiences from two randomized controlled feasibility trials that employ a waitlist-controlled design. Delivered in partnership with Cooperative Extension Master Gardeners, this intervention provides one-on-one mentorship of cancer survivors in planning and maintaining three seasonal vegetable gardens over 12 months. The primary aim is to determine intervention feasibility and acceptability; secondary aims are to explore effects on objective and subjective measures of diet, physical activity and function, and QOL and examine participant factors associated with potential effects. One trial is conducted exclusively among 82 female breast cancer survivors residing in the Birmingham, AL metropolitan area (BBCS); another broadly throughout Alabama among 46 older cancer survivors aged ≥60 (ASCS). Response rates were 32.6% (BBCS) and 52.3% (ASCS). Both trials exceeded 80% of their accrual target. Leading reasons for ineligibility were removal of >10 lymph nodes (lymphedema risk factor), lack of physician approval, and unwillingness to be randomized to the waitlist. To date, recruitment and implementation of Harvest for Health appears feasible. Although both studies encountered recruitment challenges, lessons learned can inform future larger-scale studies. Vegetable gardening interventions are of interest to cancer survivors and may provide opportunities to gain life skills leading to improvements in overall health and QOL.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
3.8
作者：
Demark-Wahnefried W;Nix JW;Hunter GR;Rais-Bahrami S;Desmond RA;Chacko B;Morrow CD;Azrad M;Frugé AD;Tsuruta Y;Ptacek T;Tully SA;Segal R;Grizzle WE
通讯作者：
Grizzle WE
DOI：
10.1073/pnas.1000080107
发表时间：
2011-03-15
影响因子：
11.1
作者：
Caporaso, J. Gregory;Lauber, Christian L.;Knight, Rob
通讯作者：
Knight, Rob
影响因子：
3.7
作者：
DeSantis, A. S.;DiezRoux, A. V.;Shea, S.
通讯作者：
Shea, S.
影响因子：
11.3
作者：
BUYSSE, DJ;REYNOLDS, CF;KUPFER, DJ
通讯作者：
KUPFER, DJ