Feasibility of an Adapted Community-Based Lifestyle Intervention to Prevent Cancer in the Rural South: Healthy Living Partnerships to Prevent Cancer (HELP PC).
Feasibility of an Adapted Community-Based Lifestyle Intervention to Prevent Cancer in the Rural South: Healthy Living Partnerships to Prevent Cancer (HELP PC).
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南方农村地区采用基于社区的生活方式干预措施预防癌症的可行性：预防癌症的健康生活伙伴关系 (HELP PC)。
DOI：
10.1007/s13187-022-02137-z
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Vitolins,Mara
中科院分区：
文献类型：
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作者：
WiseThomas,Sherrie;BlackwellYoung,Caroline;Zoellner,Jamie;Brock,Donna-JeanP;Isom,Scott;Vitolins,Mara
肥胖增加了癌症发病的风险并导致癌症死亡。健康生活伙伴关系预防癌症（HELP PC）是一种适应性的强化生活方式干预，由社区卫生工作者（CHW）提供便利。这项单臂试点研究的主要目的是通过评估参与者的招募、保留和对干预措施的依从性来测试在农村社区评估HELP PC的可行性。本研究的次要目的是评估收集研究措施的可行性，并分析干预效果，为未来的研究提供信息。招募了居住在南弗吉尼亚州丹河地区的所有种族和BMI ≥ 25 kg/m2的成年人。参与者每周接受24次（一小时）由CHW领导的小组会议，并与注册营养师（RDN）进行两次咨询。75%（21/28）的合格受试者入组（n= 21;平均年龄= 46岁; 67%为非洲裔美国人; 90%为女性;中位BMI = 36.1），招募在2周内完成。52%（11/21）的参与者参加了>70%的小组会议（依从性），参加了98%的RDN协商。86%（n=18）的参与者完成了6个月的随访（保留），并显示出适度的身体活动，健康素养，一般健康，能量和情绪健康的改善。HELP PC的可行性是通过有效的参与者招募、适度的出勤率、高保留率和数据收集程序的执行来确定的。重要的是，研究结果可用于推进农村社区的癌症预防生活方式干预。
Obesity increases risk of cancer onset and promulgates cancer mortality. Healthy Living Partnerships to Prevent Cancer (HELP PC) is an adapted intensive lifestyle intervention that is facilitated by community health workers (CHWs). The primary objective of this one-arm pilot study was to test the feasibility of evaluating HELP PC in a rural community by assessing participant recruitment, retention, and adherence to the intervention. The secondary objectives of this study were to evaluate the feasibility of collecting study measures and analyze intervention effects to inform future studies. Adults of all races and a BMI ≥ 25 kg/m2who resided in the Dan River Region of Southern Virginia were recruited. Participants received 24 weekly (hour-long) group sessions led by a CHW and two consultations with a registered dietitian (RDN). Seventy-five percent (21/28) of eligible subjects were enrolled (n= 21; mean age = 46 years; 67% African American; 90% female; median BMI = 36.1), and recruitment was completed in 2 weeks. Fifty-two percent (11/21) of participants attended >70% of group sessions (adherence) and 98% of RDN consultations were attended. Eighty-six percent (n=18) of participants completed the 6-month follow-up visit (retention), and showed improvements in moderate physical activity, health literacy, general health, energy, and emotional well-being. Feasibility of HELP PC was established through efficient participant recruitment, modest attendance, high retention, and execution of data collection procedures. Importantly, findings can be applied to advance cancer prevention lifestyle interventions in rural communities.