Feasibility and acceptability of "healthy directions" a lifestyle intervention for adults with lung cancer.
Feasibility and acceptability of "healthy directions" a lifestyle intervention for adults with lung cancer.
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DOI：
10.1002/pon.4443
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发表时间：
2018-01
期刊：
影响因子：
3.6
通讯作者：
Cooley ME
中科院分区：
文献类型：
--
作者：
Blok AC;Blonquist TM;Nayak MM;Somayaji D;Crouter SE;Hayman LL;Colson YL;Bueno R;Emmons KM;Cooley ME
这项针对肺癌成年患者的适应性生活方式干预可行性研究的目的是：1）确定五次护士-患者接触的入组率、流失率和完成率，2）检查更有可能入组该计划的患者的人口统计学特征，3）确定干预的可接受性，以及4）确定患者对补充教育干预材料格式的偏好。本研究采用单组、前后试验设计。可行性定义为入组率≥ 20%，5次护患接触的完成率为70%。可接受性被定义为80%的患者向其他人推荐该计划。通过电子数据库和电话访谈收集数据。采用描述性统计、Fisher精确检验和Wilcoxon秩和检验进行分析。在147例合格患者中，42例（28.6%）入组，其中32例（76.2%）开始干预，27例（N=27/32; 84.4%; 95% CI：67.2-94.7%）完成干预。年龄较小的患者更有可能入组研究（p = 0.04），而性别差异无显著性（p=0.35）。24名参与者中有23名（95.8%）在测试后的联系人建议其他人进行干预。几乎相同数量的参与者选择了网站（n=16，50%）与印刷品（n=14，44%）。肺癌患者的干预是可行的和可接受的。招募率更高，完成率与之前针对其他类型癌症患者的家庭生活方式干预措施相似。加强招募老年人的策略对未来的研究很重要。
The aims of this feasibility study of an adapted lifestyle intervention for adults with lung cancer were to: 1) determine rates of enrollment, attrition and completion of five nurse-patient contacts, 2) examine demographic characteristics of those more likely to enroll into the program, 3) determine acceptability of the intervention, and 4) identify patient preferences for the format of supplemental educational intervention materials. This study used a single arm, pre-and post-test design. Feasibility was defined as ≥ 20% enrollment and a completion rate of 70% for five nurse-patient contact sessions. Acceptability was defined as 80% of patients recommending the program to others. Data was collected through electronic data-bases and phone interviews. Descriptive statistics, Fisher’s exact test and Wilcoxon rank sum test were used for analyses. Of 147 eligible patients, 42 (28.6%) enrolled and of these, 32 (76.2%) started the intervention and 27 (N=27/32; 84.4%; 95% CI: 67.2–94.7%) completed the intervention. Patients who were younger were more likely to enroll in the study (p = 0.04) whereas there were no significant differences by gender (p=0.35). Twenty-three of the 24 (95.8%) participants’ contacted post-test recommended the intervention for others. Nearly equal numbers of participants chose the website, (n=16, 50%) vs. print (n=14, 44%). The intervention was feasible and acceptable in patients with lung cancer. Recruitment rates were higher and completion rates were similar as compared to previous home-based lifestyle interventions for patients with other types of cancer. Strategies to enhance recruitment of older adults are important for future research.
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影响因子：
2.6
作者：
Cooley ME;Finn KT;Wang Q;Roper K;Morones S;Shi L;Litrownik D;Marcoux JP;Zaner K;Hayman LL
通讯作者：
Hayman LL
影响因子：
2.3
作者：
Emmons, KM;Stoddard, AM;Fletcher, R
通讯作者：
Fletcher, R
影响因子：
6.2
作者：
Du, W;Gadgeel, SM;Simon, MS
通讯作者：
Simon, MS
影响因子：
12.7
作者：
Emmons, KM;Stoddard, AM;Bigby, JA
通讯作者：
Bigby, JA
DOI：
10.1016/j.jtcvs.2012.03.039
发表时间：
2012-09-01
影响因子：
6
作者：
Heon, Stephanie;Johnson, Bruce E.
通讯作者：
Johnson, Bruce E.