SurvivorCHESS to increase physical activity in colon cancer survivors: can we get them moving?

SurvivorCHESS to increase physical activity in colon cancer survivors: can we get them moving?
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DOI:
10.1007/s11764-017-0647-7
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发表时间:
2018-03
期刊:
Journal of cancer survivorship : research and practice
影响因子:
--
通讯作者:
Gustafson DH
Gustafson DH
中科院分区:
其他
文献类型:
--
作者:
Mayer DK;Landucci G;Awoyinka L;Atwood AK;Carmack CL;Demark-Wahnefried W;McTavish F;Gustafson DH

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确定SurvivorCHESS(一种电子健康干预)对结肠癌幸存者身体活动的影响,并探讨SurvivorCHESS对生活质量和痛苦的影响。这是一项双臂单盲多地点随机对照试验,比较对照组和干预组接受智能手机和SurvivorChess程序。与对照组(n=140)相比,使用SurvivorCHESS的参与者(n=144)在6个月时从15.5分钟增加到40.3分钟(p= 0.083),但在研究结束后没有持续3个月。各组之间在生活质量或困扰项目上没有明显差异。身体症状的报告比其他类别的痛苦项目更多。那些身体质量指数较高且有合并症的患者不太可能增加他们的身体活动。自我决定理论包括自主动机和相关性与结果无关。随着时间的推移,两组的身体活动都有所增加,与对照组相比,使用电子健康干预(SurvivorCHESS)的人的身体活动没有显著差异。SurvivorCHESS的使用量与身体活动无关。增加结肠癌幸存者的体育活动有可能改善生活质量并减少复发。使用智能手机跟踪设备可能有助于改变这种健康行为。试验注册号:[NCT01133132]
To determine the impact of SurvivorCHESS, an eHealth intervention, on physical activity in colon cancer survivors and to explore the impact of SurvivorChess on quality of life and distress. This was a 2-arm single-blinded multi-site randomized controlled trial comparing a control group to an intervention group receiving a smart phone with the SurvivorChess program. Participants using SurvivorCHESS (n=144) increased their moderate to vigorous physical activities from 19.4 minutes at baseline to 50 minutes compared to the control group (n=140) increasing from 15.5 to 40.3 minutes at six months (p=.083) but was not sustained three months after the study ended. No significant differences were found between groups over time for quality of life or distress items. Reports of physical symptoms were greater than other categories for distress items. Patients who had a higher body mass index and number of comorbid conditions were less likely to increase their physical activity. Self-determination theory including autonomous motivation and relatedness were not associated with the outcomes. Physical activity did increase over time in both groups and was not significantly different with the use of the eHealth intervention, SurvivorCHESS, compared to the control group. Amount of SurvivorCHESS use was not associated with physical activity. Increasing physical activity in colon cancer survivors has the potential to improve quality of life and reduce recurrences. Using smart phone tracking devices may be useful in helping to change this health behavior. Trial registration number: [NCT01133132]
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