A telephone-delivered lifestyle intervention for colorectal cancer survivors 'CanChange': a pilot study
A telephone-delivered lifestyle intervention for colorectal cancer survivors 'CanChange': a pilot study
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DOI：
10.1002/pon.1527
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发表时间：
2009-04-01
期刊：
影响因子：
3.6
通讯作者：
Chambers, Suzanne
中科院分区：
文献类型：
--
作者：
Hawkes, Anna L.;Gollschewski, Sara;Chambers, Suzanne
目的：调查的可行性和短期有效性的生活方式干预结直肠癌（CRC）survivors.Methods：CanChange的电话传递到20 CRC幸存者的健康教练超过6周的支持下，互动参与者手册。我们评估了项目的可行性（项目保留率和满意度）和健康结果[CRC特异性症状（疲乏、恶心、腹泻）、生活质量（QOL）和生活方式变量（体力活动、饮食摄入、酒精摄入、吸烟、体重指数（BMI））]。结果：干预后，76%的参与者将该计划评为优秀，100%的参与者将健康教练评为优秀，75%的参与者将手册评为优秀。此外，80%的人表示CanChange解决了他们的问题，72%的人表示CanChange帮助他们更有效地处理问题，100%的人表示CanChange使他们更有动力做出积极的生活改变。从基线到干预后，我们观察到：所有CRC特异性症状和QOL无显著改善;加工肉类摄入量显著减少[中位数]，（四分位距）：1.0（3.0）vs 0.0（1.0），p = 0.01];以及久坐行为的非显著改善，以及符合国家水果和蔬菜摄入指南的参与者比例。我们没有观察到吸烟状况的变化，而酒精摄入量，体力活动和BMI的结果是variable.Conclusions：CanChange是一种可行的，潜在的有效的生活方式干预，以改善CRC幸存者的健康状况。随后将进行一项大型随机对照试验，以测试这种方法的长期效果。版权所有（C）。2009年约翰威利父子有限公司
Objective: To investigate the feasibility and short-term effectiveness of a lifestyle intervention for colorectal cancer (CRC) survivors.Methods: CanChange was telephone-delivered to 20 CRC survivors by health coaches over 6 weeks supported by an interactive participant handbook. We assessed program feasibility (program retention and satisfaction) and health outcomes [CRC-specific symptoms (fatigue, nausea, diarrhoea), quality of life (QOL), and lifestyle variables (physical activity, dietary intake, alcohol intake, smoking, body mass index (BMI))] at baseline and post-intervention.Results: Post-intervention, 76% of participants rated the program as excellent, 100% rated the health coach as excellent, and 75% rated the handbook as excellent. In addition, 80%, said that CanChange addressed their issues, 72% said that CanChange helped them deal more effectively with their problems, and 100% said that CanChange made them more motivated to make positive life changes. Finally, all participants said that the), would recommend CanChange to other CRC survivors.From baseline to post-intervention we observed: non-significant improvements in all CRC-specific symptoms and QOL; a significant decrease in processed meat intake [median (interquartile range): 1.0 (3.0) vs 0.0 (1.0), p = 0.01]; as well as non-significant improvements in sedentary behaviour, and the proportion of participants meeting the national guidelines for fruit and vegetable intake. We observed no change in smoking status, while the results for alcohol intake, physical activity, and BMI were variable.Conclusions: CanChange was a feasible and potentially effective lifestyle intervention to improve health outcomes for CRC survivors. A large randomised controlled trial will follow to test the longer-term effects of this approach. Copyright (C). 2009 John Wiley & Sons, Ltd.