Breast cancer survivors' beliefs and preferences regarding technology-supported sedentary behavior reduction interventions.
Breast cancer survivors' beliefs and preferences regarding technology-supported sedentary behavior reduction interventions.
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DOI：
10.3934/publichealth.2016.3.592
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发表时间：
2016
影响因子：
3.3
通讯作者：
Phillips SM
中科院分区：
文献类型：
--
作者：
Lloyd GR;Oza S;Kozey-Keadle S;Pellegrini CA;Conroy DE;Penedo FJ;Spring BJ;Phillips SM
久坐不动的时间越少，乳腺癌幸存者的健康和疾病结果就越好。然而，关于幸存者对减少久坐行为干预的兴趣以及如何有效地减少这种危险行为，人们知之甚少。这项研究的目的是探索乳腺癌幸存者对技术支持的减少久坐行为干预的兴趣和偏好。乳腺癌幸存者(n=279；MAGE=60.7(SD=9.7))完成了一组在线问卷调查。对所有数据进行描述性统计。为了检验人口统计学、疾病和行为因素之间的潜在关系，以及幸存者对技术支持的减少久坐行为干预的兴趣，我们进行了Logistic回归分析。使用多元回归分析，研究了这些因素与对这种干预的有效性的看法的关系。平均而言，幸存者每天坐着活动的时间为10.1小时(SD=4.3)。他们认为长时间久坐对他们的健康有害(87.0%)，减少久坐可以改善他们的健康(88.4%)。幸存者认为他们应该在30-60分钟(56.7%)或≥60分钟(29.9%)的久坐行为后四处走动，并表示他们最有可能用四处走动(97.1%)或原地行走(73.4%)来取代久坐行为。大多数幸存者(79.9%)有兴趣参加技术支持的减少久坐行为干预，并表示他们将使用智能手机应用程序(61.3%)、2-3次/天(48.0%)、6-7天/周(52.0%)。大多数幸存者(73.5%)认为提醒可以帮助他们减少久坐的行为，并倾向于在坐60分钟(60.5%)后通过手腕佩戴的活动跟踪器上的振动(77.3%)或短信(54.4%)发送提醒。技术支持的减少久坐行为干预可能是可行的，也是乳腺癌幸存者可以接受的。有关用户对内容、功能、交付方式和设计的偏好的数据将帮助研究人员开发可能从一开始就更相关和更有效的久坐干预措施。
Less time spent in sedentary behaviors is associated with improved health and disease outcomes in breast cancer survivors. However, little is known about survivors' interest in sedentary behavior reduction interventions and how to effectively reduce this risk behavior. The purpose of this study was to explore breast cancer survivors' interest in and preferences for technology-supported sedentary behavior reduction interventions. Breast cancer survivors (n = 279; Mage = 60.7 (SD = 9.7)) completed a battery of online questionnaires. Descriptive statistics were calculated for all data. To examine potential relationships between demographic, disease and behavioral factors, and survivors' interest in a technology-supported sedentary behavior reduction intervention, we conducted logistic regression analyses. These same factors were examined in relation to the perceptions of the effectiveness of such intervention using multiple regression analyses. On average, survivors spent 10.1 (SD = 4.3) hours/day in sedentary activity. They believed prolonged periods of sedentary behavior were harmful to their health (87.0%) and that reducing sedentary behavior could improve their health (88.4%). Survivors believed they should move around after 30–60 (56.7%) or ≥ 60 (29.9%) minutes of sedentary behavior and indicated they were most likely to replace sedentary behaviors with walking around (97.1%) or walking in place (73.4%). The majority of survivors (79.9%) was interested in participating in a technology-supported sedentary behavior reduction intervention and indicated they would use a smartphone application (61.3%) 2–3 times/day (48.0%), 6 to 7 days/week (52.0%). Most survivors (73.5%) believed reminders would help them decrease sedentary behavior and preferred they be delivered after sitting for 60 minutes (60.5%) via vibrations on a wrist worn activity tracker (77.3%) or text messages (54.4%). Technology-supported sedentary behavior reduction interventions may be feasible and acceptable to breast cancer survivors. Data regarding user preferences for content, features, delivery mode and design will aid researchers in developing sedentary interventions that are potentially more relevant and effective from the outset.