Health Behavior Changes in Colorectal Cancer Survivors

结直肠癌幸存者的健康行为变化

• 批准号: 7589951
• 负责人: ELLIOT J COUPS
• 金额: $ 14.4万
• 依托单位: FOX CHASE CANCER CENTER
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-01 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7589951
• 关键词: Academic Career Award; Accounting; Adopted; Affect; Affective; Age; Anxiety; Area; Asthma; Award; Behavior; Behavior Therapy; Behavioral; Behavioral Model; Belief; Cancer Prevention, Control and Population Sciences Career Development Award (K07); Cancer Survivor; Cancer Survivorship; Cardiovascular Diseases; Chronic; Chronic Disease; Clinical Research; Cognitive; Colorectal Cancer; Condition; Consumption; Data; Development; Diabetes Mellitus; Diagnosis; Diet; Diet Habits; Dietary Factors; Dietary Fats; Dietary Intervention; Dietary Practices; Disease; Eating; Emotional; Face; Family; Fat-Restricted Diet; Feeling; Friends; Fruit or Vegetable; Future; Goals; Grant; Health; Health Personnel; Health Promotion; Health behavior; Health behavior change; Incidence; Individual; Informal Social Control; Injury; Intake; Intervention; Knowledge; Life; Life Style; Link; Living Wills; Localized; Lung diseases; Malignant Neoplasms; Mentors; Mentorship; Methods; Modeling; Nature; Numbers; Outcome; Outcome Study; Patient Self-Report; Pattern; Persons; Phase; Physical activity; Play; Population; Population Intervention; Positioning Attribute; Printing; Process; Public Health; Quality of life; Randomized Controlled Trials; Recommendation; Recurrence; Reporting; Research; Research Personnel; Research Training; Risk; Risk Factors; Role; Second Primary Cancers; Self Efficacy; Staging; Stress; Survivors; Training; United States; behavior change; cancer diagnosis; cancer prevention; cancer recurrence; cancer therapy; design; disorder prevention; disorder risk; expectation; experience; family influence; fruits and vegetables; good diet; improved; interest; knowledge base; malignant breast neoplasm; mortality; nervous system disorder; novel strategies; prevent; programs; prospective; research study; response; self esteem; social; social cognitive theory; therapy development

DESCRIPTION (provided by applicant): The goal of this K07 award application is to provide mentored training and research that will enable Dr. Elliot Coups to transition to an independent investigator position conducting research on the promotion of health enhancing behaviors among cancer survivors. The research proposed in this award focuses on understanding and promoting changes in physical activity and dietary practices among colorectal cancer survivors after completion of cancer treatment. Many colorectal cancer survivors do not engage in physical activity and dietary practices that may decrease their risk of cancer recurrence or for developing others cancers or chronic illnesses. Although evidence suggests that some survivors of colorectal cancer may make positive physical activity and dietary changes after finishing cancer treatment, current knowledge regarding the causes, degree, and effects of such changes is limited. An enhanced understanding of health behavior changes among colorectal cancer survivors will provide a much-needed knowledge base for the development of effective health promotion interventions for this population. Two studies are proposed ,in this application. The first study will use a prospective, longitudinal design to examine the causes, degree, and affective and cognitive effects of physical activity and dietary changes made by colorectal cancer survivors. Drawing on the results of this first study, the second study entails development of a physical activity and dietary intervention for colorectal cancer survivors and a pilot randomized controlled trial of the intervention. A program of formal coursework and mentorship will provide Dr. Coups with training in three areas: (1) cancer prevention and control; (2) design and conduct of randomized controlled trials; and (3) advanced quantitative methods for the analysis of longitudinal data and data from randomized controlled trials. Public Health Relevance: The growing number of cancer survivors in the United States has raised the importance of disease prevention and health promotion in this population. The proposed research will inform the development of health behavior interventions that may enhance quality and quantity of life among cancer survivors.

描述（由申请人提供）：本 K07 奖项申请的目标是提供指导培训和研究，使 Elliot Coups 博士能够过渡到独立调查员职位，开展关于促进癌症幸存者健康促进行为的研究。该奖项提出的研究重点是了解和促进结直肠癌幸存者在完成癌症治疗后身体活动和饮食习惯的改变。许多结直肠癌幸存者不进行可能降低癌症复发或患其他癌症或慢性疾病风险的体力活动和饮食习惯。尽管有证据表明，一些结直肠癌幸存者在完成癌症治疗后可能会进行积极的体力活动和饮食改变，但目前关于此类变化的原因、程度和影响的知识有限。加深对结直肠癌幸存者健康行为变化的了解将为针对该人群制定有效的健康促进干预措施提供急需的知识基础。在本申请中提出了两项​​研究。第一项研究将采用前瞻性纵向设计来检查结直肠癌幸存者进行体力活动和饮食改变的原因、程度以及情感和认知影响。根据第一项研究的结果，第二项研究需要为结直肠癌幸存者制定体育活动和饮食干预措施，并进行一项试点随机对照试验。正式课程和指导计划将为 Coups 博士提供三个领域的培训：（1）癌症预防和控制； (2) 随机对照试验的设计和实施； (3) 用于分析纵向数据和随机对照试验数据的先进定量方法。公共卫生相关性：美国癌症幸存者数量的不断增加提高了该人群疾病预防和健康促进的重要性。拟议的研究将为健康行为干预措施的发展提供信息，从而提高癌症幸存者的生活质量和数量。