RHYTHM: Restoring Health in You (and Your Partner) Through Movement

节奏：通过运动恢复您（和您的伴侣）的健康

• 批准号: 8302007
• 负责人: MICHELLE Y MARTIN
• 金额: $ 22.3万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8302007
• 关键词: Adverse event; Affect; Alabama; Articular Range of Motion; Cancer Patient; Cancer Survivor; Chronic Disease; Clinic; Communities; Control Groups; Couples; Dancing; Data; Diagnosis; Distress; Emotional; Enrollment; Equipment; Event; Family; Family member; Feeling; Fostering; Goals; Health; Hobbies; Incidence; Institute of Medicine (U.S.); Intervention; Life; Life Style; Loneliness; Love; Malignant Female Reproductive System Neoplasm; Malignant Neoplasms; Measures; Mediating; Methods; Movement; Outcome; Outcome Study; Participant; Patients; Personal Satisfaction; Phase; Physical Function; Physical activity; Physical therapy; Population; Public Health; Quality of life; Recruitment Activity; Reporting; Research; Resources; Shoulder; Social support; Spouses; Structure; Survivors; Testing; Time; Translations; Travel; Treatment Efficacy; Uncertainty; Variant; Waiting Lists; Walking; Work; arm; base; cancer care; cancer diagnosis; cancer therapy; clinical care; cohesion; cost; design; efficacy testing; evidence base; experience; health related quality of life; improved; innovation; intervention effect; intimate behavior; lifestyle intervention; loved ones; malignant breast neoplasm; neoplasm registry; novel; novel strategies; oncology; post intervention; programs; psychologic; psychological distress; psychosocial; satisfaction; survivorship

DESCRIPTION (provided by applicant): Promoting the health and well-being of cancer survivors is an important public health goal. Relatively little survivorship research has engaged gynecological cancer survivors. Opportunities remain to identify lifestyle interventions efficacious in improving quality of life in this population. Moreover, research suggests that quality of life is also compromised in the spouses/partners of cancer survivors. Relatively unknown is how to design and deliver interventions that promote the health and well-being of both the cancer survivor and their spouse/partner. In the proposed study, we have the following Aims: (1) Establish the feasibility and acceptability of a couples-based dance intervention (RHYTHM) among gynecological cancer survivors and their spouses/partners; (2) Quantify potential effects (and variation) on the following endpoints: health-related quality of life (HRQOL), relationship adjustment, physical activity and functioning; (3) Identify theoretical constructs that mediate the relationship between the intervention and outcomes; and (4) Determine the cost of the intervention to participants. Methods: We will use a wait-list control design and enroll 50 gynecological cancer survivors and their spouses/partners recruited from oncology clinics and the Alabama State Cancer Registry. Survivors will have completed their primary cancer treatment. Participants in the intervention arm will receive dance lessons over a 12-week period (couples-based dance) provided by Fred Astaire Dance studios. HRQOL (i.e., SF36), relationship adjustment, physical activity and physical function (i.e., 6-minute walk test), will be assessed at baseline, immediately post-intervention, and 6 months post- intervention. Outcomes will be measured in both cancer survivors and their partners. Significance: Delivering quality cancer care across the cancer continuum is a national priority. Our partner-based dance intervention is a novel approach to enhancing quality of life, enhancing relationship outcomes, and promoting a healthy lifestyle in gynecologic cancer survivors and their partners. Results of this exploratory study will inform initiatives that seek to maintain the health and well-being of cancer survivors and those they love. Public Health Impact: Consistent with the Institute of Medicine's goal to deliver cancer care that promotes a healthy lifestyle and improves quality of life of cancer survivors, our novel study will explore the potential of an intervention (couple-based dance) on improving these outcomes for both cancer survivors and their partners. In this unique approach, we test the efficacy of an intervention already available in many communities. If dance interventions are deemed efficacious, the potential for broad based dissemination of similar programs is great. PUBLIC HEALTH RELEVANCE: Maintaining the health and well-being of cancer survivors is an important public health goal. In this innovative study, we will engage gynecological cancer survivors and their spouses/partners in a couple-based dance intervention. We will establish the feasibility and acceptability of delivering this intervention and assess its impact on quality of lfe, physical activity and function, and relationship adjustment in both cancer survivors and their spouses/partners.

描述（由申请人提供）：促进癌症幸存者的健康和福祉是一个重要的公共卫生目标。相对较少的生存研究涉及妇科癌症幸存者。机会仍然存在，以确定生活方式的干预措施，有效地提高生活质量，在这一人群。此外，研究表明，癌症幸存者的配偶/伴侣的生活质量也会受到影响。相对未知的是如何设计和提供干预措施，促进癌症幸存者及其配偶/伴侣的健康和福祉。本研究的目的是：（1）在妇科癌症幸存者及其配偶/伴侣中建立以夫妇为基础的舞蹈干预（RHYTHM）的可行性和可接受性;（2）量化潜在的影响以下终点（和变化）：健康相关生活质量（HRQOL）、关系调整、身体活动和功能;（3）确定调节干预与结果之间关系的理论结构;（4）确定干预对参与者的成本。研究方法：我们将采用等待名单对照设计，并从肿瘤诊所和亚拉巴马州癌症登记处招募50名妇科癌症幸存者及其配偶/伴侣。幸存者将完成他们的主要癌症治疗。干预组的参与者将接受弗雷德·阿斯泰尔舞蹈工作室提供的为期12周的舞蹈课程（以夫妇为基础的舞蹈）。HRQOL（即，SF 36）、关系调整、身体活动和身体功能（即，6-分钟步行试验）， 将在基线、干预后即刻和干预后6个月进行评估。结果将在癌症幸存者及其伴侣中进行测量。重要性：在癌症连续体中提供优质的癌症护理是国家的优先事项。我们基于伴侣的舞蹈干预是一种新的方法，可以提高生活质量，改善关系结果，并促进妇科癌症幸存者及其伴侣的健康生活方式。这项探索性研究的结果将为寻求维持癌症幸存者及其所爱的人的健康和福祉的举措提供信息。公共卫生影响：与医学研究所的目标一致，即提供癌症护理，促进健康的生活方式并提高癌症幸存者的生活质量，我们的新研究将探索干预（基于夫妇的舞蹈）在改善这些结果方面的潜力癌症幸存者及其伴侣。在这种独特的方法中，我们测试了许多社区已经提供的干预措施的有效性。如果舞蹈干预被认为是有效的，类似方案的广泛传播的潜力是巨大的。 公共卫生相关性：维持癌症幸存者的健康和福祉是一项重要的公共卫生目标。在这项创新研究中，我们将让妇科癌症幸存者及其配偶/伴侣参与以夫妇为基础的舞蹈干预。我们将确定提供这种干预的可行性和可接受性，并评估其对癌症幸存者及其配偶/伴侣的生活质量、身体活动和功能以及关系调整的影响。