ICCS Directed Physical Activity Enhancement for Colon Cancer Survivors

ICCS 为结肠癌幸存者指导增强身体活动

• 批准号: 8324750
• 负责人: DAVID H GUSTAFSON
• 金额: $ 34.79万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8324750
• 关键词: Address; Adopted; Age; Behavior; Behavior Therapy; Body Weight Changes; Body mass index; Cancer Center; Cancer Survivor; Clinical; Colon Carcinoma; Communication; Comorbidity; Competence; Counseling; Data; Decision Making; Diagnosis; Diagnostic Neoplasm Staging; Distress; Education; Effectiveness; Emerging Technologies; Future; Gender; Health; Incidence; Income; Intervention; Life Style; Malignant Neoplasms; Malignant neoplasm of prostate; Mediating; Mediator of activation protein; Methods; Modeling; Morbidity - disease rate; NCI-Designated Cancer Center; National Cancer Institute; Newly Diagnosed; North Carolina; Outcome; Physical activity; Population; Quality of life; Randomized; Randomized Controlled Trials; Recruitment Activity; Recurrence; Research Project Grants; Risk; Services; Socioeconomic Status; Staging; Support System; Survivors; System; Technology; Telephone; Testing; Time; Treatment Efficacy; Universities; Weight; Wisconsin; Woman; Work; base; cancer therapy; design; efficacy testing; experience; follow-up; improved; information gathering; literacy; malignant breast neoplasm; men; mortality; primary outcome; programs; secondary outcome; sedentary; successful intervention; survivorship; tool; treatment as usual

Research Project 3: ICCS DIRECTED PHYSICAL ACTIVITY ENHANCEMENT FOR COLON CANCER SURVIVORS Project Summary: In the U.S., colon cancer survivors are the third largest group of cancer survivors (only breast and prostate cancer survivors surpass them). Strong evidence indicates that a sedentary lifestyle contributes not only to the incidence of colon cancer but also an increased risk of recurrence and mortality after diagnosis. To date, physical activity programs for cancer survivors have been delivered via face-to-face or telephone counseling, interventions which are costly and have limited reach. Interactive cancer communication systems (ICCS) can deliver more precisely tailored physical activity interventions to broader populations of survivors. This approach may be more effective than other delivery methods because of the dynamic interaction with the user and its' ability to continuously adapt the programs and services offered based on users' needs in real time. We propose to develop and test a new ICCS, Mobile Comprehensive Health Enhancement Support System (mCHESS) in a randomized controlled trial at three National Cancer Institute-designated cancer centers (University of Wisconsin, University of North Carolina at Chapel Hill, and MD Anderson Cancer Center) for men and women with stage l-lll colon cancer. mCHESS will provide information, tools, and a support system based on our previous work with FRESH START and CHESS, two highly successful interventions that have promoted lifestyle change among cancer survivors. mCHESS will be designed to help survivors develop 1) competence in information gathering, decision-making, and behaviors they are trying to change, 2) social support systems to help deal with the cancer experience, and 3) autonomy that comes with regaining a sense of control over their lives; this in turn, will help them adopt or maintain healthy lifestyle behaviors and improve their quality of life. We anticipate that several factors may moderate the effects of mCHESS including age, gender, education, and income as well as stage of cancer, cancer treatment, and co-morbidity. We hypothesize that autonomy, competence, and relatedness will mediate the effects that mCHESS has on physical activity (primary outcome) leading to weight change, decreased levels of distress, and increased overall quality of life (secondary outcomes), and that mCHESS use will mediate these constructs. If effective, these changes may decrease survivors' risk for recurrence and co-morbid illnesses leading to decreased morbidity and mortality from colon cancer. Data that emanate from this trial will be instrumental in guiding future interventions that bank on this emerging technology. Relevance: The survivorship project addresses both reach and efficacy components of the RE-AIM model. Extended reach is accomplished with the use of mobile technology and by addressing low literacy issues in its' design and delivery. We will test the efficacy of our program of information and support to help newly diagnosed colon cancer survivors increase their physical activity, decrease distress, and improve quality of life.

研究项目3：ICCS指导的结肠癌增强体力活动 幸存者 项目概要： 在美国，结肠癌幸存者是第三大癌症幸存者群体（仅次于乳腺癌和前列腺癌 癌症幸存者超过他们）。强有力的证据表明，久坐不动的生活方式不仅有助于 结肠癌的发病率，但也增加了复发和诊断后死亡的风险。到目前为止， 癌症幸存者的身体活动计划已经通过面对面或电话咨询提供， 干预措施成本高，覆盖面有限。交互式癌症交流系统（ICCS）可以 向更广泛的幸存者群体提供更精确、量身定制的体育活动干预措施。这种方法 由于与用户的动态交互及其 能够根据用户的真实的需求不断调整所提供的程序和服务。我们 建议开发和测试新的ICCS，即移动的综合健康增强支持系统 （mCHESS）在三个国家癌症研究所指定的癌症中心进行的随机对照试验中， （威斯康星州大学、查佩尔山的北卡罗来纳州大学和MD安德森癌症中心） 和患有I-III期结肠癌的女性。mCHESS将提供信息、工具和基于 在我们以前的工作与新鲜开始和国际象棋，两个非常成功的干预，促进了 癌症幸存者的生活方式改变。mCHESS的设计将帮助幸存者发展1）能力 在信息收集、决策和他们试图改变的行为方面，2）社会支持系统 帮助处理癌症的经历，3）自主权，随着重新获得控制感， 这反过来将帮助他们采取或保持健康的生活方式行为，并提高他们的生活质量。 生活我们预计，有几个因素可能会缓和mCHESS的影响，包括年龄，性别，教育， 和收入以及癌症的阶段、癌症治疗和合并症。我们假设自主， 能力和相关性将介导mCHESS对体力活动的影响（主要结果） 导致体重变化，降低痛苦水平，提高整体生活质量（次要） 结果），并且mCHESS使用将介导这些结构。如果有效，这些变化可能会减少 幸存者的复发和共病风险，导致结肠炎的发病率和死亡率降低 癌从这项试验中产生的数据将有助于指导未来的干预措施， 新兴技术 相关性：生存率项目解决了RE-AIM模型的覆盖范围和有效性组成部分。 通过使用移动的技术，并通过解决其“社区”中的低识字率问题， 设计和交付。我们将测试我们的信息和支持计划的有效性，以帮助新的 确诊的结肠癌幸存者增加他们的体力活动，减少痛苦，提高生活质量。