Effects of a Telephone-Delivered Multiple Health Behavior Change Intervention (CanChange) on Health and Behavioral Outcomes in Survivors of Colorectal Cancer: A Randomized Controlled Trial
Effects of a Telephone-Delivered Multiple Health Behavior Change Intervention (CanChange) on Health and Behavioral Outcomes in Survivors of Colorectal Cancer: A Randomized Controlled Trial
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DOI：
10.1200/jco.2012.45.5873
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发表时间：
2013-06-20
影响因子：
45.3
通讯作者：
Courneya, Kerry S.
中科院分区：
文献类型：
--
作者：
Hawkes, Anna L.;Chambers, Suzanne K.;Courneya, Kerry S.
目的：由于不健康的生活方式，结直肠癌幸存者面临着健康结局不良的风险，但很少有研究开发出可翻译的健康行为改变干预措施。本研究旨在探讨电话传递的多重健康行为改变干预(CanChange)对结直肠癌患者健康和行为结局的影响。方法在这项两组随机对照试验中，410名结直肠癌患者被随机分配到健康指导干预组(11次基于理论的电话传递健康指导课程，为期6个月，重点关注体力活动、体重管理、饮食习惯、饮酒和吸烟)或常规护理。在基线、6个月和12个月时，对初次(即身体活动[戈丁休闲时间指数]、与健康相关的生活质量[HRQOL；简表-36]和癌症相关疲劳[慢性病治疗疲劳量表])和次要结果(即体重指数[kg/m(2)]、饮食和酒精摄入量[食物频率问卷]和吸烟)进行评估。来自总脂肪的能量(-7.0%；P=0.006)，来自饱和脂肪的能量(-2.8%；P=0.016)。据报道，在6个月时，蔬菜摄入量(每天0.4份；P=.001)的干预效果显著。在6个月和12个月时，两组在HRQL、癌症相关性疲劳、水果、纤维或酒精摄入量、吸烟方面没有显著差异。结论灿烂干预能有效地改善结直肠癌幸存者的体力活动、饮食习惯和体重指数。这种干预可以通过澳大利亚和其他国家现有的电话癌症支持和信息服务进行翻译。(C)美国临床肿瘤学会2013年
PurposeColorectal cancer survivors are at risk for poor health outcomes because of unhealthy lifestyles, but few studies have developed translatable health behavior change interventions. This study aimed to determine the effects of a telephone-delivered multiple health behavior change intervention (CanChange) on health and behavioral outcomes among colorectal cancer survivors.MethodsIn this two-group randomized controlled trial, 410 colorectal cancer survivors were randomly assigned to the health coaching intervention (11 theory-based telephone-delivered health coaching sessions delivered over 6 months focusing on physical activity, weight management, dietary habits, alcohol, and smoking) or usual care. Assessment of primary (ie, physical activity [Godin Leisure Time Index], health-related quality of life [HRQoL; Short Form-36], and cancer-related fatigue [Functional Assessment of Chronic Illness Therapy Fatigue Scale]) and secondary outcomes (ie, body mass index [kg/m(2)], diet and alcohol intake [Food Frequency Questionnaire], and smoking) were conducted at baseline and 6 and 12 months.ResultsAt 12 months, significant intervention effects were observed for moderate physical activity (28.5 minutes; P = .003), body mass index (-0.9 kg/m2; P = .001), energy from total fat (-7.0%; P = .006), and energy from saturated fat (-2.8%; P = .016). A significant intervention effect was reported for vegetable intake (0.4 servings per day; P = .001) at 6 months. No significant group differences were found at 6 or 12 months for HRQoL, cancer-related fatigue, fruit, fiber, or alcohol intake, or smoking.ConclusionThe CanChange intervention was effective for improving physical activity, dietary habits, and body mass index in colorectal cancer survivors. The intervention is translatable through existing telephone cancer support and information services in Australia and other countries. (C) 2013 by American Society of Clinical Oncology