PROMOTING HEALTH IN PROSTATE & BREAST CANCER

描述：今年，近140万美国人将被诊断出患有 癌症。大多数患者将存活5年，并被视为“治愈”。然而，癌症 幸存者罹患其他癌症、糖尿病和/或疾病的风险增加 心血管疾病。各种情况下风险增加的原因可能是 遗传、治疗相关或因为常见的生活方式因素会增加风险 不止一种疾病。因此，如果癌症幸存者采用更健康的 生活方式，他们也可以降低他们患继发性癌症和其他疾病的风险 慢性疾病。988例前列腺癌和乳腺癌的初步研究资料 患者表示，癌症幸存者对 改善他们的饮食和体育锻炼行为，而且癌症 诊断可能会带来一个“可教的时刻”。很少有人利用这一点。 在这种高风险范围内促进行为改变的明显机会 人口-一个原因可能是距离(旅行)的障碍，这种癌症 幸存者被列为不参与健康促进的主要原因 程序。幸运的是，有几种方法可以克服这一障碍。 一支经验丰富的研究团队在营养、运动、 杜克大学行为、衰老、生物统计学和医学信息学。地中海医院。CTR。 建议测试定制函授课程在改变 饮食和体力活动行为。我们将在早期阶段招聘530人 北卡罗来纳州25个县的前列腺癌和乳腺癌患者随机分为：1)a 获得10个月的分组。推广的定制函授课程 增加体力活动，低脂肪饮食，增加水果和蔬菜 或2)接受不相关信息的常规护理对照组 区域。干预效果将通过参与者的比例来衡量 在采用两个或两个以上目标行为的干预组中 对照组参与者。这项研究的目的是确定：1) 相对短期(干预后)和长期(1年随访)的疗效 这种个性化的、计算机生成的干预；2) 对其他终点(生活质量、感知健康等)的干预； 可能与干预有关的性别和种族等因素 预测计划的效果。如果有效，这个计划可能会被修改， 易于传播并在各种保健环境中使用，从而具有 对公共卫生的广泛影响。

DESCRIPTION:This year, nearly 1.4 million Americans will be diagnosed with cancer. Most will survive 5 years and be considered "cured." However, cancer survivors are at increased risk for developing other cancers, diabetes and/or cardiovascular disease. Reasons for increased risk across conditions may be genetic, treatment-related or because common lifestyle factors increase risk for more than one disease. Thus, if cancer survivors adopt healthier lifestyles, they also may reduce their risk for secondary cancers and other chronic disorders. Our preliminary study data on 988 prostate and breast cancer patients suggest that cancer survivors are exceptionally receptive toward improving their diet and physical activity behaviors, and that the cancer diagnosis may render a" teachable moment." Few efforts have capitalized on this apparent opportunity to promote behavioral change within this high risk population - one reason may be the barrier of distance (travel), which cancer survivors list as a leading reason for non-participation in health promotion programs. Fortunately, there are several ways to overcome this barrier. An experienced team of investigators in the fields of nutrition, exercise, behavior, aging, biostatistics & medical informatics at Duke Univ. Med. Ctr. proposes to test the efficacy of a tailored correspondence course in changing both diet & physical activity behaviors. We will recruit 530 early stage prostate & breast cancer patients in 25 NC counties & randomize them to: 1) a group that receives a 10 mth. tailored correspondence course that promotes increased physical activity, a low fat diet, and increased fruit & vegetable intake; or 2) a usual care control group that receives information in unrelated areas. Intervention efficacy will be gauged by the proportion of participants in the intervention arm who adopt two or more goal behaviors compared to control group participants. The purpose of this study is to determine: 1) the relative short (post-intervention) & long-term (1 yr follow-up) efficacy of this personalized, computer-generated intervention; 2) the effects of the intervention on other endpoints (quality of life, perceived health, etc); & 3) factors, such as gender & race that may interact with the intervention in predicting program efficacy. If effective, this program could be modified, easily disseminated & used in a variety of health care settings, thus having broad public health impact.