Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive
Identifieur interne : 000638 ( Main/Exploration ); précédent : 000637; suivant : 000639Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive
Auteurs : R. H. J. Golsteijn [Pays-Bas] ; C. Bolman [Pays-Bas] ; E. Volders [Pays-Bas] ; D. A. Peels [Pays-Bas] ; H. De Vries [Pays-Bas] ; L. Lechner [Pays-Bas]Source :
- BMC Cancer [ 1471-2407 ] ; 2017.
Abstract
Cancer and cancer treatment coincide with substantial negative physical, psychological and psychosocial problems. Physical activity (PA) can positively affect the negative effects of cancer and cancer treatment and thereby increase quality of life in CPS. Nevertheless, only a minority of CPS meet PA guidelines. We developed the OncoActive (OncoActief in Dutch) intervention: a computer-tailored PA program to stimulate PA in prostate and colorectal CPS, because to our knowledge there are only a few PA interventions for these specific cancer types in the Netherlands
The OncoActive intervention was developed through systematic adaptation of a proven effective, evidence-based, computer-tailored PA intervention for adults over fifty, called Active Plus. The Intervention Mapping (IM) protocol was used to guide the systematic adaptation. A literature study and interviews with prostate and colorectal CPS and health care professionals revealed that both general and cancer-specific PA determinants are important and should be addressed. Change objectives, theoretical methods and applications and the actual program content were adapted to address the specific needs, beliefs and cancer-related issues of prostate and colorectal CPS. Intervention participants received tailored PA advice three times, on internet and with printed materials, and a pedometer to set goals to improve PA. Pre- and pilot tests showed that the intervention was highly appreciated (target group) and regarded safe and feasible (healthcare professionals). The effectiveness of the intervention is being evaluated in a randomized controlled trial (RCT) (
Using the Intervention Mapping protocol resulted in a systematically adapted, theory and evidence-based intervention providing tailored PA advice to prostate and colorectal CPS. If the intervention turns out to be effective in increasing PA, as evaluated in a RCT, possibilities for nationwide implementation and extension to other cancer types will be explored.
The study is registered in the Dutch Trial Register (NTR4296) on November 23rd 2013 and can be accessed at
Url:
DOI: 10.1186/s12885-017-3397-z
PubMed: 28651586
PubMed Central: 5485671
Affiliations:
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H. J." last="Golsteijn">R. H. J. Golsteijn</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0501 5439</institution-id><institution-id institution-id-type="GRID">grid.36120.36</institution-id><institution>Department of Psychology and Educational Sciences,</institution><institution>Open University of the Netherlands,</institution></institution-wrap>Heerlen, PO Box 2960, 6401 DL Heerlen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Heerlen, PO Box 2960, 6401 DL Heerlen</wicri:regionArea><wicri:noRegion>6401 DL Heerlen</wicri:noRegion></affiliation></author><author><name sortKey="Bolman, C" sort="Bolman, C" uniqKey="Bolman C" first="C." last="Bolman">C. Bolman</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0501 5439</institution-id><institution-id institution-id-type="GRID">grid.36120.36</institution-id><institution>Department of Psychology and Educational Sciences,</institution><institution>Open University of the Netherlands,</institution></institution-wrap>Heerlen, PO Box 2960, 6401 DL Heerlen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Heerlen, PO Box 2960, 6401 DL Heerlen</wicri:regionArea><wicri:noRegion>6401 DL Heerlen</wicri:noRegion></affiliation></author><author><name sortKey="Volders, E" sort="Volders, E" uniqKey="Volders E" first="E." last="Volders">E. Volders</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0501 5439</institution-id><institution-id institution-id-type="GRID">grid.36120.36</institution-id><institution>Department of Psychology and Educational Sciences,</institution><institution>Open University of the Netherlands,</institution></institution-wrap>Heerlen, PO Box 2960, 6401 DL Heerlen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Heerlen, PO Box 2960, 6401 DL Heerlen</wicri:regionArea><wicri:noRegion>6401 DL Heerlen</wicri:noRegion></affiliation></author><author><name sortKey="Peels, D A" sort="Peels, D A" uniqKey="Peels D" first="D. A." last="Peels">D. A. Peels</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0501 5439</institution-id><institution-id institution-id-type="GRID">grid.36120.36</institution-id><institution>Department of Psychology and Educational Sciences,</institution><institution>Open University of the Netherlands,</institution></institution-wrap>Heerlen, PO Box 2960, 6401 DL Heerlen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Heerlen, PO Box 2960, 6401 DL Heerlen</wicri:regionArea><wicri:noRegion>6401 DL Heerlen</wicri:noRegion></affiliation></author><author><name sortKey="De Vries, H" sort="De Vries, H" uniqKey="De Vries H" first="H." last="De Vries">H. De Vries</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0481 6099</institution-id><institution-id institution-id-type="GRID">grid.5012.6</institution-id><institution>Department of Health Promotion,</institution><institution>Maastricht University,</institution></institution-wrap>Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Maastricht</wicri:regionArea></affiliation></author><author><name sortKey="Lechner, L" sort="Lechner, L" uniqKey="Lechner L" first="L." last="Lechner">L. Lechner</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0501 5439</institution-id><institution-id institution-id-type="GRID">grid.36120.36</institution-id><institution>Department of Psychology and Educational Sciences,</institution><institution>Open University of the Netherlands,</institution></institution-wrap>Heerlen, PO Box 2960, 6401 DL Heerlen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Heerlen, PO Box 2960, 6401 DL Heerlen</wicri:regionArea><wicri:noRegion>6401 DL Heerlen</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Cancer</title><idno type="eISSN">1471-2407</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">Cancer and cancer treatment coincide with substantial negative physical, psychological and psychosocial problems. Physical activity (PA) can positively affect the negative effects of cancer and cancer treatment and thereby increase quality of life in CPS. Nevertheless, only a minority of CPS meet PA guidelines. We developed the OncoActive (OncoActief in Dutch) intervention: a computer-tailored PA program to stimulate PA in prostate and colorectal CPS, because to our knowledge there are only a few PA interventions for these specific cancer types in the Netherlands</p></sec><sec><title>Methods</title><p id="Par2">The OncoActive intervention was developed through systematic adaptation of a proven effective, evidence-based, computer-tailored PA intervention for adults over fifty, called Active Plus. The Intervention Mapping (IM) protocol was used to guide the systematic adaptation. A literature study and interviews with prostate and colorectal CPS and health care professionals revealed that both general and cancer-specific PA determinants are important and should be addressed. Change objectives, theoretical methods and applications and the actual program content were adapted to address the specific needs, beliefs and cancer-related issues of prostate and colorectal CPS. Intervention participants received tailored PA advice three times, on internet and with printed materials, and a pedometer to set goals to improve PA. Pre- and pilot tests showed that the intervention was highly appreciated (target group) and regarded safe and feasible (healthcare professionals). The effectiveness of the intervention is being evaluated in a randomized controlled trial (RCT) (<italic>n</italic> = 428), consisting of an intervention group and a usual care waiting-list control group, with follow-up measurements at three, six and twelve months. Participants are recruited from seventeen hospitals and with posters, flyers and calls in several media.</p></sec><sec><title>Discussion</title><p id="Par3">Using the Intervention Mapping protocol resulted in a systematically adapted, theory and evidence-based intervention providing tailored PA advice to prostate and colorectal CPS. If the intervention turns out to be effective in increasing PA, as evaluated in a RCT, possibilities for nationwide implementation and extension to other cancer types will be explored.</p></sec><sec><title>Trial registration</title><p id="Par4">The study is registered in the Dutch Trial Register (NTR4296) on November 23rd 2013 and can be accessed at <ext-link ext-link-type="uri" xlink:href="http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4296">http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4296</ext-link>.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Meulepas, Jm" uniqKey="Meulepas J">JM Meulepas</name></author><author><name sortKey="Kiemeney, Lalm" uniqKey="Kiemeney L">LALM Kiemeney</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Skolarus, Ta" uniqKey="Skolarus T">TA Skolarus</name></author><author><name sortKey="Wolf, Am" uniqKey="Wolf 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H. J." last="Golsteijn">R. H. J. Golsteijn</name></noRegion><name sortKey="Bolman, C" sort="Bolman, C" uniqKey="Bolman C" first="C." last="Bolman">C. Bolman</name><name sortKey="De Vries, H" sort="De Vries, H" uniqKey="De Vries H" first="H." last="De Vries">H. De Vries</name><name sortKey="Lechner, L" sort="Lechner, L" uniqKey="Lechner L" first="L." last="Lechner">L. Lechner</name><name sortKey="Peels, D A" sort="Peels, D A" uniqKey="Peels D" first="D. A." last="Peels">D. A. Peels</name><name sortKey="Volders, E" sort="Volders, E" uniqKey="Volders E" first="E." last="Volders">E. Volders</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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