Detailed methods of two home-based vegetable gardening intervention trials to improve diet, physical activity, and quality of life in two different populations of cancer survivors
Identifieur interne : 001207 ( Main/Exploration ); précédent : 001206; suivant : 001208Detailed methods of two home-based vegetable gardening intervention trials to improve diet, physical activity, and quality of life in two different populations of cancer survivors
Auteurs : Mallory G. Cases [États-Unis] ; Andrew D. Frugé [États-Unis] ; Jennifer F. De Los Santos [États-Unis] ; Julie L. Locher [États-Unis] ; Alan B. Cantor [États-Unis] ; Kerry P. Smith [États-Unis] ; Tony A. Glover [États-Unis] ; Harvey J. Cohen [États-Unis] ; Michael Daniel [États-Unis] ; Casey D. Morrow [États-Unis] ; Douglas R. Moellering [États-Unis] ; Wendy Demark-Wahnefried [États-Unis]Source :
- Contemporary clinical trials [ 1551-7144 ] ; 2016.
Abstract
Cancer survivors suffer from long-term adverse effects that reduce health-related quality of life (QOL) and physical functioning, creating an urgent need to develop effective, durable, and disseminable interventions. Harvest for Health, a home-based vegetable gardening intervention, holds promise for these domains.
This report describes the methods and recruitment experiences from two randomized controlled feasibility trials that employ a waitlist-controlled design. Delivered in partnership with Cooperative Extension Master Gardeners, this intervention provides one-on-one mentorship of cancer survivors in planning and maintaining three seasonal vegetable gardens over 12 months. The primary aim is to determine intervention feasibility and acceptability; secondary aims are to explore effects on objective and subjective measures of diet, physical activity and function, and QOL and examine participant factors associated with potential effects. One trial is conducted exclusively among 82 female breast cancer survivors residing in the Birmingham, AL metropolitan area (BBCS); another broadly throughout Alabama among 46 older cancer survivors aged ≥60 (ASCS).
Response rates were 32.6% (BBCS) and 52.3% (ASCS). Both trials exceeded 80% of their accrual target. Leading reasons for ineligibility were removal of >10 lymph nodes (lymphedema risk factor), lack of physician approval, and unwillingness to be randomized to the waitlist.
To date, recruitment and implementation of Harvest for Health appears feasible.
Although both studies encountered recruitment challenges, lessons learned can inform future larger-scale studies. Vegetable gardening interventions are of interest to cancer survivors and may provide opportunities to gain life skills leading to improvements in overall health and QOL.
Url:
DOI: 10.1016/j.cct.2016.08.014
PubMed: 27565830
PubMed Central: 5055381
Affiliations:
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Cases</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, 1675 University Boulevard, Webb Building 346, Birmingham, AL 35294, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, 1675 University Boulevard, Webb Building 346, Birmingham, AL 35294</wicri:regionArea><wicri:noRegion>AL 35294</wicri:noRegion></affiliation></author><author><name sortKey="Fruge, Andrew D" sort="Fruge, Andrew D" uniqKey="Fruge A" first="Andrew D." last="Frugé">Andrew D. Frugé</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, 1675 University Boulevard, Webb Building 346, Birmingham, AL 35294, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, 1675 University Boulevard, Webb Building 346, Birmingham, AL 35294</wicri:regionArea><wicri:noRegion>AL 35294</wicri:noRegion></affiliation></author><author><name sortKey="De Los Santos, Jennifer F" sort="De Los Santos, Jennifer F" uniqKey="De Los Santos J" first="Jennifer F." last="De Los Santos">Jennifer F. De Los Santos</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Radiation Oncology, School of Medicine, University of Alabama at Birmingham, The Kirklin Clinic at Acton Road, 2145 Bonner Way, Birmingham, Alabama 35243, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, School of Medicine, University of Alabama at Birmingham, The Kirklin Clinic at Acton Road, 2145 Bonner Way, Birmingham, Alabama 35243</wicri:regionArea><wicri:noRegion>Alabama 35243</wicri:noRegion></affiliation></author><author><name sortKey="Locher, Julie L" sort="Locher, Julie L" uniqKey="Locher J" first="Julie L." last="Locher">Julie L. Locher</name><affiliation wicri:level="1"><nlm:aff id="A4">Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, 1530 3rd Avenue South; CH19-Room 218F; Birmingham, Alabama 35294, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, 1530 3rd Avenue South; CH19-Room 218F; Birmingham, Alabama 35294</wicri:regionArea><wicri:noRegion>Alabama 35294</wicri:noRegion></affiliation></author><author><name sortKey="Cantor, Alan B" sort="Cantor, Alan B" uniqKey="Cantor A" first="Alan B." last="Cantor">Alan B. Cantor</name><affiliation wicri:level="1"><nlm:aff id="A5">Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, Ryals Public Health Building, Room 327, Birmingham, AL 35294, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, Ryals Public Health Building, Room 327, Birmingham, AL 35294</wicri:regionArea><wicri:noRegion>AL 35294</wicri:noRegion></affiliation></author><author><name sortKey="Smith, Kerry P" sort="Smith, Kerry P" uniqKey="Smith K" first="Kerry P." last="Smith">Kerry P. Smith</name><affiliation wicri:level="1"><nlm:aff id="A6">Alabama Cooperative Extension System, Alabama A&M University and Auburn University, 101 Funchess Hall, Auburn University, AL 36849, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Alabama Cooperative Extension System, Alabama A&M University and Auburn University, 101 Funchess Hall, Auburn University, AL 36849</wicri:regionArea><wicri:noRegion>AL 36849</wicri:noRegion></affiliation></author><author><name sortKey="Glover, Tony A" sort="Glover, Tony A" uniqKey="Glover T" first="Tony A." last="Glover">Tony A. Glover</name><affiliation wicri:level="1"><nlm:aff id="A6">Alabama Cooperative Extension System, Alabama A&M University and Auburn University, 101 Funchess Hall, Auburn University, AL 36849, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Alabama Cooperative Extension System, Alabama A&M University and Auburn University, 101 Funchess Hall, Auburn University, AL 36849</wicri:regionArea><wicri:noRegion>AL 36849</wicri:noRegion></affiliation></author><author><name sortKey="Cohen, Harvey J" sort="Cohen, Harvey J" uniqKey="Cohen H" first="Harvey J." last="Cohen">Harvey J. Cohen</name><affiliation wicri:level="1"><nlm:aff id="A7">Center for the Study of Aging, Duke University, Room 3502 Blue Zone, Duke University Medical Center Box 3003, Durham, NC 27710, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for the Study of Aging, Duke University, Room 3502 Blue Zone, Duke University Medical Center Box 3003, Durham, NC 27710</wicri:regionArea><wicri:noRegion>NC 27710</wicri:noRegion></affiliation></author><author><name sortKey="Daniel, Michael" sort="Daniel, Michael" uniqKey="Daniel M" first="Michael" last="Daniel">Michael Daniel</name><affiliation wicri:level="1"><nlm:aff id="A8">Department of Biology, College of Arts & Sciences, University of Alabama at Birmingham, 1675 University Boulevard, Webb Building 346, Birmingham, AL 35294, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biology, College of Arts & Sciences, University of Alabama at Birmingham, 1675 University Boulevard, Webb Building 346, Birmingham, AL 35294</wicri:regionArea><wicri:noRegion>AL 35294</wicri:noRegion></affiliation></author><author><name sortKey="Morrow, Casey D" sort="Morrow, Casey D" uniqKey="Morrow C" first="Casey D." last="Morrow">Casey D. Morrow</name><affiliation wicri:level="1"><nlm:aff id="A9">Department of Cell, Developmental, and Integrative Biology, School of Medicine, University of Alabama at Birmingham, 1720 2<sup>nd</sup>Avenue South, THT 926, Birmingham, AL 35294, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Avenue South, THT 926, Birmingham, AL 35294</wicri:regionArea><wicri:noRegion>AL 35294</wicri:noRegion></affiliation></author><author><name sortKey="Moellering, Douglas R" sort="Moellering, Douglas R" uniqKey="Moellering D" first="Douglas R." last="Moellering">Douglas R. Moellering</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, 1675 University Boulevard, Webb Building 346, Birmingham, AL 35294, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, 1675 University Boulevard, Webb Building 346, Birmingham, AL 35294</wicri:regionArea><wicri:noRegion>AL 35294</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A10">UAB Diabetes Research Center, Bioanalytical Redox Biology Core, University of Alabama at Birmingham, 1670 University Boulevard, VH G004, Birmingham, AL 35294, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>UAB Diabetes Research Center, Bioanalytical Redox Biology Core, University of Alabama at Birmingham, 1670 University Boulevard, VH G004, Birmingham, AL 35294</wicri:regionArea><wicri:noRegion>AL 35294</wicri:noRegion></affiliation></author><author><name sortKey="Demark Wahnefried, Wendy" sort="Demark Wahnefried, Wendy" uniqKey="Demark Wahnefried W" first="Wendy" last="Demark-Wahnefried">Wendy Demark-Wahnefried</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, 1675 University Boulevard, Webb Building 346, Birmingham, AL 35294, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, 1675 University Boulevard, Webb Building 346, Birmingham, AL 35294</wicri:regionArea><wicri:noRegion>AL 35294</wicri:noRegion></affiliation></author></analytic><series><title level="j">Contemporary clinical trials</title><idno type="ISSN">1551-7144</idno><idno type="eISSN">1559-2030</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Cancer survivors suffer from long-term adverse effects that reduce health-related quality of life (QOL) and physical functioning, creating an urgent need to develop effective, durable, and disseminable interventions. Harvest for Health, a home-based vegetable gardening intervention, holds promise for these domains.</p></sec><sec id="S2"><title>Methods</title><p id="P2">This report describes the methods and recruitment experiences from two randomized controlled feasibility trials that employ a waitlist-controlled design. Delivered in partnership with Cooperative Extension Master Gardeners, this intervention provides one-on-one mentorship of cancer survivors in planning and maintaining three seasonal vegetable gardens over 12 months. The primary aim is to determine intervention feasibility and acceptability; secondary aims are to explore effects on objective and subjective measures of diet, physical activity and function, and QOL and examine participant factors associated with potential effects. One trial is conducted exclusively among 82 female breast cancer survivors residing in the Birmingham, AL metropolitan area (BBCS); another broadly throughout Alabama among 46 older cancer survivors aged ≥60 (ASCS).</p></sec><sec id="S3"><title>Results</title><p id="P3">Response rates were 32.6% (BBCS) and 52.3% (ASCS). Both trials exceeded 80% of their accrual target. Leading reasons for ineligibility were removal of >10 lymph nodes (lymphedema risk factor), lack of physician approval, and unwillingness to be randomized to the waitlist.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">To date, recruitment and implementation of Harvest for Health appears feasible.</p></sec><sec id="S5"><title>Discussion</title><p id="P5">Although both studies encountered recruitment challenges, lessons learned can inform future larger-scale studies. Vegetable gardening interventions are of interest to cancer survivors and may provide opportunities to gain life skills leading to improvements in overall health and QOL.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Cases, Mallory G" sort="Cases, Mallory G" uniqKey="Cases M" first="Mallory G." last="Cases">Mallory G. Cases</name></noRegion><name sortKey="Cantor, Alan B" sort="Cantor, Alan B" uniqKey="Cantor A" first="Alan B." last="Cantor">Alan B. Cantor</name><name sortKey="Cohen, Harvey J" sort="Cohen, Harvey J" uniqKey="Cohen H" first="Harvey J." last="Cohen">Harvey J. Cohen</name><name sortKey="Daniel, Michael" sort="Daniel, Michael" uniqKey="Daniel M" first="Michael" last="Daniel">Michael Daniel</name><name sortKey="De Los Santos, Jennifer F" sort="De Los Santos, Jennifer F" uniqKey="De Los Santos J" first="Jennifer F." last="De Los Santos">Jennifer F. De Los Santos</name><name sortKey="Demark Wahnefried, Wendy" sort="Demark Wahnefried, Wendy" uniqKey="Demark Wahnefried W" first="Wendy" last="Demark-Wahnefried">Wendy Demark-Wahnefried</name><name sortKey="Fruge, Andrew D" sort="Fruge, Andrew D" uniqKey="Fruge A" first="Andrew D." last="Frugé">Andrew D. Frugé</name><name sortKey="Glover, Tony A" sort="Glover, Tony A" uniqKey="Glover T" first="Tony A." last="Glover">Tony A. Glover</name><name sortKey="Locher, Julie L" sort="Locher, Julie L" uniqKey="Locher J" first="Julie L." last="Locher">Julie L. Locher</name><name sortKey="Moellering, Douglas R" sort="Moellering, Douglas R" uniqKey="Moellering D" first="Douglas R." last="Moellering">Douglas R. Moellering</name><name sortKey="Moellering, Douglas R" sort="Moellering, Douglas R" uniqKey="Moellering D" first="Douglas R." last="Moellering">Douglas R. Moellering</name><name sortKey="Morrow, Casey D" sort="Morrow, Casey D" uniqKey="Morrow C" first="Casey D." last="Morrow">Casey D. Morrow</name><name sortKey="Smith, Kerry P" sort="Smith, Kerry P" uniqKey="Smith K" first="Kerry P." last="Smith">Kerry P. Smith</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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