Pilot and Feasibility Test of a Mobile Health-Supported Behavioral Counseling Intervention for Weight Management Among Breast Cancer Survivors
Identifieur interne : 000C87 ( Main/Merge ); précédent : 000C86; suivant : 000C88Pilot and Feasibility Test of a Mobile Health-Supported Behavioral Counseling Intervention for Weight Management Among Breast Cancer Survivors
Auteurs :Source :
- JMIR cancer [ 2369-1999 ] ; 2016.
Abstract
Health behavior and weight management interventions for cancer survivors have the potential to prevent future cancer recurrence and improve long-term health; however, their translation can be limited if the intervention is complex and involves high participant burden. Mobile health (mHealth) offers a delivery modality to integrate interventions into daily life routines.
The objective of this study was to evaluate the effects of a one-group trial with a pre-post evaluation design on engagement (use and acceptability), physiological (weight), behavioral (diet and physical activity), and other secondary outcomes.
The 10-week intervention consisted of mHealth components (self-monitoring of selected diet behaviors via daily text messages, wireless devices to automatically track weight and steps) and 4 motivational interviewing–based technology-assisted phone sessions with a nonprofessionally trained counselor. Participants were overweight breast cancer survivors who had completed treatment and owned a smartphone. Weight was measured objectively; diet and physical activity were measured with brief self-reported questionnaires.
Ten women participated; they had a mean age of 59 years (SD 6), 50% belonged to a racial or ethnic minority group, 50% had some college or less, and 40% reported using Medicaid health insurance. Engagement was high: out of 70 days in total, the mean number of days recording steps via the wristband pedometer was 64 (SD 7), recording a weight via the scale was 45 (SD 24), and responding to text messages was 60 (SD 13); 100% of participants completed all 4 calls with the counselor. Most (90%) were very likely to participate again and recommend the program to others. Mean weight in pounds decreased (182.5 to 179.1, mean change −3.38 [SD 7.67]), fruit and vegetable daily servings increased (2.89 to 4.42, mean change 1.53 [SD 2.82]), and self-reported moderate physical activity increased in metabolic equivalent of task (MET) minutes per week (2791 to 3336, mean change 545 [SD 1694]).
Findings support the conduct of a fully powered trial to evaluate the efficacy of mHealth as a feasible intervention modality for breast cancer survivors. Future research should employ accelerometer-based physical activity assessment and consider development of an all-in-one app to integrate devices, messaging, and educational content and other mHealth approaches to support behavioral counselors conducting weight management interventions.
ClinicalTrials.gov NCT02387671; https://clinicaltrials.gov/ct2/show/NCT02387671 (Archived by WebCite at http://www.webcitation.org/6hGEuttbZ).
Url:
DOI: 10.2196/cancer.5305
PubMed: 28410174
PubMed Central: 5066594
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Pilot and Feasibility Test of a Mobile Health-Supported Behavioral Counseling Intervention for Weight Management Among Breast Cancer Survivors</title></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28410174</idno><idno type="pmc">5066594</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5066594</idno><idno type="RBID">PMC:5066594</idno><idno type="doi">10.2196/cancer.5305</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">004159</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004159</idno><idno type="wicri:Area/Pmc/Curation">004158</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004158</idno><idno type="wicri:Area/Pmc/Checkpoint">000703</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000703</idno><idno type="wicri:Area/Ncbi/Merge">008F69</idno><idno type="wicri:Area/Ncbi/Curation">008F69</idno><idno type="wicri:Area/Ncbi/Checkpoint">008F69</idno><idno type="wicri:Area/Main/Merge">000C87</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Pilot and Feasibility Test of a Mobile Health-Supported Behavioral Counseling Intervention for Weight Management Among Breast Cancer Survivors</title></analytic><series><title level="j">JMIR cancer</title><idno type="eISSN">2369-1999</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 sec-type="background"><title>Background</title><p>Health behavior and weight management interventions for cancer survivors have the potential to prevent future cancer recurrence and improve long-term health; however, their translation can be limited if the intervention is complex and involves high participant burden. Mobile health (mHealth) offers a delivery modality to integrate interventions into daily life routines.</p></sec><sec sec-type="objective"><title>Objective</title><p>The objective of this study was to evaluate the effects of a one-group trial with a pre-post evaluation design on engagement (use and acceptability), physiological (weight), behavioral (diet and physical activity), and other secondary outcomes.</p></sec><sec sec-type="methods"><title>Methods</title><p>The 10-week intervention consisted of mHealth components (self-monitoring of selected diet behaviors via daily text messages, wireless devices to automatically track weight and steps) and 4 motivational interviewing–based technology-assisted phone sessions with a nonprofessionally trained counselor. Participants were overweight breast cancer survivors who had completed treatment and owned a smartphone. Weight was measured objectively; diet and physical activity were measured with brief self-reported questionnaires.</p></sec><sec sec-type="results"><title>Results</title><p>Ten women participated; they had a mean age of 59 years (SD 6), 50% belonged to a racial or ethnic minority group, 50% had some college or less, and 40% reported using Medicaid health insurance. Engagement was high: out of 70 days in total, the mean number of days recording steps via the wristband pedometer was 64 (SD 7), recording a weight via the scale was 45 (SD 24), and responding to text messages was 60 (SD 13); 100% of participants completed all 4 calls with the counselor. Most (90%) were very likely to participate again and recommend the program to others. Mean weight in pounds decreased (182.5 to 179.1, mean change −3.38 [SD 7.67]), fruit and vegetable daily servings increased (2.89 to 4.42, mean change 1.53 [SD 2.82]), and self-reported moderate physical activity increased in metabolic equivalent of task (MET) minutes per week (2791 to 3336, mean change 545 [SD 1694]).</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>Findings support the conduct of a fully powered trial to evaluate the efficacy of mHealth as a feasible intervention modality for breast cancer survivors. Future research should employ accelerometer-based physical activity assessment and consider development of an all-in-one app to integrate devices, messaging, and educational content and other mHealth approaches to support behavioral counselors conducting weight management interventions.</p></sec><sec sec-type="trial-registration"><title>Trial Registration</title><p>ClinicalTrials.gov NCT02387671; https://clinicaltrials.gov/ct2/show/NCT02387671 (Archived by WebCite at http://www.webcitation.org/6hGEuttbZ).</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Rock, Cl" uniqKey="Rock C">CL Rock</name></author><author><name sortKey="Doyle, C" uniqKey="Doyle C">C Doyle</name></author><author><name sortKey="Demark Wahnefried, W" uniqKey="Demark Wahnefried W">W Demark-Wahnefried</name></author><author><name sortKey="Meyerhardt, J" uniqKey="Meyerhardt J">J Meyerhardt</name></author><author><name 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Spark</name></author><author><name sortKey="Fjeldsoe, Bs" uniqKey="Fjeldsoe B">BS Fjeldsoe</name></author><author><name sortKey="Eakin, Eg" uniqKey="Eakin E">EG Eakin</name></author><author><name sortKey="Reeves, Mm" uniqKey="Reeves M">MM Reeves</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krok Schoen, Jl" uniqKey="Krok Schoen J">JL Krok-Schoen</name></author><author><name sortKey="Oliveri, Jm" uniqKey="Oliveri J">JM Oliveri</name></author><author><name sortKey="Paskett, Ed" uniqKey="Paskett E">ED Paskett</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leon, Ac" uniqKey="Leon A">AC Leon</name></author><author><name sortKey="Davis, Ll" uniqKey="Davis L">LL Davis</name></author><author><name sortKey="Kraemer, Hc" uniqKey="Kraemer H">HC Kraemer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Henry, Gt" uniqKey="Henry G">GT Henry</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Evenson, Kr" uniqKey="Evenson K">KR Evenson</name></author><author><name sortKey="Goto, Mm" uniqKey="Goto M">MM Goto</name></author><author><name sortKey="Furberg, Rd" uniqKey="Furberg R">RD Furberg</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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