Pilot and Feasibility Test of a Mobile Health-Supported Behavioral Counseling Intervention for Weight Management Among Breast Cancer Survivors
Identifieur interne : 004158 ( Pmc/Curation ); précédent : 004157; suivant : 004159Pilot 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></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 sortKey="Courneya, Ks" uniqKey="Courneya K">KS Courneya</name></author><author><name sortKey="Schwartz, Al" uniqKey="Schwartz A">AL Schwartz</name></author><author><name sortKey="Bandera, Ev" uniqKey="Bandera E">EV Bandera</name></author><author><name sortKey="Hamilton, Kk" uniqKey="Hamilton K">KK Hamilton</name></author><author><name sortKey="Grant, B" uniqKey="Grant B">B Grant</name></author><author><name sortKey="Mccullough, M" uniqKey="Mccullough M">M McCullough</name></author><author><name sortKey="Byers, T" uniqKey="Byers T">T Byers</name></author><author><name sortKey="Gansler, T" uniqKey="Gansler T">T Gansler</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Flegal, Km" uniqKey="Flegal K">KM Flegal</name></author><author><name sortKey="Carroll, Md" uniqKey="Carroll M">MD Carroll</name></author><author><name sortKey="Kit, Bk" uniqKey="Kit B">BK Kit</name></author><author><name sortKey="Ogden, Cl" uniqKey="Ogden C">CL Ogden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Panayi, Nd" uniqKey="Panayi N">ND Panayi</name></author><author><name sortKey="Mars, Mm" uniqKey="Mars M">MM Mars</name></author><author><name sortKey="Burd, R" uniqKey="Burd R">R Burd</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Head, Kj" uniqKey="Head K">KJ Head</name></author><author><name sortKey="Noar, Sm" uniqKey="Noar S">SM Noar</name></author><author><name sortKey="Iannarino, Nt" uniqKey="Iannarino N">NT Iannarino</name></author><author><name sortKey="Grant, Hn" uniqKey="Grant H">HN Grant</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Payne, He" uniqKey="Payne H">HE Payne</name></author><author><name sortKey="Lister, C" uniqKey="Lister C">C Lister</name></author><author><name sortKey="West, Jh" uniqKey="West J">JH West</name></author><author><name sortKey="Bernhardt, Jm" uniqKey="Bernhardt J">JM Bernhardt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blackman, Kc" uniqKey="Blackman K">KC Blackman</name></author><author><name sortKey="Zoellner, J" uniqKey="Zoellner J">J Zoellner</name></author><author><name sortKey="Berrey, Lm" uniqKey="Berrey L">LM Berrey</name></author><author><name sortKey="Alexander, R" uniqKey="Alexander R">R Alexander</name></author><author><name sortKey="Fanning, J" uniqKey="Fanning J">J Fanning</name></author><author><name sortKey="Hill, Jl" uniqKey="Hill J">JL Hill</name></author><author><name sortKey="Estabrooks, Pa" uniqKey="Estabrooks P">PA Estabrooks</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bardus, M" uniqKey="Bardus M">M Bardus</name></author><author><name sortKey="Smith, Jr" uniqKey="Smith J">JR Smith</name></author><author><name sortKey="Samaha, L" uniqKey="Samaha L">L Samaha</name></author><author><name sortKey="Abraham, C" uniqKey="Abraham C">C Abraham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bennett, Gg" uniqKey="Bennett G">GG Bennett</name></author><author><name sortKey="Steinberg, Dm" uniqKey="Steinberg D">DM Steinberg</name></author><author><name sortKey="Stoute, C" uniqKey="Stoute C">C Stoute</name></author><author><name sortKey="Lanpher, M" uniqKey="Lanpher M">M Lanpher</name></author><author><name sortKey="Lane, I" uniqKey="Lane I">I Lane</name></author><author><name sortKey="Askew, S" uniqKey="Askew S">S Askew</name></author><author><name sortKey="Foley, Pb" uniqKey="Foley P">PB Foley</name></author><author><name sortKey="Baskin, Ml" uniqKey="Baskin M">ML Baskin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goode, Ad" uniqKey="Goode A">AD Goode</name></author><author><name sortKey="Lawler, Sp" uniqKey="Lawler S">SP Lawler</name></author><author><name sortKey="Brakenridge, Cl" uniqKey="Brakenridge C">CL Brakenridge</name></author><author><name sortKey="Reeves, Mm" uniqKey="Reeves M">MM Reeves</name></author><author><name sortKey="Eakin, Eg" uniqKey="Eakin E">EG Eakin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, Mk" uniqKey="Lee M">MK Lee</name></author><author><name sortKey="Park, H" uniqKey="Park H">H Park</name></author><author><name sortKey="Yun, Yh" uniqKey="Yun Y">YH Yun</name></author><author><name sortKey="Chang, Yj" uniqKey="Chang Y">YJ Chang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mccarroll, Ml" uniqKey="Mccarroll M">ML McCarroll</name></author><author><name sortKey="Armbruster, S" uniqKey="Armbruster S">S Armbruster</name></author><author><name sortKey="Pohle Krauza, Rj" uniqKey="Pohle Krauza R">RJ Pohle-Krauza</name></author><author><name sortKey="Lyzen, Am" uniqKey="Lyzen A">AM Lyzen</name></author><author><name sortKey="Min, S" uniqKey="Min S">S Min</name></author><author><name sortKey="Nash, Dw" uniqKey="Nash D">DW Nash</name></author><author><name sortKey="Roulette, Gd" uniqKey="Roulette G">GD Roulette</name></author><author><name sortKey="Andrews, Sj" uniqKey="Andrews S">SJ Andrews</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bowen, Dj" uniqKey="Bowen D">DJ Bowen</name></author><author><name sortKey="Kreuter, M" uniqKey="Kreuter M">M Kreuter</name></author><author><name sortKey="Spring, B" uniqKey="Spring B">B Spring</name></author><author><name sortKey="Cofta Woerpel, L" uniqKey="Cofta Woerpel L">L Cofta-Woerpel</name></author><author><name sortKey="Linnan, L" uniqKey="Linnan L">L Linnan</name></author><author><name sortKey="Weiner, D" uniqKey="Weiner D">D Weiner</name></author><author><name sortKey="Bakken, S" uniqKey="Bakken S">S Bakken</name></author><author><name sortKey="Kaplan, Cp" uniqKey="Kaplan C">CP Kaplan</name></author><author><name sortKey="Squiers, L" uniqKey="Squiers L">L Squiers</name></author><author><name sortKey="Fabrizio, C" uniqKey="Fabrizio C">C Fabrizio</name></author><author><name sortKey="Fernandez, M" uniqKey="Fernandez M">M Fernandez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stanton, Al" uniqKey="Stanton A">AL Stanton</name></author><author><name sortKey="Rowland, Jh" uniqKey="Rowland J">JH Rowland</name></author><author><name sortKey="Ganz, Pa" uniqKey="Ganz P">PA Ganz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pellegrini, Ca" uniqKey="Pellegrini C">CA Pellegrini</name></author><author><name sortKey="Pfammatter, Af" uniqKey="Pfammatter A">AF Pfammatter</name></author><author><name sortKey="Conroy, De" uniqKey="Conroy D">DE Conroy</name></author><author><name sortKey="Spring, B" uniqKey="Spring B">B Spring</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steinberg, Dm" uniqKey="Steinberg D">DM Steinberg</name></author><author><name sortKey="Levine, El" uniqKey="Levine E">EL Levine</name></author><author><name sortKey="Askew, S" uniqKey="Askew S">S Askew</name></author><author><name sortKey="Foley, P" uniqKey="Foley P">P Foley</name></author><author><name sortKey="Bennett, Gg" uniqKey="Bennett G">GG Bennett</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steinberg, Dm" uniqKey="Steinberg D">DM Steinberg</name></author><author><name sortKey="Bennett, Gg" uniqKey="Bennett G">GG Bennett</name></author><author><name sortKey="Askew, S" uniqKey="Askew S">S Askew</name></author><author><name sortKey="Tate, Df" uniqKey="Tate D">DF Tate</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lutes, Ld" uniqKey="Lutes L">LD Lutes</name></author><author><name sortKey="Daiss, Sr" uniqKey="Daiss S">SR Daiss</name></author><author><name sortKey="Barger, Sd" uniqKey="Barger S">SD Barger</name></author><author><name sortKey="Read, M" uniqKey="Read M">M Read</name></author><author><name sortKey="Steinbaugh, E" uniqKey="Steinbaugh E">E Steinbaugh</name></author><author><name sortKey="Winett, Ra" uniqKey="Winett R">RA Winett</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bennett, Gg" uniqKey="Bennett G">GG Bennett</name></author><author><name sortKey="Herring, Sj" uniqKey="Herring S">SJ Herring</name></author><author><name sortKey="Puleo, E" uniqKey="Puleo E">E Puleo</name></author><author><name sortKey="Stein, Ek" uniqKey="Stein E">EK Stein</name></author><author><name sortKey="Emmons, Km" uniqKey="Emmons K">KM Emmons</name></author><author><name sortKey="Gillman, Mw" uniqKey="Gillman M">MW Gillman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bennett, Gg" uniqKey="Bennett G">GG Bennett</name></author><author><name sortKey="Warner, Et" uniqKey="Warner E">ET Warner</name></author><author><name sortKey="Glasgow, Re" uniqKey="Glasgow R">RE Glasgow</name></author><author><name sortKey="Askew, S" uniqKey="Askew S">S Askew</name></author><author><name sortKey="Goldman, J" uniqKey="Goldman J">J Goldman</name></author><author><name sortKey="Ritzwoller, Dp" uniqKey="Ritzwoller D">DP Ritzwoller</name></author><author><name sortKey="Emmons, Km" uniqKey="Emmons K">KM Emmons</name></author><author><name sortKey="Rosner, Ba" uniqKey="Rosner B">BA Rosner</name></author><author><name sortKey="Colditz, Ga" uniqKey="Colditz G">GA Colditz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rollnick, S" uniqKey="Rollnick S">S Rollnick</name></author><author><name sortKey="Miller, W" uniqKey="Miller W">W Miller</name></author><author><name sortKey="Butler, C" uniqKey="Butler C">C Butler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sorensen, G" uniqKey="Sorensen G">G Sorensen</name></author><author><name sortKey="Emmons, K" uniqKey="Emmons K">K Emmons</name></author><author><name sortKey="Hunt, Mk" uniqKey="Hunt M">MK Hunt</name></author><author><name sortKey="Barbeau, E" uniqKey="Barbeau E">E Barbeau</name></author><author><name sortKey="Goldman, R" uniqKey="Goldman R">R Goldman</name></author><author><name sortKey="Peterson, K" uniqKey="Peterson K">K Peterson</name></author><author><name sortKey="Kuntz, K" uniqKey="Kuntz K">K Kuntz</name></author><author><name sortKey="Stoddard, A" uniqKey="Stoddard A">A Stoddard</name></author><author><name sortKey="Berkman, L" uniqKey="Berkman L">L Berkman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Quintiliani, Lm" uniqKey="Quintiliani L">LM Quintiliani</name></author><author><name sortKey="Whiteley, Ja" uniqKey="Whiteley J">JA Whiteley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Madden, Am" uniqKey="Madden A">AM Madden</name></author><author><name sortKey="Smith, S" uniqKey="Smith S">S Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davis, N" uniqKey="Davis N">N Davis</name></author><author><name sortKey="Murabito, J" uniqKey="Murabito J">J Murabito</name></author><author><name sortKey="Rich, S" uniqKey="Rich S">S Rich</name></author><author><name sortKey="Wartofsky, Mj" uniqKey="Wartofsky M">MJ Wartofsky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rifas Shiman, Sl" uniqKey="Rifas Shiman S">SL Rifas-Shiman</name></author><author><name sortKey="Willett, Wc" uniqKey="Willett W">WC Willett</name></author><author><name sortKey="Lobb, R" uniqKey="Lobb R">R Lobb</name></author><author><name sortKey="Kotch, J" uniqKey="Kotch J">J Kotch</name></author><author><name sortKey="Dart, C" uniqKey="Dart C">C Dart</name></author><author><name sortKey="Gillman, Mw" uniqKey="Gillman M">MW Gillman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Delichatsios, Hk" uniqKey="Delichatsios H">HK Delichatsios</name></author><author><name sortKey="Friedman, Rh" uniqKey="Friedman R">RH Friedman</name></author><author><name sortKey="Glanz, K" uniqKey="Glanz K">K Glanz</name></author><author><name sortKey="Tennstedt, S" uniqKey="Tennstedt S">S Tennstedt</name></author><author><name sortKey="Smigelski, C" uniqKey="Smigelski C">C Smigelski</name></author><author><name sortKey="Pinto, Bm" uniqKey="Pinto B">BM Pinto</name></author><author><name sortKey="Kelley, H" uniqKey="Kelley H">H Kelley</name></author><author><name sortKey="Gillman, Mw" uniqKey="Gillman M">MW Gillman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hedrick, Ve" uniqKey="Hedrick V">VE Hedrick</name></author><author><name sortKey="Savla, J" uniqKey="Savla J">J Savla</name></author><author><name sortKey="Comber, Dl" uniqKey="Comber D">DL Comber</name></author><author><name sortKey="Flack, Kd" uniqKey="Flack K">KD Flack</name></author><author><name sortKey="Estabrooks, Pa" uniqKey="Estabrooks P">PA Estabrooks</name></author><author><name sortKey="Nsiah Kumi, Pa" uniqKey="Nsiah Kumi P">PA Nsiah-Kumi</name></author><author><name sortKey="Ortmeier, S" uniqKey="Ortmeier S">S Ortmeier</name></author><author><name sortKey="Davy, Bm" uniqKey="Davy B">BM Davy</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Craig, Cl" uniqKey="Craig C">CL Craig</name></author><author><name sortKey="Marshall, Al" uniqKey="Marshall A">AL Marshall</name></author><author><name sortKey="Sjostrom, M" uniqKey="Sjostrom M">M Sjöström</name></author><author><name sortKey="Bauman, Ae" uniqKey="Bauman A">AE Bauman</name></author><author><name sortKey="Booth, Ml" uniqKey="Booth M">ML Booth</name></author><author><name sortKey="Ainsworth, Be" uniqKey="Ainsworth B">BE Ainsworth</name></author><author><name sortKey="Pratt, M" uniqKey="Pratt M">M Pratt</name></author><author><name sortKey="Ekelund, U" uniqKey="Ekelund U">U Ekelund</name></author><author><name sortKey="Yngve, A" uniqKey="Yngve A">A Yngve</name></author><author><name sortKey="Sallis, Jf" uniqKey="Sallis J">JF Sallis</name></author><author><name sortKey="Oja, P" uniqKey="Oja P">P Oja</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yore, Mm" uniqKey="Yore M">MM Yore</name></author><author><name sortKey="Ham, Sa" uniqKey="Ham S">SA Ham</name></author><author><name sortKey="Ainsworth, Be" uniqKey="Ainsworth B">BE Ainsworth</name></author><author><name sortKey="Kruger, J" uniqKey="Kruger J">J Kruger</name></author><author><name sortKey="Reis, Jp" uniqKey="Reis J">JP Reis</name></author><author><name sortKey="Kohl, Hw" uniqKey="Kohl H">HW Kohl</name></author><author><name sortKey="Macera, Ca" uniqKey="Macera C">CA Macera</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sallis, Jf" uniqKey="Sallis J">JF Sallis</name></author><author><name sortKey="Pinski, Rb" uniqKey="Pinski R">RB Pinski</name></author><author><name sortKey="Grossman, Rm" uniqKey="Grossman R">RM Grossman</name></author><author><name sortKey="Patterson, Tl" uniqKey="Patterson T">TL Patterson</name></author><author><name sortKey="Nader, Pr" uniqKey="Nader P">PR Nader</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cohen, S" uniqKey="Cohen S">S Cohen</name></author><author><name sortKey="Kamarck, T" uniqKey="Kamarck T">T Kamarck</name></author><author><name sortKey="Mermelstein, R" uniqKey="Mermelstein R">R Mermelstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barrera, M" uniqKey="Barrera M">M Barrera</name></author><author><name sortKey="Sandler, I" uniqKey="Sandler I">I Sandler</name></author><author><name sortKey="Ramsay, T" uniqKey="Ramsay T">T Ramsay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buxton, Om" uniqKey="Buxton O">OM Buxton</name></author><author><name sortKey="Quintiliani, Lm" uniqKey="Quintiliani L">LM Quintiliani</name></author><author><name sortKey="Yang, Mh" uniqKey="Yang M">MH Yang</name></author><author><name sortKey="Ebbeling, Cb" uniqKey="Ebbeling C">CB Ebbeling</name></author><author><name sortKey="Stoddard, Am" uniqKey="Stoddard A">AM Stoddard</name></author><author><name sortKey="Pereira, Lk" uniqKey="Pereira L">LK Pereira</name></author><author><name sortKey="Sorensen, G" uniqKey="Sorensen G">G Sorensen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Latner, Jd" uniqKey="Latner J">JD Latner</name></author><author><name sortKey="Mond, Jm" uniqKey="Mond J">JM Mond</name></author><author><name sortKey="Kelly, Mc" uniqKey="Kelly M">MC Kelly</name></author><author><name sortKey="Haynes, Sn" uniqKey="Haynes S">SN Haynes</name></author><author><name sortKey="Hay, Pj" uniqKey="Hay P">PJ Hay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Neuberger, G" uniqKey="Neuberger G">G Neuberger</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Harris, Pa" uniqKey="Harris P">PA Harris</name></author><author><name sortKey="Taylor, R" uniqKey="Taylor R">R Taylor</name></author><author><name sortKey="Thielke, R" uniqKey="Thielke R">R Thielke</name></author><author><name sortKey="Payne, J" uniqKey="Payne J">J Payne</name></author><author><name sortKey="Gonzalez, N" uniqKey="Gonzalez N">N Gonzalez</name></author><author><name sortKey="Conde, Jg" uniqKey="Conde J">JG Conde</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cadmus Bertram, La" uniqKey="Cadmus Bertram L">LA Cadmus-Bertram</name></author><author><name sortKey="Marcus, Bh" uniqKey="Marcus B">BH Marcus</name></author><author><name sortKey="Patterson, Re" uniqKey="Patterson R">RE Patterson</name></author><author><name sortKey="Parker, Ba" uniqKey="Parker B">BA Parker</name></author><author><name sortKey="Morey, Bl" uniqKey="Morey B">BL Morey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smith, Sa" uniqKey="Smith S">SA Smith</name></author><author><name sortKey="Claridy, Md" uniqKey="Claridy M">MD Claridy</name></author><author><name sortKey="Whitehead, Ms" uniqKey="Whitehead M">MS Whitehead</name></author><author><name sortKey="Sheats, Jq" uniqKey="Sheats J">JQ Sheats</name></author><author><name sortKey="Yoo, W" uniqKey="Yoo W">W Yoo</name></author><author><name sortKey="Alema Mensah, Ea" uniqKey="Alema Mensah E">EA Alema-Mensah</name></author><author><name sortKey="Ansa, Be" uniqKey="Ansa B">BE Ansa</name></author><author><name sortKey="Coughlin, Ss" uniqKey="Coughlin S">SS Coughlin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Spark, Lc" uniqKey="Spark L">LC 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><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">JMIR Cancer</journal-id><journal-id journal-id-type="iso-abbrev">JMIR Cancer</journal-id><journal-id journal-id-type="publisher-id">JC</journal-id><journal-title-group><journal-title>JMIR cancer</journal-title></journal-title-group><issn pub-type="epub">2369-1999</issn><publisher><publisher-name>JMIR Publications Inc.</publisher-name><publisher-loc>Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28410174</article-id><article-id pub-id-type="pmc">5066594</article-id><article-id pub-id-type="publisher-id">v2i1e4</article-id><article-id pub-id-type="doi">10.2196/cancer.5305</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject></subj-group><subj-group subj-group-type="article-type"><subject>Original Paper</subject></subj-group></article-categories><title-group><article-title>Pilot and Feasibility Test of a Mobile Health-Supported Behavioral Counseling Intervention for Weight Management Among Breast Cancer Survivors</article-title></title-group><contrib-group><contrib contrib-type="editor"><name><surname>Eysenbach</surname><given-names>Gunther</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="reviewer"><name><surname>Smith</surname><given-names>Selina</given-names></name></contrib><contrib contrib-type="reviewer"><name><surname>Fjeldsoe</surname><given-names>Brianna</given-names></name></contrib><contrib contrib-type="reviewer"><name><surname>Cadmus-Bertram</surname><given-names>Lisa</given-names></name></contrib></contrib-group><contrib-group><contrib id="contrib1" contrib-type="author" corresp="yes"><name><surname>M Quintiliani</surname><given-names>Lisa</given-names></name><degrees>PhD.</degrees><xref ref-type="aff" rid="aff1">1</xref><address><institution>Boston University</institution><institution>Department of Medicine</institution><institution>Section of General Internal Medicine</institution><addr-line>801 Massachusetts Ave</addr-line><addr-line>Crosstown Center</addr-line><addr-line>Boston, MA, 02118</addr-line><country>United States</country><phone>1 617 638 2777</phone><fax>1 617 638 5580</fax><email>lmquinti@bu.edu</email></address><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-3328-6768</contrib-id></contrib><contrib id="contrib2" contrib-type="author"><name><surname>Mann</surname><given-names>Devin M</given-names></name><degrees>MD, MS</degrees><xref ref-type="aff" rid="aff2">2</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-2099-0852</contrib-id></contrib><contrib id="contrib3" contrib-type="author"><name><surname>Puputti</surname><given-names>Marissa</given-names></name><degrees>B.S.</degrees><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib id="contrib4" contrib-type="author"><name><surname>Quinn</surname><given-names>Emily</given-names></name><degrees>M.A.</degrees><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib id="contrib5" contrib-type="author"><name><surname>Bowen</surname><given-names>Deborah J</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff4">4</xref></contrib></contrib-group><aff id="aff1"><sup>1</sup><institution>Boston University</institution><institution>Department of Medicine</institution><institution>Section of General Internal Medicine</institution><addr-line>Boston, MA</addr-line><country>United States</country></aff><aff id="aff2"><sup>2</sup><institution>Boston University</institution><institution>Department of Medicine</institution><institution>Section of Preventive Medicine and Epidemiology</institution><addr-line>Boston, MA</addr-line><country>United States</country></aff><aff id="aff3"><sup>3</sup><institution>Boston University</institution><institution>School of Public Health</institution><institution>Data Coordinating Center</institution><addr-line>Boston, MA</addr-line><country>United States</country></aff><aff id="aff4"><sup>4</sup><institution>University of Washington</institution><institution>School of Medicine</institution><institution>Department of Bioethics & Humanities</institution><addr-line>Seattle, WA</addr-line><country>United States</country></aff><author-notes><corresp>Corresponding Author: Lisa Quintiliani
<email>lmquinti@bu.edu</email></corresp></author-notes><pub-date pub-type="collection"><season>Jan-Jun</season><year>2016</year></pub-date><pub-date pub-type="epub"><day>09</day><month>5</month><year>2016</year></pub-date><volume>2</volume><issue>1</issue><elocation-id>e4</elocation-id><history><date date-type="received"><day>29</day><month>10</month><year>2015</year></date><date date-type="rev-request"><day>24</day><month>1</month><year>2016</year></date><date date-type="rev-recd"><day>17</day><month>2</month><year>2016</year></date><date date-type="accepted"><day>18</day><month>3</month><year>2016</year></date></history><permissions><copyright-statement>©Lisa Quintiliani, Devin M Mann, Marissa Puputti, Emily Quinn, Deborah J Bowen. Originally published in JMIR Cancer (http://cancer.jmir.org), 09.05.2016.</copyright-statement><copyright-year>2016</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0/">http://creativecommons.org/licenses/by/2.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cancer, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="http://cancer.jmir.org/,">http://cancer.jmir.org/,</ext-link> as well as this copyright and license information must be included.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="http://cancer.jmir.org/2016/1/e4/"></self-uri><abstract><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></abstract><kwd-group><kwd>telemedicine</kwd><kwd>survivors</kwd><kwd>breast neoplasms</kwd><kwd>health behavior</kwd><kwd>body weight</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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