Carmack Taylor Cindy L, Demoor Carl, Smith Murray A, Dunn Andrea L, Basen-Engquist Karen, Nielsen Ingrid, Pettaway Curtis, Sellin Rena, Massey Pamela, Gritz Ellen R
Department of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, 77230-1439, USA.
Psychooncology. 2006 Oct;15(10):847-62. doi: 10.1002/pon.1023.
Active for Life After Cancer is a randomized trial evaluating the efficacy of a 6-month group-based lifestyle physical activity program (Lifestyle) for prostate cancer patients to improve quality of life (QOL) including physical and emotional functioning compared to a group-based Educational Support Program and a Standard Care Program (no group).
A total of 134 prostate cancer patients receiving continuous androgen-ablation were randomly assigned to one of the three study conditions.
Results indicated no significant improvements in QOL at 6 or 12 months. Both group-based programs were positively received and yielded good attendance and retention. Lifestyle participants demonstrated significant improvements in most theoretical mediators proposed by the Transtheoretical Model and Social Cognitive Theory to affect physical activity. Despite these improvements, no significant changes were found for most physical activity measures.
Results suggest a lifestyle program focusing on cognitive-behavioral skills training alone is insufficient for promoting routine physical activity in these patients.
“癌症后积极生活”是一项随机试验，旨在评估一项为期6个月的基于小组的生活方式体育活动计划（生活方式计划）对前列腺癌患者的疗效，该计划旨在改善生活质量（QOL），包括与基于小组的教育支持计划和标准护理计划（无小组）相比的身体和情感功能。
共有134名接受持续雄激素剥夺治疗的前列腺癌患者被随机分配到三种研究条件之一。
结果表明，在6个月或12个月时，生活质量没有显著改善。两个基于小组的计划都得到了积极的反馈，出勤率和留存率都很高。生活方式计划的参与者在跨理论模型和社会认知理论提出的影响体育活动的大多数理论中介因素方面有显著改善。尽管有这些改善，但大多数体育活动指标没有发现显著变化。
结果表明，仅专注于认知行为技能训练的生活方式计划不足以促进这些患者的日常体育活动。
