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一项关于在癌症幸存者中推广身体活动的试点研究:简要报告。

A pilot study on disseminating physical activity promotion among cancer survivors: a brief report.

作者信息

Pinto Bernardine M, Rabin Carolyn, Abdow Susan, Papandonatos George D

机构信息

Miriam Hospital and Warren Alpert Medical School of Brown University, Providence, RI, USA.

出版信息

Psychooncology. 2008 May;17(5):517-21. doi: 10.1002/pon.1268.

Abstract

There is growing evidence that physical activity (PA) can improve quality of life (QOL) and reduce fatigue in cancer survivors. Research staff or healthcare providers have delivered PA interventions to cancer populations. As a first step to dissemination of a previously tested PA intervention, seven American Cancer Society Reach to Recovery volunteers (mean age = 57.4 years) were trained to deliver the telephone-based intervention to 25 breast cancer survivors (mean age = 52.9 years, 56% Stage 2 cancer, mean of 3.3 years since diagnosis). A single group design was used. The theory-based intervention consisted of 12 weekly calls to encourage participants to adopt moderate-intensity PA. Participants' PA, QOL, mood, and fatigue were assessed at baseline, 12, and 24 weeks. Data on intervention feasibility and preliminary effects were collected. The intervention was feasible (mean of 10.7 out of 12 calls were delivered) and acceptable to the volunteers. At 12 weeks, there were significant increases in participants' PA and improvements in fatigue, QOL, and vigor. Effects were maintained at 24 weeks. This pilot study demonstrated that it was feasible for trained volunteers to deliver a telephone-based PA intervention to breast cancer survivors, and there were positive effects on survivors' PA behavior and psychological outcomes.

摘要

越来越多的证据表明,体育活动(PA)可以改善癌症幸存者的生活质量(QOL)并减轻疲劳。研究人员或医疗保健提供者已对癌症患者群体实施了体育活动干预措施。作为推广先前测试过的体育活动干预措施的第一步,对7名美国癌症协会康复援助志愿者(平均年龄 = 57.4岁)进行了培训,让他们为25名乳腺癌幸存者(平均年龄 = 52.9岁,56%为2期癌症,确诊后平均3.3年)提供基于电话的干预措施。采用了单组设计。基于理论的干预措施包括每周进行12次电话随访,鼓励参与者进行中等强度的体育活动。在基线、第12周和第24周对参与者的体育活动、生活质量、情绪和疲劳情况进行评估。收集了关于干预可行性和初步效果的数据。该干预措施是可行的(12次电话随访中平均进行了10.7次),并且志愿者可以接受。在第12周时,参与者的体育活动显著增加,疲劳、生活质量和活力方面有所改善。这些效果在第24周时得以维持。这项初步研究表明,训练有素的志愿者为乳腺癌幸存者提供基于电话的体育活动干预措施是可行的,并且对幸存者的体育活动行为和心理结果有积极影响。

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