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本文引用的文献

1
Information processes mediate the effect of a health communication intervention on fruit and vegetable consumption.信息处理过程中介导了健康传播干预对水果和蔬菜消费的影响。
J Health Commun. 2011 Mar;16(3):282-99. doi: 10.1080/10810730.2010.532294.
2
A randomized trial of tailoring and motivational interviewing to promote fruit and vegetable consumption for cancer prevention and control.一项旨在通过定制和动机访谈来促进水果和蔬菜消费以预防和控制癌症的随机试验。
Ann Behav Med. 2009 Oct;38(2):71-85. doi: 10.1007/s12160-009-9140-5.
3
Health-related information needs in a large and diverse sample of adult cancer survivors: implications for cancer care.大量不同成年癌症幸存者样本中的健康相关信息需求:对癌症护理的影响。
J Cancer Surviv. 2008 Sep;2(3):179-89. doi: 10.1007/s11764-008-0055-0. Epub 2008 Jun 3.
4
Disease stage and psychosocial outcomes in colorectal cancer.结直肠癌的疾病分期与社会心理结局
Colorectal Dis. 2009 Jan;11(1):19-25. doi: 10.1111/j.1463-1318.2008.01501.x. Epub 2008 Mar 18.
5
Understanding tailoring in communicating about health.理解健康沟通中的个性化定制。
Health Educ Res. 2008 Jun;23(3):454-66. doi: 10.1093/her/cyn004. Epub 2008 Mar 17.
6
Association of dietary patterns with cancer recurrence and survival in patients with stage III colon cancer.III期结肠癌患者的饮食模式与癌症复发及生存的关联
JAMA. 2007 Aug 15;298(7):754-64. doi: 10.1001/jama.298.7.754.
7
Main outcomes of the FRESH START trial: a sequentially tailored, diet and exercise mailed print intervention among breast and prostate cancer survivors.“FRESH START”试验的主要结果:一项针对乳腺癌和前列腺癌幸存者的按序定制的饮食与运动邮寄印刷品干预措施。
J Clin Oncol. 2007 Jul 1;25(19):2709-18. doi: 10.1200/JCO.2007.10.7094.
8
Dietary fat reduction and breast cancer outcome: interim efficacy results from the Women's Intervention Nutrition Study.饮食中脂肪减少与乳腺癌预后:女性干预营养研究的中期疗效结果
J Natl Cancer Inst. 2006 Dec 20;98(24):1767-76. doi: 10.1093/jnci/djj494.
9
Health behavior correlates among colon cancer survivors: NC STRIDES baseline results.结肠癌幸存者的健康行为相关性:北卡罗来纳州STRIDES研究基线结果
Am J Health Behav. 2006 Nov-Dec;30(6):720-30. doi: 10.5555/ajhb.2006.30.6.720.
10
Cancer survivors information seeking behaviors: a comparison of survivors who do and do not seek information about cancer.癌症幸存者的信息寻求行为:寻求和不寻求癌症信息的幸存者的比较。
Patient Educ Couns. 2007 Mar;65(3):342-50. doi: 10.1016/j.pec.2006.08.015. Epub 2006 Oct 9.

结直肠癌幸存者水果和蔬菜消费的影响因素。

Mediators of fruit and vegetable consumption among colorectal cancer survivors.

机构信息

University of North Carolina, Chapel Hill, NC 27599, USA.

出版信息

J Cancer Surviv. 2010 Jun;4(2):149-58. doi: 10.1007/s11764-010-0116-z. Epub 2010 Feb 26.

DOI:10.1007/s11764-010-0116-z
PMID:20186574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4863647/
Abstract

INTRODUCTION

Due to early detection and treatment, survival from colorectal cancer (CRC) diagnosis has been steadily increasing. A CRC diagnosis could be considered a "teachable moment," a time when interventionists might successfully promote dietary changes. CRC interventions with tailored print communication (TPC) and telephone motivational interviewing (TMI) have been shown to be effective in promoting fruit and vegetable consumption (FVC) among CRC survivors. However, little is known about how these interventions work to exert their effect. This study investigated whether information processes mediate the relationship between a CRC intervention and FVC among CRC survivors.

METHODS

This research used data from NC STRIDES, a study that tested the efficacy of two CRC intervention strategies to promote FVC among CRC survivors. Participants were randomized to control, TPC, TMI, or combined (TPC+TMI). Structural equation models were constructed to analyze data from 266 CRC survivors using two different measures of FVC, a 35-item and a 2-item measure.

RESULTS

Two information processes, relevance of communication and trust in the communication, mediated the effect of TPC+TMI on FVC for both 35-item and 2-item measures. TPC+TMI was significantly associated with relevance of communication, and perceiving greater relevance was significantly related to trust in the communication. Trust was significantly related to FVC.

DISCUSSION

Information processes, including relevance and trust in the communication, serve as mediators of the relationship between the CRC intervention and FVC.

IMPLICATIONS FOR CANCER SURVIVORS

Future intervention research should investigate ways to enhance relevance of communication and trust in interventions with CRC survivors.

摘要

简介

由于早期检测和治疗,结直肠癌(CRC)诊断后的生存率一直在稳步提高。CRC 诊断可以被视为一个“可教育的时刻”,此时干预者可能会成功地促进饮食改变。针对 CRC 幸存者的定制印刷通讯(TPC)和电话动机访谈(TMI)干预措施已被证明可以有效地促进水果和蔬菜的消费(FVC)。然而,对于这些干预措施如何发挥作用,我们知之甚少。本研究调查了信息处理是否在 CRC 干预措施与 CRC 幸存者的 FVC 之间起中介作用。

方法

本研究使用了 NC STRIDES 的数据,该研究测试了两种 CRC 干预策略对促进 CRC 幸存者 FVC 的功效。参与者被随机分配到对照组、TPC 组、TMI 组或联合组(TPC+TMI 组)。使用两种不同的 FVC 测量方法(35 项和 2 项测量),构建结构方程模型来分析来自 266 名 CRC 幸存者的数据。

结果

两种信息处理过程,即沟通的相关性和对沟通的信任,中介了 TPC+TMI 对两种 FVC 测量方法(35 项和 2 项)的影响。TPC+TMI 与沟通的相关性显著相关,感知到更大的相关性与对沟通的信任显著相关。信任与 FVC 显著相关。

讨论

信息处理过程,包括沟通的相关性和对沟通的信任,是 CRC 干预措施与 FVC 之间关系的中介。

对癌症幸存者的意义

未来的干预研究应该研究如何提高与 CRC 幸存者的沟通相关性和信任。