生存者健康和韧性教育（SHARE）方案对改善儿童癌症幸存者青少年骨健康行为的效果。
Efficacy of the Survivor Health and Resilience Education (SHARE) program to improve bone health behaviors among adolescent survivors of childhood cancer.
机构信息
Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, 3300 Whitehaven Street NW, Washington, DC 20007, USA.
出版信息
Ann Behav Med. 2011 Aug;42(1):91-8. doi: 10.1007/s12160-011-9261-5.
PURPOSE
The purpose of this study is to test the efficacy of the Survivor Health and Resilience Education Program intervention--a manualized, behavioral intervention focusing on bone health behaviors among adolescent survivors of childhood cancer.
METHODS
Participants were 75 teens aged 11-21 years, one or more years post-treatment, and currently cancer-free. Teens were randomized to a group-based intervention focusing on bone health or a wait-list control. Bone health behaviors were assessed at baseline and 1-month post-intervention.
RESULTS
Controlling for baseline outcome measures and theoretical predictors, milk consumption frequency (p=0.03), past month calcium supplementation (p<0.001), days in the past month with calcium supplementation (p<0.001), and dietary calcium intake (p=0.04) were significantly greater at 1-month follow-up among intervention participants compared with control participants.
CONCLUSIONS
The intervention had a significant short-term impact on self-reported bone health behaviors among adolescent survivors of childhood cancer. Research examining long-term intervention effectiveness is warranted.
目的
本研究旨在测试生存者健康和韧性教育计划干预的疗效 - 这是一种针对儿童癌症后青少年生存者骨骼健康行为的标准化行为干预。
方法
参与者为 75 名年龄在 11 至 21 岁之间、治疗后一年以上且目前无癌症的青少年。青少年被随机分配到以骨骼健康为重点的基于小组的干预组或候补名单对照组。在基线和干预后 1 个月评估骨骼健康行为。
结果
在控制基线结果测量和理论预测因素的情况下，与对照组相比，干预组在 1 个月随访时的牛奶消费频率（p=0.03）、过去一个月钙补充剂的使用频率（p<0.001）、过去一个月中使用钙补充剂的天数（p<0.001）和膳食钙摄入量（p=0.04）显著更高。
结论
该干预措施对儿童癌症后青少年的自我报告骨骼健康行为具有显著的短期影响。需要研究长期干预效果。
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