School of Public Health and Social Work, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Brisbane, Queensland 4059, Australia.
BMC Cancer. 2012 Nov 27;12:560. doi: 10.1186/1471-2407-12-560.
This pilot study aimed to test the acceptability and short-term effectiveness of a telephone-delivered multiple health behaviour change intervention for relatives of colorectal cancer survivors.
A community-based sample of 22 first-degree relatives of colorectal cancer survivors were recruited via a media release. Data were collected at baseline and at six weeks (post-intervention). Outcome measures included health behaviours (physical activity, television viewing, diet, alcohol, body mass index, waist circumference and smoking), health-related quality of life (Short Form-36) and perceived colorectal cancer risk. Intervention satisfaction levels were also measured. The intervention included six telephone health coaching sessions, a participant handbook and a pedometer. It focused on behavioural risk factors for colorectal cancer [physical activity, diet (red and processed meat consumption, fruit and vegetable intake), alcohol, weight management and smoking], and colorectal cancer risk.
From baseline to six weeks, improvements were observed for minutes moderate-vigorous physical activity (150.7 minutes), processed meat intake (-1.2 serves/week), vegetable intake (1 serve/day), alcohol intake (-0.4 standard drinks/day), body mass index (-1.4 kg/m2), and waist circumference (-5.1 cm). Improvements were also observed for physical (3.3) and mental (4.4) health-related quality of life. Further, compared with baseline, participants were more likely to meet Australian recommendations post-intervention for: moderate-vigorous physical activity (27.3 vs 59.1%); fruit intake (68.2 vs 81.8%); vegetable intake (4.6 vs 18.2%); alcohol consumption (59.1 vs 72.7%); body mass index (31.8 vs 45.5%) and waist circumference (18.2 vs 27.3%). At six weeks participants were more likely to believe a diagnosis of CRC was related to family history, and there was a decrease in their perceived risk of developing CRC in their lifetime following participation in CanPrevent. The intervention retention rate was 100%, participants reported that it was highly acceptable and they would recommend it to others at risk of colorectal cancer.
Positive behaviour change achieved through this intervention approach has the potential to impact on the progression of CRC and other cancers or chronic diseases. A large scale randomised controlled trial is required to confirm the positive results of this acceptability and short-term effectiveness study.
ACTRN12612000516886.
本研究旨在测试针对结直肠癌幸存者一级亲属的电话式多重健康行为改变干预措施的可接受性和短期效果。
通过媒体发布招募了 22 名结直肠癌幸存者的一级亲属作为社区样本。数据在基线和六周时（干预后）收集。结果指标包括健康行为（体力活动、看电视、饮食、饮酒、体重指数、腰围和吸烟）、健康相关生活质量（36 项简短健康调查）和结直肠癌风险感知。还测量了干预满意度水平。干预措施包括六次电话健康辅导、参与者手册和计步器。它侧重于结直肠癌的行为危险因素[体力活动、饮食（红色和加工肉类摄入、水果和蔬菜摄入）、酒精、体重管理和吸烟]和结直肠癌风险。
从基线到六周，体力活动（150.7 分钟）、加工肉类摄入量（每周减少 1.2 份）、蔬菜摄入量（每天 1 份）、酒精摄入量（每天减少 0.4 标准饮料）、体重指数（1.4kg/m2）和腰围（5.1cm）均有所改善。身体（3.3）和精神（4.4）健康相关生活质量也有所改善。此外，与基线相比，参与者在干预后更有可能符合澳大利亚的推荐标准：中度至剧烈体力活动（27.3%比 59.1%）；水果摄入量（68.2%比 81.8%）；蔬菜摄入量（4.6%比 18.2%）；酒精摄入量（59.1%比 72.7%）；体重指数（31.8%比 45.5%）和腰围（18.2%比 27.3%）。在六周时，参与者更有可能认为 CRC 的诊断与家族史有关，并且在参加 CanPrevent 后，他们终生患 CRC 的风险降低。干预保留率为 100%，参与者报告说该干预措施非常可接受，并且他们会将其推荐给有结直肠癌风险的其他人。
通过这种干预方法实现的积极行为改变有可能影响 CRC 和其他癌症或慢性疾病的进展。需要进行大规模的随机对照试验来证实这项可接受性和短期有效性研究的积极结果。
ACTRN12612000516886。
