使用基于网络的健康行为改变干预措施在癌症中生存并茁壮成长：随机对照试验。
Surviving and thriving with cancer using a Web-based health behavior change intervention: randomized controlled trial.
作者信息
Bantum Erin O'Carrol, Albright Cheryl L, White Kami K, Berenberg Jeffrey L, Layi Gabriela, Ritter Phillip L, Laurent Diana, Plant Katy, Lorig Kate
机构信息
University of Hawaii Cancer Center, Cancer Prevention & Control, Honolulu, HI, United States.
出版信息
J Med Internet Res. 2014 Feb 24;16(2):e54. doi: 10.2196/jmir.3020.
BACKGROUND
Given the substantial improvements in cancer screening and cancer treatment in the United States, millions of adult cancer survivors live for years following their initial cancer diagnosis and treatment. However, latent side effects can occur and some symptoms can be alleviated or managed effectively via changes in lifestyle behaviors.
OBJECTIVE
The purpose of this study was to test the effectiveness of a six-week Web-based multiple health behavior change program for adult survivors.
METHODS
Participants (n=352) were recruited from oncology clinics, a tumor registry, as well as through online mechanisms, such as Facebook and the Association of Cancer Online Resources (ACOR). Cancer survivors were eligible if they had completed their primary cancer treatment from 4 weeks to 5 years before enrollment. Participants were randomly assigned to the Web-based program or a delayed-treatment control condition.
RESULTS
In total, 303 survivors completed the follow-up survey (six months after completion of the baseline survey) and participants in the Web-based intervention condition had significantly greater reductions in insomnia and greater increases in minutes per week of vigorous exercise and stretching compared to controls. There were no significant changes in fruit and vegetable consumption or other outcomes.
CONCLUSIONS
The Web-based intervention impacted insomnia and exercise; however, a majority of the sample met or exceeded national recommendations for health behaviors and were not suffering from depression or fatigue at baseline. Thus, the survivors were very healthy and well-adjusted upon entry and their ability to make substantial health behavior changes may have been limited. Future work is discussed, with emphasis placed on ways in which Web-based interventions can be more specifically analyzed for benefit, such as in regard to social networking.
TRIAL REGISTRATION
Clinicaltrials.gov NCT00962494; http://www.clinicaltrials.gov/ct2/show/NCT00962494 (Archived by WebCite at http://www.webcitation.org/6NIv8Dc6Q).
背景
鉴于美国癌症筛查和癌症治疗有了显著改善，数百万成年癌症幸存者在首次癌症诊断和治疗后能存活数年。然而，潜在的副作用可能会出现，一些症状可通过改变生活方式行为得到有效缓解或控制。
目的
本研究旨在测试一项为期六周的基于网络的多健康行为改变计划对成年幸存者的有效性。
方法
参与者（n = 352）从肿瘤诊所、肿瘤登记处以及通过在线渠道招募，如脸书和癌症在线资源协会（ACOR）。癌症幸存者若在入组前4周至5年完成了原发性癌症治疗，则符合条件。参与者被随机分配到基于网络的计划组或延迟治疗对照组。
结果
共有303名幸存者完成了随访调查（基线调查完成后六个月），与对照组相比，基于网络干预组的参与者在失眠方面有显著更大程度的减轻，每周剧烈运动和伸展的分钟数有显著更多的增加。水果和蔬菜摄入量或其他结果没有显著变化。
结论
基于网络的干预对失眠和运动有影响；然而，大多数样本达到或超过了健康行为的国家建议，且在基线时没有抑郁或疲劳症状。因此，幸存者在入组时非常健康且适应良好，他们进行实质性健康行为改变的能力可能有限。讨论了未来的工作，重点是如何更具体地分析基于网络的干预措施的益处，例如在社交网络方面。
试验注册
Clinicaltrials.gov NCT00962494；http://www.clinicaltrials.gov/ct2/show/NCT00962494（由WebCite存档于http://www.webcitation.org/6NIv8Dc6Q）。
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