Lee Alyssa Sara, Ozakinci Gozde, Leung Steve, Humphris Gerry, Dale Hannah, Hamlet Neil
Department of Urology, NHS Fife, Kirkcaldy, UK ; School of Medicine, University of St Andrews, Fife, St Andrews, Scotland KY16 9TF UK.
School of Medicine, University of St Andrews, Fife, St Andrews, Scotland KY16 9TF UK.
Pilot Feasibility Stud. 2016 Oct 21;2:65. doi: 10.1186/s40814-016-0102-y. eCollection 2016.
Previous research has shown diagnosis or screening for cancer may be a 'teachable moment' for prevention through lifestyle change. Previous trials have been successful but have been delivered via national programmes targeting patients being screened for colorectal cancer. This manuscript reports the protocol for a proof-of-concept study to assess the feasibility and acceptability of a lifestyle change service targeting men suspected or diagnosed with cancer of the prostate in a secondary care cancer service within the UK.
Lifestyle change will be promoted through integration of a lifestyle change service in a urology department in one NHS Board. The service is delivered by a Health Psychologist and uses motivational interviewing and behavioural change techniques to motivate and support patients to consider and address topics such as increasing physical activity and a healthy diet, smoking cessation, alcohol reduction and weight loss. A service evaluation will assess feasibility and acceptability via a patient experience survey, a survey exploring staff knowledge, attitudes and practice, pre- and post-intervention lifestyle behaviour survey and an audit of routine patient database.
This pilot will assess the viability of using cancer testing and diagnosis as a teachable moment for lifestyle change in a unique population (i.e. men with suspected cancer of the prostate). If successful, this approach offers potential for preventative services to enhance routine and person-centred clinical cancer care provided within secondary care settings.
先前的研究表明，癌症诊断或筛查可能是通过改变生活方式进行预防的“可教时刻”。以往的试验取得了成功，但都是通过针对接受结直肠癌筛查的患者的国家项目开展的。本手稿报告了一项概念验证研究的方案，以评估在英国二级医疗癌症服务中，针对疑似或诊断为前列腺癌的男性开展生活方式改变服务的可行性和可接受性。
通过将生活方式改变服务整合到一个国民保健服务委员会的泌尿外科来促进生活方式的改变。该服务由一名健康心理学家提供，采用动机性访谈和行为改变技术，激励和支持患者考虑并解决诸如增加体育活动、健康饮食、戒烟、减少饮酒和减肥等问题。一项服务评估将通过患者体验调查、一项探索工作人员知识、态度和实践的调查、干预前后的生活方式行为调查以及对常规患者数据库的审核来评估可行性和可接受性。
该试点将评估在一个独特人群（即疑似前列腺癌的男性）中，利用癌症检测和诊断作为生活方式改变的可教时刻的可行性。如果成功，这种方法为预防性服务提供了潜力，以加强二级医疗环境中提供的常规和以患者为中心的临床癌症护理。
