UNC Lineberger Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, Wisconsin, USA.
J Cancer Surviv. 2018 Feb;12(1):82-94. doi: 10.1007/s11764-017-0647-7. Epub 2017 Oct 9.
This randomized controlled trial evaluated the impact of SurvivorCHESS, an eHealth intervention, on physical activity in colon cancer survivors and to explore the impact of SurvivorCHESS on quality of life and distress.
This was a two-arm single-blinded multi-site randomized controlled trial comparing a control group to an intervention group receiving a smartphone with the SurvivorCHESS program.
Participants using SurvivorCHESS (n = 144) increased their moderate to vigorous physical activities from 19.4 min at baseline to 50 min compared to the control group (n = 140) increasing from 15.5 to 40.3 min at 6 months (p = .083) but was not sustained 3 months after the study ended. No significant differences were found between groups over time for quality of life or distress items. Reports of physical symptoms were greater than other categories for distress items. Patients who had a higher body mass index and number of comorbid conditions were less likely to increase their physical activity. Self-determination theory including autonomous motivation and relatedness was not associated with the outcomes.
Physical activity did increase over time in both groups and was not significantly different with the use of the eHealth intervention, SurvivorCHESS, compared to the control group. The amount of SurvivorCHESS use was not associated with physical activity.
Increasing physical activity in colon cancer survivors has the potential to improve quality of life and reduce recurrences. Using smartphone-tracking devices may be useful in helping to change this health behavior.
本随机对照试验评估了电子健康干预措施 SurvivorCHESS 对结肠癌幸存者身体活动的影响，并探讨了 SurvivorCHESS 对生活质量和困扰的影响。
这是一项两臂、单盲、多地点随机对照试验，比较了对照组和接受带有 SurvivorCHESS 程序的智能手机的干预组。
使用 SurvivorCHESS 的参与者（n=144）的中等至剧烈体力活动从基线时的 19.4 分钟增加到 6 个月时的 50 分钟，而对照组（n=140）从 15.5 分钟增加到 40.3 分钟（p=0.083），但在研究结束后 3 个月后没有持续增加。在生活质量或困扰项目方面，两组之间没有随着时间的推移而出现显著差异。在困扰项目中，身体症状的报告大于其他类别。身体质量指数较高和合并症较多的患者不太可能增加他们的身体活动。自我决定理论包括自主动机和关联性与结果无关。
两组的身体活动都随着时间的推移而增加，与对照组相比，使用电子健康干预措施 SurvivorCHESS 并没有显著差异。 SurvivorCHESS 的使用量与身体活动无关。
增加结肠癌幸存者的身体活动量有可能改善生活质量并降低复发率。使用智能手机跟踪设备可能有助于改变这种健康行为。
