Rutsch Mercedes, Jochems Nicole, Schrader Andreas, Brandes Iris, Weier Lisa, Deck Ruth
Institute for Social Medicine and Epidemiology, Department Rehabilitation Sciences, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
Institute for Multimedia and Interactive Systems, University of Lübeck, Lübeck, Germany.
BMC Health Serv Res. 2020 May 6;20(1):378. doi: 10.1186/s12913-020-05248-9.
Breast cancer is the most common malignant disease in women. Compared with other cancer types, breast cancer has a higher survival rate. The majority of breast cancer patients are overstrained to implement cancer-specific recommendations relating to changes in health behaviour. Numerous epidemiological studies have shown a positive correlation between physical activity and quality of life as well as the course of disease during and after breast cancer treatment. However, many patients have difficulties integrating physical activity into their everyday lives due to cancer symptoms. To develop physical activity into a daily routine, an aftercare programme for breast cancer patients will be developed. In particular, the programme is structured in terms of the validated concept "Neues Credo". The basic concept is converted into a mobile application.
The study sample includes n = 740 rehabilitants (370 for the intervention group and for the control group) from five different rehab clinics in Northern Germany. The evaluation is as follows: a) Quasi-randomized, prospective longitudinal study (sequential study design). The intervention group receives a mobile application after rehabilitation, and the control group receives treatment as usual. The study evaluation is carried out through a questionnaire at three stages (at the beginning of the rehabilitation, at the end of the rehabilitation, and after 12 months). b) Qualitative analysis of interviews and focus groups in terms of feasibility and acceptance. c) Formative evaluation of the app.
Above all, the aftercare programme ReNaApp increases the long-term effects of oncological rehabilitation. By documenting physical activity in ReNaApp, rehabilitants become more motivated to engage in physical activity in their everyday lives. Currently, there is no scientifically evaluated app for breast cancer patients in the German language. Thus, ReNaApp ensures an aftercare treatment for breast cancer patients with high-quality performance regardless of their place of residence. By adopting a participatory approach and a user-centred design, ReNaApp corresponds to the demands of the rehabilitants.
German Register of Clinical Trials, www.drks.de. Identifier: DRKS00019017; Registered: November 7th, 2019. Date and version identifier: April 17th 2020; vesion 2.
乳腺癌是女性最常见的恶性疾病。与其他癌症类型相比，乳腺癌患者的生存率较高。大多数乳腺癌患者在执行与健康行为改变相关的癌症特异性建议时过度劳累。大量流行病学研究表明，身体活动与生活质量以及乳腺癌治疗期间和之后的病程呈正相关。然而，由于癌症症状，许多患者在将身体活动融入日常生活方面存在困难。为了将身体活动变成日常习惯，将为乳腺癌患者制定一个后续护理计划。特别是，该计划是根据经过验证的“新信条”概念构建的。基本概念被转化为一个移动应用程序。
研究样本包括来自德国北部五个不同康复诊所的n = 740名康复者（干预组和对照组各370名）。评估如下：a）准随机、前瞻性纵向研究（序贯研究设计）。干预组在康复后接收移动应用程序，对照组接受常规治疗。研究评估通过在三个阶段（康复开始时、康复结束时和12个月后）进行问卷调查来进行。b）就可行性和可接受性对访谈和焦点小组进行定性分析。c）对应用程序进行形成性评估。
最重要的是，后续护理计划ReNaApp提高了肿瘤康复的长期效果。通过在ReNaApp中记录身体活动，康复者在日常生活中进行身体活动的积极性更高。目前，德语中没有针对乳腺癌患者的经过科学评估的应用程序。因此，ReNaApp确保为乳腺癌患者提供高质量的后续护理治疗，无论其居住地点如何。通过采用参与式方法和以用户为中心的设计，ReNaApp符合康复者的需求。
德国临床试验注册中心，www.drks.de。标识符：DRKS00019017；注册时间：2019年11月7日。日期和版本标识符：2020年4月17日；版本2。
