Department of Health Behavior, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
J Cancer Educ. 2022 Dec;37(6):1773-1781. doi: 10.1007/s13187-021-02026-x. Epub 2021 Jun 1.
Assess the feasibility, acceptability, and preliminary efficacy of a healthy lifestyle website, SurvivorSHINE ( www.survivorshine.org ), for cancer survivors using a mixed-methods approach. Formative research included a comprehensive literature review and four focus groups on website preferences with diagnosis-diverse cancer survivors (N = 17). Their feedback informed a web adaptation of a telephone counseling and mailed-print lifestyle intervention previously found effective for cancer survivors. The resulting web-based intervention was examined in a 3-week, single-arm trial among 41 cancer survivors. Assessments of physical activity, diet, body weight, and knowledge related to exercise and diet guidelines for cancer survivors occurred at baseline and 3 weeks later, along with exit interviews. Themes from focus groups indicated cancer survivors' desire for easy-to-use, interactive web-based platforms to access credible diet and exercise information. The study sample was recruited within 12 months, and study retention was high (85.4%). Participants showed significant pre- to post-test improvements in diet and exercise knowledge (t = 5.31, p < .0001) and physical activity (t = 2.40, p = .02). Improvements in body weight and some dietary components (red meat, alcohol) were observed, but did not reach statistical significance. Results support the feasibility and acceptability of SurvivorSHINE. The significant increases in healthy lifestyle knowledge and physical activity found in the current study are promising, but a larger, randomized-controlled trial is needed to determine efficacy.
采用混合方法评估幸存者闪耀（www.survivorshine.org）健康生活方式网站对癌症幸存者的可行性、可接受性和初步疗效。形成性研究包括对网站偏好的综合文献综述和四个焦点小组，涉及不同诊断的癌症幸存者（N=17）。他们的反馈为以前发现对癌症幸存者有效的电话咨询和邮寄印刷生活方式干预的网络改编提供了信息。由此产生的基于网络的干预措施在 41 名癌症幸存者的 3 周单臂试验中进行了检查。在基线和 3 周后进行了与身体活动、饮食、体重以及与癌症幸存者运动和饮食指南相关的知识相关的评估，同时进行了离职访谈。焦点小组的主题表明，癌症幸存者希望使用易于使用的互动式网络平台来获取可信的饮食和运动信息。研究样本在 12 个月内招募，研究保留率很高（85.4%）。参与者在饮食和运动知识（t=5.31，p<.0001）和身体活动（t=2.40，p=.02）方面表现出显著的前后测试改善。观察到体重和一些饮食成分（红肉、酒精）的改善，但未达到统计学意义。结果支持 SurvivorSHINE 的可行性和可接受性。目前研究中发现的健康生活方式知识和身体活动的显著增加是有希望的，但需要更大规模的随机对照试验来确定疗效。
