Kong Sunga, Lee Jae Kyung, Kang Danbee, Kim Nayeon, Shim Young Mog, Park Won, Choi Dooho, Cho Juhee
Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul 06351, Korea.
Samsung Medical Center, Patient-Centered Outcomes Research Institute, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea.
Cancers (Basel). 2021 May 30;13(11):2692. doi: 10.3390/cancers13112692.
This randomized controlled trial aimed to compare the effectiveness of a wearable activity tracker (WAT) in addition to counseling (WAT+counseling) and counseling only for reinforcing leisure-time physical activity (LTPA) among breast cancer patients during radiotherapy (RT). A total of 152 breast cancer patients who were planning to undergo radiation therapy (RT) after surgery participated in the study. The WAT+counseling group ( = 76) underwent physical activity (PA) self-monitoring using a WAT and participated in counseling. The counseling-only group ( = 76) received telephone counseling once a week during RT and did not receive WAT. The WAT+counseling group had increased relative change in self-reported LTPA (102.8) compared with the counseling-only group (57.8) immediately after RT compared to baseline. Although the relative changes of self-reported LTPA of the WAT+counseling group were higher at three and six months after the end of RT compared to in the counseling-only group, the results were not significant. The mean average daily step count of the WAT+counseling group was 9351.7, which increased to 11,592.2 during RT and 12,240.1 after RT. In the subgroup analysis, patients who did not perform regular PA before cancer diagnosis had significantly increased step counts. This study shows the feasibility of WAT with counseling to reinforce PA among breast cancer patients.
这项随机对照试验旨在比较在放疗（RT）期间，可穿戴活动追踪器（WAT）辅助咨询（WAT+咨询）与单纯咨询对增强乳腺癌患者休闲时间身体活动（LTPA）的有效性。共有152名计划在手术后接受放射治疗（RT）的乳腺癌患者参与了该研究。WAT+咨询组（n = 76）使用WAT进行身体活动（PA）自我监测并参与咨询。单纯咨询组（n = 76）在放疗期间每周接受一次电话咨询，未接受WAT。与单纯咨询组（57.8）相比，WAT+咨询组在放疗结束后立即与基线相比，自我报告的LTPA相对变化增加（102.8）。尽管WAT+咨询组自我报告的LTPA在放疗结束后三个月和六个月的相对变化高于单纯咨询组，但结果并不显著。WAT+咨询组的平均每日步数为9351.7，在放疗期间增加到11,592.2，放疗后增加到12,240.1。在亚组分析中，癌症诊断前未进行规律PA的患者步数显著增加。本研究表明WAT结合咨询在增强乳腺癌患者PA方面的可行性。
