针对癌症幸存者的基于网络的生活方式干预：可用性研究。

Web-Based Lifestyle Interventions for Survivors of Cancer: Usability Study.

作者信息

Williams Victoria, Brown Nashira, Moore Justin Xavier, Farrell David, Perumean-Chaney Suzanne, Schleicher Erica, Fontaine Kevin, Demark-Wahnefried Wendy, Pekmezi Dori

机构信息

Department of Health Behavior, University of Alabama at Birmingham, Birmingham, AL, United States.

Department of Population Health Sciences, Augusta University, Augusta, GA, United States.

出版信息

JMIR Form Res. 2022 Feb 21;6(2):e30974. doi: 10.2196/30974.

DOI:10.2196/30974

PMID:35188468

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8902653/

Abstract

BACKGROUND

Internet-based lifestyle programs are increasingly being used to deliver health behavior change interventions to survivors of cancer. However, little is known about website use in this population or its association with healthy lifestyle changes.

OBJECTIVE

The aim of this study is to describe lifestyle intervention website use (log-ins, time on website, and page views) among survivors of cancer and patterns of use by participant characteristics. In addition, associations were explored between website use and changes in healthy lifestyle knowledge and practice.

METHODS

A total of 35 survivors of cancer were recruited between August 2017 and 2018 to participate in a 2-week, single-arm pilot test of the SurvivorSHINE lifestyle intervention website. Knowledge and practices related to healthy diet and physical activity behaviors were measured at baseline and follow-up. Website use (eg, time spent on the website, frequency of log-ins, and page views) were collected from the SurvivorSHINE administrative site during the intervention period. Patterns of use were examined by participants' gender and race. Correlations between website use and changes in healthy lifestyle knowledge, physical activity, diet, and weight were explored. Mann-Whitney U tests were used to compare demographic factors on website use.

RESULTS

Participants logged into the SurvivorSHINE intervention website an average of 3.2 (SD 2) times over the 2-week period and spent a total average of 94 (SD 56) minutes viewing the website during the intervention. Examining website activity, 1905 page views were logged. The User Profile (344 page views) and Home sections (301 page views) were the most frequently visited components. No associations were observed between the frequency of log-ins or the total time on the website, improvements in knowledge related to healthy lifestyles, or changes in body weight or dietary intake. However, the total time on the website was positively correlated with improvements in accelerometer-measured physical activity (r=0.74; P=.02) and self-reported physical activity (r=0.35; P=.04).

CONCLUSIONS

Survivors of cancer demonstrated clear interest in a diet and exercise intervention website, as evidenced by their frequency of log-ins, page views on numerous features, and total viewing time. Moreover, increased website use was correlated with improvements in physical activity.

摘要

背景

基于互联网的生活方式项目越来越多地被用于为癌症幸存者提供健康行为改变干预措施。然而，对于这一人群对网站的使用情况及其与健康生活方式改变之间的关联，我们知之甚少。

目的

本研究旨在描述癌症幸存者对生活方式干预网站的使用情况（登录次数、在网站上的停留时间和页面浏览量）以及按参与者特征划分的使用模式。此外，还探讨了网站使用与健康生活方式知识及实践变化之间的关联。

方法

2017年8月至2018年期间，共招募了35名癌症幸存者，参与为期2周的单臂试点测试，该测试针对SurvivorSHINE生活方式干预网站。在基线和随访时测量与健康饮食和身体活动行为相关的知识及实践情况。在干预期间，从SurvivorSHINE管理网站收集网站使用情况（如在网站上花费的时间、登录频率和页面浏览量）。按参与者的性别和种族检查使用模式。探讨网站使用与健康生活方式知识、身体活动、饮食及体重变化之间的相关性。使用曼-惠特尼U检验比较网站使用情况的人口统计学因素。

结果

参与者在为期2周的时间里平均登录SurvivorSHINE干预网站3.2（标准差2）次，在干预期间平均总共花费94（标准差56）分钟浏览该网站。查看网站活动记录，共记录了1905次页面浏览量。用户资料（344次页面浏览量）和主页部分（301次页面浏览量）是访问最频繁的组件。未观察到登录频率或在网站上的总时间与健康生活方式相关知识的改善、体重或饮食摄入量的变化之间存在关联。然而，在网站上的总时间与加速计测量的身体活动改善（r = 0.74；P = 0.02）和自我报告的身体活动（r = 0.35；P = 0.04）呈正相关。