Department of Nutrition and Dietetics, The Royal Marsden NHS Foundation Trust, London, UK.
The Royal Marsden School, The Royal Marsden NHS Foundation Trust, London, UK.
J Hum Nutr Diet. 2023 Apr;36(2):554-565. doi: 10.1111/jhn.13008. Epub 2022 Apr 9.
Rates of cancer survival are increasing, with more people living with and beyond cancer. Lifestyle recommendations for cancer survivors are based largely on extrapolation from cancer prevention recommendations. This feasibility study was designed to investigate diet and physical activity variables linked to primary prevention and digital behaviour change interventions in cancer survivors and delivered by an oncology dietitian to plan for future research.
In this 2-month feasibility study, participants who had completed treatment for colorectal cancer were invited to complete online food diaries, underwent physical activity assessment, attended fortnightly telephone consultations with an oncology dietitian and completed an evaluation form. The baseline food diaries were used to help participants pick two lifestyle changes to focus on throughout the intervention. Demographic and clinical data were analysed using descriptive statistics.
In total, 996 patients were screened for eligibility; of these, 78 were eligible to approach and 69 were approached, resulting in 20 participants consenting to take part. Overall, the intervention was acceptable with 65% of participants completing an online food diary and 70% engaging with the dietitian over the telephone. The intervention received good feedback, with 100% of those completing the evaluation form reporting they felt supported and found it helpful.
The present study offers preliminary evidence that a lifestyle intervention delivered by an oncology dietitian using digital behaviour change interventions (DBCIs) to cancer survivors is feasible and accepted by participants and providers.
癌症患者的存活率在不断提高,越来越多的人能够在癌症的治疗和康复过程中存活下来。癌症幸存者的生活方式建议主要基于从癌症预防建议中推断得出。本可行性研究旨在调查与癌症预防相关的饮食和身体活动变量,并通过肿瘤营养师为癌症幸存者提供数字行为改变干预措施,为未来的研究做准备。
在这项为期 2 个月的可行性研究中,邀请已完成结直肠癌治疗的参与者完成在线食物日记,接受身体活动评估,每隔两周与肿瘤营养师进行电话咨询,并填写评估表。基线食物日记用于帮助参与者选择在整个干预过程中重点关注的两项生活方式改变。使用描述性统计分析人口统计学和临床数据。
共有 996 名患者接受了资格筛选;其中,78 名符合条件,69 名被邀请,最终有 20 名参与者同意参加。总体而言,该干预措施是可以接受的,65%的参与者完成了在线食物日记,70%的参与者通过电话与营养师进行了交流。干预措施获得了良好的反馈,完成评估表的参与者 100%表示感到被支持,并且认为它很有帮助。
本研究初步证明,肿瘤营养师使用数字行为改变干预措施(DBCIs)为癌症幸存者提供的生活方式干预措施是可行的,且受到参与者和提供者的认可。