将生活方式干预措施嵌入癌症护理中：远程医疗是否缩小了公平差距？
Embedding lifestyle interventions into cancer care: has telehealth narrowed the equity gap?
机构信息
Allied Health Clinical Research Office, Eastern Health, Bundoora, VIC, Australia.
School of Allied Health Human Services and Sport La Trobe University, Bundoora, VIC, Australia.
出版信息
J Natl Cancer Inst Monogr. 2023 May 4;2023(61):133-139. doi: 10.1093/jncimonographs/lgac028.
Abstract
Lifestyle interventions targeting energy balance (ie, diet, exercise) are critical for optimizing the health and well-being of cancer survivors. Despite their benefits, access to these interventions is limited, especially in underserved populations, including older people, minority populations and those living in rural and remote areas. Telehealth has the potential to improve equity and increase access. This article outlines the advantages and challenges of using telehealth to support the integration of lifestyle interventions into cancer care. We describe 2 recent studies, GO-EXCAP and weSurvive, as examples of telehealth lifestyle intervention in underserved populations (older people and rural cancer survivors) and offer practical recommendations for future implementation. Innovative approaches to the use of telehealth-delivered lifestyle intervention during cancer survivorship offer great potential to reduce cancer burden.
摘要
针对能量平衡（即饮食、运动）的生活方式干预对于优化癌症幸存者的健康和福祉至关重要。尽管这些干预措施有好处，但获得这些干预措施的机会有限，尤其是在服务不足的人群中，包括老年人、少数族裔人群以及居住在农村和偏远地区的人群。远程医疗有可能改善公平性并增加可及性。本文概述了使用远程医疗支持将生活方式干预融入癌症护理的优势和挑战。我们以 GO-EXCAP 和 weSurvive 这两项最近的研究为例，介绍了在服务不足的人群（老年人和农村癌症幸存者）中使用远程医疗进行生活方式干预的情况，并为未来的实施提供了实用建议。在癌症生存期间使用远程医疗提供的生活方式干预的创新方法具有很大的潜力，可以减轻癌症负担。
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