Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA.
Nutrients. 2023 Nov 16;15(22):4799. doi: 10.3390/nu15224799.
Hispanic cancer survivors face unique barriers to meeting American Cancer Society (ACS) nutrition and physical activity guidelines, which reduce the risk of cancer recurrence and mortality and improve quality of life. This pilot intervention trial evaluated the feasibility and acceptability of a two-week ACS guideline-based nutrition and physical activity text message intervention in a predominantly Hispanic sample of cancer survivors and their informal caregivers. A mixed methods approach was used to assess feasibility and acceptability of the intervention. Feasibility and acceptability were measured by meeting a-priori cut-offs of >80% for recruitment, retention, and text message response rate. Participants also completed a semi-structured exit interview by telephone that assessed intervention components. Thirteen cancer survivors and six caregivers ( = 19) participated in this pilot study; 78% self-identified as Hispanic. Mean time since treatment completion for survivors was 11.9 years (SD 8.4), and 67% had breast cancer. Cancer survivors had a higher acceptability rate for physical activity (94%) compared to nutrition messages (86%), whereas equal acceptability rates were observed for both types of messages among caregivers (91%). Texting interventions are a feasible, acceptable, and a cost-effective strategy that have the potential to promote lifestyle behavior change among Hispanic cancer survivors and caregivers.
西班牙裔癌症幸存者在满足美国癌症协会（ACS）营养和身体活动指南方面面临独特的障碍，这些指南可以降低癌症复发和死亡的风险，并提高生活质量。这项试点干预试验评估了基于 ACS 指南的营养和身体活动短信干预在以西班牙裔癌症幸存者及其非正式照顾者为主的样本中的可行性和可接受性。采用混合方法评估了干预措施的可行性和可接受性。可行性和可接受性通过满足预先设定的标准来衡量，即招募、保留和短信回复率>80%。参与者还通过电话完成了半结构化的退出访谈，评估了干预措施的组成部分。13 名癌症幸存者和 6 名照顾者（=19 人）参加了这项试点研究；78%的人自我认定为西班牙裔。幸存者的平均治疗完成时间为 11.9 年（SD=8.4），67%的人患有乳腺癌。与营养信息（86%）相比，癌症幸存者对身体活动信息的接受度更高（94%），而照顾者对两种信息的接受度相同（91%）。短信干预是一种可行、可接受且具有成本效益的策略，有可能促进西班牙裔癌症幸存者和照顾者的生活方式行为改变。
