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一项针对癌症幸存者的社区健康指导项目的初步效果研究。

Preliminary Effectiveness Study of a Community-Based Wellness Coaching for Cancer Survivors Program.

作者信息

Berzins Nicole J, Mackenzie Michael, Galantino Mary Lou, Pickles Nicole, Hebbel Sean, Leonard Tara, Beneck Diane, Peterson Michael

机构信息

University of Delaware, Newark, DE, USA.

Stockton University, Galloway, NJ, USA.

出版信息

Am J Lifestyle Med. 2022 Mar 1;18(4):465-474. doi: 10.1177/15598276221076040. eCollection 2024 Jul-Aug.

Abstract

PURPOSE

Substantial cancer burden may be prevented through lifestyle modifications. The purpose of this study was to determine the preliminary effectiveness of health coaching for the improvement of health, fitness, and overall well-being of cancer survivors in a community setting.

METHODS

Participants were recruited from Cancer Support Community Delaware locations. Health coaching was provided to people diagnosed with cancer anywhere along the survivorship continuum. Coaches provided 6 individual sessions. Surveys were sent pre- and post-intervention on topics including fitness, eating habits, sleep, perceived stress, anxiety, depression, and quality of life. Results were analyzed using multilevel modeling.

RESULTS

48 participants completed an average of 85% of health coaching sessions. Coaching participants noted improvements in weekly physical activity frequency, including moderate-vigorous physical activity. Increases were found in healthy eating behavior. Participants reported improvements in the quality of their sleep, including changes in sleep duration and sleep efficiency. Significant reductions were found in perceived stress, anxiety, and depression. Importantly, participants reported improved quality of life, particularly in areas of physical and emotional well-being, as well as functional and total well-being.

CONCLUSION

Preliminary findings indicate significant behavior change in measured outcomes and suggest health coaching may be an important tool for cancer survivorship.

摘要

目的

通过改变生活方式可预防相当一部分癌症负担。本研究的目的是确定在社区环境中,健康指导对改善癌症幸存者的健康、体能和整体幸福感的初步效果。

方法

参与者从特拉华州癌症支持社区招募。为处于癌症 survivorship 连续统一体任何阶段被诊断为癌症的人提供健康指导。指导者提供6次个人辅导课程。在干预前后就包括体能、饮食习惯、睡眠、感知压力、焦虑、抑郁和生活质量等主题进行调查。使用多水平模型分析结果。

结果

48名参与者平均完成了85%的健康指导课程。接受指导的参与者指出每周体育活动频率有所改善,包括中等强度到剧烈强度的体育活动。健康饮食行为有所增加。参与者报告睡眠质量有所改善,包括睡眠时间和睡眠效率的变化。感知压力、焦虑和抑郁显著降低。重要的是,参与者报告生活质量有所改善,特别是在身体和情感幸福感以及功能和总体幸福感方面。

结论

初步研究结果表明在测量结果中出现了显著的行为改变,并表明健康指导可能是癌症 survivorship 的一项重要工具。

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