Loeb Stacy, Robbins Rebecca, Sanchez-Nolasco Tatiana, Byrne Nataliya, Ruan Andrea, Rivera Adrian, Gupta Natasha, Kenfield Stacey A, Chan June M, Van Blarigan Erin L, Carter Patricia, Jean-Louis Girardin, Orstad Stephanie L
New York University Grossman School of Medicine New York New York USA.
Manhattan Veterans Affairs New York New York USA.
BJUI Compass. 2024 Aug 31;5(10):976-985. doi: 10.1002/bco2.435. eCollection 2024 Oct.
The objective of this study is to determine whether a sleep and health improvement programme (SHIP) to promote healthy sleep, eating and physical activity would be feasible, acceptable and have a positive impact on lifestyle behaviours for prostate cancer survivors and caregivers.
We recruited 50 participants for a single group 3-month pre-post pilot study. The SHIP intervention included (1) website about sleep, nutrition and physical activity (≥1 view/week), (2) two email newsletters with goal-setting exercises and resources and (3) midpoint health coach call. The primary outcome was changes in validated sleep scales; secondary outcomes included changes in diet, physical activity and concentration from baseline to 3 months.
Of 50 participants enrolled, median age was 65, 30% were Black and 8% were Hispanic. Thirty-four patients and 7 family caregivers completed the pilot study (82%). Following the intervention, we observed a statistically significant improvement in the Sleep Hygiene Index (pre: 15, post: 13, < 0.01), and a trend toward lower Insomnia Severity Index (pre: 12, post: 9, = 0.07). There were no statistically significant improvements in sleep quality or physical activity, but there were improvements in healthy eating (e.g., increase in cruciferous vegetables and reduction in dairy) and in fatigue-related problems and concentration. Exit interview feedback was positive.
A web-based sleep and healthy lifestyle programme for patients with prostate cancer and their caregivers is feasible and acceptable. A randomized controlled trial is planned to test whether a refined SHIP improves sleep and lifestyle in patients with prostate cancer and caregivers.
本研究的目的是确定一项促进健康睡眠、饮食和身体活动的睡眠与健康改善计划（SHIP）对前列腺癌幸存者及其护理人员的生活方式行为是否可行、可接受并产生积极影响。
我们招募了50名参与者进行单组前后为期3个月的试点研究。SHIP干预措施包括：（1）关于睡眠、营养和身体活动的网站（每周至少浏览1次）；（2）两份包含目标设定练习和资源的电子邮件通讯；（3）中期健康教练电话指导。主要结果是经过验证的睡眠量表的变化；次要结果包括从基线到3个月饮食、身体活动和注意力的变化。
在登记的50名参与者中，中位年龄为65岁，30%为黑人，8%为西班牙裔。34名患者和7名家庭护理人员完成了试点研究（82%）。干预后，我们观察到睡眠卫生指数有统计学意义的改善（干预前：15，干预后：13，P<0.01），失眠严重程度指数有下降趋势（干预前：12，干预后：9，P=0.07）。睡眠质量或身体活动没有统计学意义的改善，但健康饮食（如十字花科蔬菜摄入量增加和乳制品摄入量减少）以及与疲劳相关的问题和注意力有改善。退出访谈反馈是积极的。
一项针对前列腺癌患者及其护理人员的基于网络的睡眠和健康生活方式计划是可行且可接受的。计划进行一项随机对照试验，以测试优化后的SHIP是否能改善前列腺癌患者及其护理人员的睡眠和生活方式。
