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关于团体健康指导与癌症幸存者,我们了解多少?一项范围综述。

What Do We Know About Group Health Coaching and Cancer Survivorship? A Scoping Review.

作者信息

Berzins Nicole J, Orsega-Smith Elizabeth, Mackenzie Michael, Galantino Mary Lou, Culos-Reed Nicole, Leonard Tara, Narducci Erika

机构信息

University of Delaware, Newark, DE, USA (NJB, EO, MM, TL).

Stockton University, Galloway, NJ, USA (MLG).

出版信息

Am J Lifestyle Med. 2024 Dec 8:15598276241303444. doi: 10.1177/15598276241303444.

Abstract

Group health coaching (GHC) may be a suitable method for supporting healthy lifestyle behaviors in cancer patients and survivors. The aim of this scoping review was to explore GHC interventions targeting this population, specifically examining program composition and measured outcomes. A systematic search strategy was used to identify intervention studies focused on GHC with cancer patients and survivors. Seven studies met the criteria. Studies focused on physical activity, diet, weight loss, or some combination thereof utilizing GHC by itself or as one component of an exercise and/or diet intervention. There was a wide range of measured outcomes, grouped into: feasibility/acceptability; physical activity/exercise; body composition and biomarkers; diet; distress, quality of life, fatigue; and other. Overall, studies were found to be feasible and showed positive results for weight loss, diet, and quality of life. Findings for changes in physical activity, distress, and fatigue were mixed. Additionally, variability was found in many of the GHC components. This review suggests GHC for cancer patients and survivors is still in the nascent stages. However, these studies were deemed feasible and satisfactory to participants, with positive outcomes noted. While still in the early stages, GHC appears promising for supporting positive lifestyle behaviors in this population.

摘要

团体健康指导(GHC)可能是一种支持癌症患者和幸存者保持健康生活方式行为的合适方法。本范围综述的目的是探索针对该人群的GHC干预措施,特别考察项目构成和测量结果。采用系统检索策略来识别聚焦于癌症患者和幸存者的GHC干预研究。七项研究符合标准。这些研究聚焦于身体活动、饮食、体重减轻,或利用GHC本身或作为运动和/或饮食干预的一个组成部分,对上述方面的某种组合进行研究。测量结果范围广泛,分为:可行性/可接受性;身体活动/锻炼;身体成分和生物标志物;饮食;痛苦、生活质量、疲劳;以及其他。总体而言,研究发现是可行的,并且在体重减轻、饮食和生活质量方面显示出积极结果。关于身体活动、痛苦和疲劳变化的研究结果不一。此外,在许多GHC组成部分中发现了变异性。本综述表明,针对癌症患者和幸存者的GHC仍处于初期阶段。然而,这些研究被认为是可行的且参与者感到满意,并注意到了积极的结果。虽然仍处于早期阶段,但GHC在支持该人群积极的生活方式行为方面似乎很有前景。

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