Young Ho Yun1, Cheol Il Lim2, Eun Sook Lee3, Young Tae Kim4, Kyung Hwan Shin5, Young-Woo Kim3, Kyu Joo Park6, Seung-Yong Jeong6, Keun Won Ryu3, Wonshik Han6, Kyung Hae Jung7, Sung Chan Park3, Moon Soo Kim3, Sung Kim8, Young Mog Shim9, Jae Hwan Oh3, Jong Mog Lee3, Seung-Bum Ryoo6, Joohyun Woo10, Dong-Young Noh6, Ji Won Park6, Byung In Moon10, Hak Jae Kim5, Seok Jin Nam8, Dae Ho Lee7, Jae Il Zo9, Sang Min Park1, EunKyo Kang1, YeEun Rhee1, Ju Youn Jung1, Jin Ah Sim1, Joonki Lee11, Aesun Shin11. 1. Department of Family Medicine, Seoul National University College of Medicine, Seoul, South Korea. 2. Department of Education, Seoul National University College of Education, Seoul, South Korea. 3. Research Institute and Hospital, National Cancer Center, Goyang, South Korea. 4. Department of Cardiovascular and Thoracic Surgery, Seoul National University College of Medicine, Seoul, South Korea. 5. Department of Radiation Oncology, Seoul National University College of Medicine, Seoul, South Korea. 6. Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea. 7. Department of Oncology, University of Ulsan College of Medicine, Seoul, South Korea. 8. Department of Surgery, Sungkyunkwan University School of Medicine, Seoul, South Korea. 9. Department of Cardiovascular and Thoracic Surgery, Sungkyunkwan University School of Medicine, Seoul, South Korea. 10. Department of Oncology, Ewha Womans University College of Medicine, Seoul, South Korea. 11. Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, South Korea.
Abstract
OBJECTIVES: To investigate the efficacy of health coaching and a web-based program on survivor physical activity (PA), weight, and distress management among stomach, colon, lung and breast cancer patients. METHODS: This randomised, controlled, 1-year trial conducted in five hospitals recruited cancer survivors within 2 months of completing primary cancer treatment who had not met ≥1 of these behavioural goals: (i) conducting moderate PA for at least 150 minutes/week orstrenuous exercise for over 75 minutes per week or, in the case of lung cancer patients, low or moderate intensity exercise for over 12.5 MET per week, (ii) maintaining normal weight, and (iii) attaining a score >72 in the Post Traumatic Growth Inventory (PTGI). Participants were randomly assigned to one of three groups: the control group, a web-only group, or a health coaching + web group. The primary endpoint was based on a composite of PA, weight, and PTGI score at 12 months. RESULTS: Patients in the health coaching + web group (difference = 6.6%, P = .010) and the web-only group (difference = 5.9%, P = .031) had greater overall improvements across the three-outcome composite than the control group. The health coaching + web group had greater overall improvement in PTGI (difference = 12.6%; P < .001) than the control group, but not in PA and weight. CONCLUSION: The web-based program, with or without health coaching, may improve health behaviours including PA, weight, and distress management among cancer survivors within 2 months of completing primary cancer treatment. The web-based program with health coaching was mainly effective for reducing psychological distress.
RCT Entities:
OBJECTIVES: To investigate the efficacy of health coaching and a web-based program on survivor physical activity (PA), weight, and distress management among stomach, colon, lung and breast cancerpatients. METHODS: This randomised, controlled, 1-year trial conducted in five hospitals recruited cancer survivors within 2 months of completing primary cancer treatment who had not met ≥1 of these behavioural goals: (i) conducting moderate PA for at least 150 minutes/week or strenuous exercise for over 75 minutes per week or, in the case of lung cancerpatients, low or moderate intensity exercise for over 12.5 MET per week, (ii) maintaining normal weight, and (iii) attaining a score >72 in the Post Traumatic Growth Inventory (PTGI). Participants were randomly assigned to one of three groups: the control group, a web-only group, or a health coaching + web group. The primary endpoint was based on a composite of PA, weight, and PTGI score at 12 months. RESULTS:Patients in the health coaching + web group (difference = 6.6%, P = .010) and the web-only group (difference = 5.9%, P = .031) had greater overall improvements across the three-outcome composite than the control group. The health coaching + web group had greater overall improvement in PTGI (difference = 12.6%; P < .001) than the control group, but not in PA and weight. CONCLUSION: The web-based program, with or without health coaching, may improve health behaviours including PA, weight, and distress management among cancer survivors within 2 months of completing primary cancer treatment. The web-based program with health coaching was mainly effective for reducing psychological distress.
Authors: Sofia Mendes Sieczkowska; Alisson Padilha de Lima; Paul Alan Swinton; Eimear Dolan; Hamilton Roschel; Bruno Gualano Journal: Adv Nutr Date: 2021-06-01 Impact factor: 11.567