J. Med. Internet Res. - Surviving and thriving with cancer using a Web-based health behavior change intervention: randomized controlled trial.


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CKGROUND: Given the substantial improvements in cancer screening and cancer treatment in the United States, millions of adult cancer survivors live for years following their initial cancer diagnosis and treatment. However, latent side effects can occur and some symptoms can be alleviated or managed effectively via changes in lifestyle behaviors.OBJECTIVE: The purpose of this study was to test the effectiveness of a six-week Web-based multiple health behavior change program for adult survivors.METHODS: Participants (n=352) were recruited from oncology clinics, a tumor registry, as well as through online mechanisms, such as Facebook and the Association of Cancer Online Resources (ACOR). Cancer survivors were eligible if they had completed their primary cancer treatment from 4 weeks to 5 years before enrollment. Participants were randomly assigned to the Web-based program or a delayed-treatment control condition.RESULTS: In total, 303 survivors completed the follow-up survey (six months after completion of the baseline survey) and participants in the Web-based intervention condition had significantly greater reductions in insomnia and greater increases in minutes per week of vigorous exercise and stretching compared to controls. There were no significant changes in fruit and vegetable consumption or other outcomes.CONCLUSIONS: The Web-based intervention impacted insomnia and exercise; however, a majority of the sample met or exceeded national recommendations for health behaviors and were not suffering from depression or fatigue at baseline. Thus, the survivors were very healthy and well-adjusted upon entry and their ability to make substantial health behavior changes may have been limited. Future work is discussed, with emphasis placed on ways in which Web-based interventions can be more specifically analyzed for benefit, such as in regard to social networking.TRIAL REGISTRATION: Clinicaltrials.gov NCT00962494; http://www.clinicaltrials.gov/ct2/show/NCT00962494 (Archived by WebCite at http://www.webcitation.org/6NIv8Dc6Q).

Resumo Limpo

ckground given substanti improv cancer screen cancer treatment unit state million adult cancer survivor live year follow initi cancer diagnosi treatment howev latent side effect can occur symptom can allevi manag effect via chang lifestyl behaviorsobject purpos studi test effect sixweek webbas multipl health behavior chang program adult survivorsmethod particip n recruit oncolog clinic tumor registri well onlin mechan facebook associ cancer onlin resourc acor cancer survivor elig complet primari cancer treatment week year enrol particip random assign webbas program delayedtreat control conditionresult total survivor complet followup survey six month complet baselin survey particip webbas intervent condit signific greater reduct insomnia greater increas minut per week vigor exercis stretch compar control signific chang fruit veget consumpt outcomesconclus webbas intervent impact insomnia exercis howev major sampl met exceed nation recommend health behavior suffer depress fatigu baselin thus survivor healthi welladjust upon entri abil make substanti health behavior chang may limit futur work discuss emphasi place way webbas intervent can specif analyz benefit regard social networkingtri registr clinicaltrialsgov nct httpwwwclinicaltrialsgovctshownct archiv webcit httpwwwwebcitationorgnivdcq

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