دورية أكاديمية
Acceptability of a Mobile Health Behavior Change Intervention for Cancer Survivors With Obesity or Overweight: Nested Mixed Methods Study Within a Randomized Controlled Trial.
العنوان: | Acceptability of a Mobile Health Behavior Change Intervention for Cancer Survivors With Obesity or Overweight: Nested Mixed Methods Study Within a Randomized Controlled Trial. |
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المؤلفون: | Groarke JM; Centre for Improving Health-Related Quality of Life, School of Psychology, Queen's University Belfast, Belfast, United Kingdom., Richmond J; Letterkenny University Hospital, Donegal, Ireland., Mc Sharry J; School of Psychology, National University of Ireland, Galway, Galway, Ireland., Groarke A; School of Psychology, National University of Ireland, Galway, Galway, Ireland., Harney OM; School of Psychology, National University of Ireland, Galway, Galway, Ireland., Kelly MG; Letterkenny University Hospital, Donegal, Ireland., Walsh JC; School of Psychology, National University of Ireland, Galway, Galway, Ireland. |
المصدر: | JMIR mHealth and uHealth [JMIR Mhealth Uhealth] 2021 Feb 16; Vol. 9 (2), pp. e18288. Date of Electronic Publication: 2021 Feb 16. |
نوع المنشور: | Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: JMIR Publications Inc Country of Publication: Canada NLM ID: 101624439 Publication Model: Electronic Cited Medium: Internet ISSN: 2291-5222 (Electronic) Linking ISSN: 22915222 NLM ISO Abbreviation: JMIR Mhealth Uhealth Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Toronto: JMIR Publications Inc., [2013]- |
مواضيع طبية MeSH: | Cancer Survivors* , Neoplasms*/therapy , Telemedicine*, Health Behavior ; Humans ; Obesity/therapy ; Retrospective Studies |
مستخلص: | Background: A significant proportion of cancer survivors have overweight or obesity. Although this has negative implications for health, weight management is not a standard component of oncology aftercare. Mobile health (mHealth) technology, in combination with behavior change techniques (BCTs), has the potential to support positive lifestyle changes. Few studies have been carried out with cancer survivors; therefore, the acceptability of these tools and techniques requires further investigation. Objective: The aim of this study is to examine the acceptability of a behavior change intervention using mHealth for cancer survivors with a BMI of 25 or more and to gather constructive feedback from participants. Methods: The intervention consisted of educational sessions and an 8-week physical activity goal setting intervention delivered using mobile technology (ie, Fitbit activity monitor plus SMS contact). In the context of a two-arm randomized controlled trial, semistructured interviews were conducted to assess the retrospective acceptability of the intervention from the perspective of the recipients. The theoretical framework for the acceptability of health care interventions was used to inform a topic guide. The interviews were transcribed and analyzed using thematic analysis. A quantitative survey was also conducted to determine the acceptability of the intervention. A total of 13 participants were interviewed, and 36 participants completed the quantitative survey. Results: The results strongly support the acceptability of the intervention. The majority of the survey respondents held a positive attitude toward the intervention (35/36, 97%). In qualitative reports, many of the intervention components were enjoyed and the mHealth components (ie, Fitbit and goal setting through text message contact) were rated especially positively. Responses were mixed as to whether the burden of participating in the intervention was high (6/36, 17%) or low (5/36, 14%). Participants perceived the intervention as having high efficacy in improving health and well-being (34/36, 94%). Most respondents said that they understood how the intervention works (35/36, 97%), and qualitative data show that participants' understanding of the aim of the intervention was broader than weight management and focused more on moving on psychologically from cancer. Conclusions: On the basis of the coherence of responses with theorized aspects of intervention acceptability, we are confident that this intervention using mHealth and BCTs is acceptable to cancer survivors with obesity or overweight. Participants made several recommendations concerning the additional provision of social support. Future studies are needed to assess the feasibility of delivery in clinical practice and the acceptability of the intervention to those delivering the intervention. International Registered Report Identifier (irrid): RR2-10.2196/13214. (©Jenny M Groarke, Janice Richmond, Jenny Mc Sharry, AnnMarie Groarke, Owen M Harney, Mary Grace Kelly, Jane C Walsh. Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org), 16.02.2021.) |
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فهرسة مساهمة: | Keywords: activity tracker; cancer survivors; diet; exercise; mHealth; mobile phone; obesity; overweight; qualitative research; self-management; text messaging |
تواريخ الأحداث: | Date Created: 20210216 Date Completed: 20210429 Latest Revision: 20210429 |
رمز التحديث: | 20221213 |
مُعرف محوري في PubMed: | PMC7925146 |
DOI: | 10.2196/18288 |
PMID: | 33591290 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2291-5222 |
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DOI: | 10.2196/18288 |