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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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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.
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.)
References: Ann Oncol. 2007 Dec;18(12):1957-62. (PMID: 17804476)
Am J Health Promot. 2004 Nov-Dec;19(2):81-93. (PMID: 15559708)
Br J Gen Pract. 2014 Jul;64(624):e384-91. (PMID: 24982490)
BMJ. 2008 Sep 29;337:a1655. (PMID: 18824488)
BMC Health Serv Res. 2017 Jan 26;17(1):88. (PMID: 28126032)
Am J Psychiatry. 1996 Apr;153(4):497-502. (PMID: 8599397)
Psychooncology. 2013 May;22(5):1017-24. (PMID: 22570252)
Eur J Oncol Nurs. 2015 Feb;19(1):1-6. (PMID: 25245710)
Health Psychol. 1996 Mar;15(2):135-48. (PMID: 8681922)
J Gen Intern Med. 2010 May;25(5):408-14. (PMID: 20127197)
JMIR Mhealth Uhealth. 2017 Jan 24;5(1):e3. (PMID: 28119278)
Br J Health Psychol. 2018 Sep;23(3):519-531. (PMID: 29453791)
J Gen Intern Med. 2003 Nov;18(11):893-902. (PMID: 14687274)
J Med Internet Res. 2010 Feb 17;12(1):e4. (PMID: 20164043)
J Med Internet Res. 2014 Feb 24;16(2):e54. (PMID: 24566820)
Nicotine Tob Res. 2016 May 28;19(3):379-383. (PMID: 27235703)
BMJ. 2009 Sep 10;339:b3496. (PMID: 19744976)
Ann Fam Med. 2011 Mar-Apr;9(2):100-3. (PMID: 21403134)
Obes Rev. 2014 Jul;15(7):598-609. (PMID: 24636238)
Lancet Oncol. 2006 Dec;7(12):1017-26. (PMID: 17138223)
Trials. 2014 Jun 09;15:215. (PMID: 24913438)
Support Care Cancer. 2017 Nov;25(11):3375-3384. (PMID: 28540402)
MMWR Morb Mortal Wkly Rep. 2011 Mar 11;60(9):269-72. (PMID: 21389929)
Cancer Manag Res. 2018 Oct 30;10:5125-5143. (PMID: 30464612)
Circulation. 2014 Jun 24;129(25 Suppl 2):S102-38. (PMID: 24222017)
JMIR Res Protoc. 2019 Aug 23;8(8):e13214. (PMID: 31444876)
J Am Diet Assoc. 2001 May;101(5):562-6. (PMID: 11374350)
Fam Pract. 2014 Dec;31(6):643-53. (PMID: 25298510)
Nat Rev Endocrinol. 2014 Aug;10(8):455-465. (PMID: 24935119)
JMIR Mhealth Uhealth. 2016 Sep 22;4(3):e109. (PMID: 27658677)
Obes Rev. 2014 Sep;15(9):749-68. (PMID: 24891269)
PLoS Med. 2013;10(1):e1001362. (PMID: 23349621)
BMJ Open. 2017 Oct 15;7(10):e017217. (PMID: 29038181)
Ann Behav Med. 2017 Apr;51(2):226-239. (PMID: 27757789)
Pilot Feasibility Stud. 2015 Oct 26;1:37. (PMID: 27965815)
Implement Sci. 2011 Apr 23;6:42. (PMID: 21513547)
Int J Behav Nutr Phys Act. 2019 Apr 3;16(1):31. (PMID: 30943983)
J Med Internet Res. 2015 Nov 10;17(11):e253. (PMID: 26554314)
J Health Commun. 2005;10 Suppl 1:195-218. (PMID: 16377608)
JMIR Cancer. 2016 Jan-Jun;2(1):. (PMID: 27761518)
BMC Med Res Methodol. 2018 Nov 21;18(1):148. (PMID: 30463515)
Psychooncology. 2007 Sep;16(9):787-95. (PMID: 17086555)
Implement Sci. 2010 Sep 03;5:67. (PMID: 20815872)
Psychooncology. 2013 Apr;22(4):829-36. (PMID: 22573338)
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
الوصف
تدمد:2291-5222
DOI:10.2196/18288