ICCS Directed Physical Activity Enhancement for Colon Cancer Survivors

ICCS 为结肠癌幸存者指导增强身体活动

• 批准号: 8137868
• 负责人: DAVID H GUSTAFSON
• 金额: $ 45.71万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8137868
• 关键词: Address; Adopted; Age; Behavior; Behavior Therapy; Body Weight Changes; Body mass index; Breast; Cancer Center; Cancer Survivor; Colon Carcinoma; Communication; Comorbidity; Competence; Counseling; Data; Decision Making; Diagnosis; Diagnostic Neoplasm Staging; Distress; Education; Effectiveness; Emerging Technologies; Future; Gender; Health; Incidence; Income; Intervention; Life; Life Style; Malignant Neoplasms; Malignant neoplasm of prostate; Mediating; Mediator of activation protein; Methods; Modeling; Morbidity - disease rate; NCI-Designated Cancer Center; National Cancer Institute; Newly Diagnosed; North Carolina; Outcome; Physical activity; Population; Quality of life; Randomized; Randomized Controlled Trials; Recruitment Activity; Recurrence; Research Project Grants; Risk; Services; Socioeconomic Status; Staging; Support System; Survivors; System; Technology; Telephone; Testing; Time; Treatment Efficacy; Universities; Weight; Wisconsin; Woman; Work; base; cancer therapy; design; efficacy testing; experience; follow-up; improved; information gathering; literacy; men; mortality; primary outcome; programs; secondary outcome; sedentary; successful intervention; survivorship; tool; treatment as usual

Research Project 3: ICCS DIRECTED PHYSICAL ACTIVITY ENHANCEMENT FOR COLON CANCER SURVIVORS Project Summary: In the U.S., colon cancer survivors are the third largest group of cancer survivors (only breast and prostate cancer survivors surpass them). Strong evidence indicates that a sedentary lifestyle contributes not only to the incidence of colon cancer but also an increased risk of recurrence and mortality after diagnosis. To date, physical activity programs for cancer survivors have been delivered via face-to-face or telephone counseling, interventions which are costly and have limited reach. Interactive cancer communication systems (ICCS) can deliver more precisely tailored physical activity interventions to broader populations of survivors. This approach may be more effective than other delivery methods because of the dynamic interaction with the user and its' ability to continuously adapt the programs and services offered based on users' needs in real time. We propose to develop and test a new ICCS, Mobile Comprehensive Health Enhancement Support System (mCHESS) in a randomized controlled trial at three National Cancer Institute-designated cancer centers (University of Wisconsin, University of North Carolina at Chapel Hill, and MD Anderson Cancer Center) for men and women with stage l-lll colon cancer. mCHESS will provide information, tools, and a support system based on our previous work with FRESH START and CHESS, two highly successful interventions that have promoted lifestyle change among cancer survivors. mCHESS will be designed to help survivors develop 1) competence in information gathering, decision-making, and behaviors they are trying to change, 2) social support systems to help deal with the cancer experience, and 3) autonomy that comes with regaining a sense of control over their lives; this in turn, will help them adopt or maintain healthy lifestyle behaviors and improve their quality of life. We anticipate that several factors may moderate the effects of mCHESS including age, gender, education, and income as well as stage of cancer, cancer treatment, and co-morbidity. We hypothesize that autonomy, competence, and relatedness will mediate the effects that mCHESS has on physical activity (primary outcome) leading to weight change, decreased levels of distress, and increased overall quality of life (secondary outcomes), and that mCHESS use will mediate these constructs. If effective, these changes may decrease survivors' risk for recurrence and co-morbid illnesses leading to decreased morbidity and mortality from colon cancer. Data that emanate from this trial will be instrumental in guiding future interventions that bank on this emerging technology. Relevance: The survivorship project addresses both reach and efficacy components of the RE-AIM model. Extended reach is accomplished with the use of mobile technology and by addressing low literacy issues in its' design and delivery. We will test the efficacy of our program of information and support to help newly diagnosed colon cancer survivors increase their physical activity, decrease distress, and improve quality of life.

研究项目3：ICC指示结肠癌的体育活动增强 幸存者 项目摘要： 在美国，结肠癌幸存者是第三大癌症幸存者（只有乳房和前列腺 癌症幸存者超越了它们）。有力的证据表明，久坐的生活方式不仅有助于 结肠癌的发生率，同时也增加了诊断后复发和死亡率的风险。迄今为止， 癌症幸存者的体育锻炼计划是通过面对面或电话咨询提供的 昂贵且影响力有限的干预措施。交互式癌症通信系统（ICC）可以 向更广泛的幸存者种群提供更精确的体育锻炼干预措施。这种方法 由于与用户及其'' 能够根据用户的需求实时持续调整提供的程序和服务。我们 建议开发和测试新的ICC，移动综合健康增强支持系统 （MCHESS）在三个国家癌症研究所指定的癌症中心的随机对照试验中 （威斯康星大学，北卡罗来纳大学教堂山分校和医学博士安德森癌症中心） 和患有L-LLL结肠癌的妇女。 MCHESS将提供信息，工具和基于支持系统的信息 关于我们以前的新开始和国际象棋的工作，两项促进的非常成功的干预措施 癌症幸存者的生活方式改变。 MCHESS将旨在帮助幸存者发展1） 在信息收集，决策和行为中，他们试图改变，2）社会支持系统 帮助应对癌症的经历，以及3）重新控制感受的自主权 他们的生活；反过来，这将帮助他们采用或维持健康的生活方式行为，并提高其质量 生活。我们预计，几个因素可能会减轻包括年龄，性别，教育， 和收入以及癌症，癌症治疗和合并症的阶段。我们假设这种自主权， 能力和相关性将介导MCHESS对体育锻炼的影响（主要结果） 导致体重变化，遇险水平降低以及总体生活质量的提高（次要 结果），并且麦吉斯的使用将调解这些结构。如果有效，这些变化可能会减少 幸存者复发和合并疾病的风险导致结肠发病和死亡率降低 癌症。从该试验中发出的数据将有助于指导对此的未来干预措施 新兴技术。 相关性：生存项目涉及Re-Aim模型的覆盖范围和功效组成部分。 通过使用移动技术并解决其'“ 设计和交付。我们将测试我们的信息和支持计划的功效，以帮助新 被诊断出的结肠癌幸存者增加了他们的体育锻炼，减少困扰并改善生活质量。