Accepted for/Published in: JMIR Research Protocols
Date Submitted: Dec 21, 2018
Open Peer Review Period: Dec 31, 2018 - Jan 14, 2019
Date Accepted: May 25, 2019
(closed for review but you can still tweet)
Moving On; A RCT to investigate the impact of a personalised self-management lifestyle programme using mobile technology on the health and wellbeing of cancer survivors
ABSTRACT
Background:
Cancer survivorship in Ireland is increasing in both frequency and longevity. However, a significant proportion of cancer survivors are overweight. This has negative implications for long-term health outcomes, including increased risk of subsequent and secondary cancers. There is a need to identify interventions which can improve physical and psychological outcomes that are practical in modern oncology care. Mobile health (mHealth) interventions demonstrate potential for positive health behaviour change, but there is little evidence for the efficacy of mobile technology to improve health outcomes in cancer survivors.
Objective:
The aim of this study is to investigate whether a personalised mHealth self-management lifestyle programme is acceptable to participants and can improve physical and psychological outcomes of a sub-group of cancer survivors with increased health risks related to lifestyle behaviours.
Methods:
A sample of 123 cancer survivors (BMI > 25) were randomly assigned to the control (n=61) or intervention (n=62). The intervention group attended a 4-hour tailored lifestyle information session with a physiotherapist, dietician, and clinical psychologist to support self-management of health behaviour. Over the following 12 weeks participants engaged in personalised goal-setting to incrementally increase physical activity (with feedback and review of goals via SMS contact). Objective measures of health behaviour (i.e., physical activity) were collected via Fitbit®. Data on anthropometric, physiological, dietary behavior, and psychological measures were collected at baseline (T0), at 12 weeks (T1; intervention end), and at 24 weeks (T2; follow-up). Semi-structured interviews were conducted to explore the retrospective acceptability of the Moving On programme from the perspective of the recipients.
Results:
This paper details the protocol for the Moving On study. The research is in progress. Data collection was completed in September 2018. Data analysis is underway and results are expected in Summer 2019.
Conclusions:
The results of this study will determine the efficacy and acceptability of an mHealth intervention using behaviour change techniques to promote health behaviours that support physical health and wellbeing in cancer survivors, and will therefore have implications for healthcare providers, patients, health psychologists, and technologists. Clinical Trial: ISRCTN18676721 https://doi.org/10.1186/ISRCTN18676721
Citation
Per the author's request the PDF is not available.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.