Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Feb 19, 2020
Date Accepted: Jul 27, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Examining the Acceptability of a Personalized Self-Management Lifestyle Program Using Mobile Technology for Improving the Health and Well-being of Cancer Survivors: A Nested Mixed-Methods Study within a Randomised Controlled Trial (The Moving On Study).
ABSTRACT
Background:
A significant proportion of cancer survivors are overweight. However, weight management is not a standard component of oncology aftercare. A lifestyle self-management intervention using mobile health technology (mHealth) and behaviour change techniques (BCTs) was delivered to cancer survivors with a BMI of 25 or over.
Objective:
This study aimed to examine the acceptability of the Moving On intervention and gather constructive feedback from those who participated in the intervention.
Methods:
In the context of a two-arm RCT, semi-structured interviews were carried out to assess retrospective acceptability of the intervention from the perspective of the recipients. The theoretical framework of acceptability of healthcare interventions was used to inform a topic guide. Interviews were transcribed and analysed using thematic analysis. A quantitative survey was also used to determine the intervention’s acceptability. A total of 13 participants were interviewed and 36 participants completed the quantitative survey.
Results:
Qualitative and quantitative results suggest strong support for the acceptability of the intervention. Most participants held a positive attitude towards the intervention and enjoyed many of its elements. In particular, the mHealth components were rated positively. In terms of intervention coherence, participants’ understanding of the intervention’s aim was broader than weight management and more focused on ‘moving on’ psychologically from cancer. The intervention was perceived to have high efficacy and low burden.
Conclusions:
Based on the coherence of responses with theorised aspects of intervention acceptability, we are confident that this intervention using mHealth and BCTs to improve health and wellbeing outcomes is acceptable to cancer survivors. Participants made a number of recommendations concerning additional provision of social support. Future studies are needed to assess the feasibility of delivery in clinical practice, and acceptability of the intervention to those delivering the intervention. Clinical Trial: ISRCTN Registry. Registration number: 18676721 https://doi.org/10.1186/ISRCTN18676721
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