Healthy Living after Cancer: a dissemination and implementation study evaluating a telephone-delivered healthy lifestyle program for cancer survivors

BMC Cancer

Study Protocol

Lorna O’Brien¹  Kathy Chapman¹  Greg Sharplin²  Polly Baldwin²  Katherine Lane³  Anna G. Boltong⁴  Sandy McKiernan⁵  Lesley Millar⁵  Afaf Girgis⁶  Bogda Koczwara⁷  Frances Boyle⁸  Michael Jefford⁹  Sandra C. Hayes^1,10  Janet E. Hiller^1,11  Gita D. Mishra^1,12  Elizabeth G. Eakin^1,12  Erin L. Robson^1,12  Marina M. Reeves^1,12  Ana D. Goode^1,12  Janette L. Vardy^1,13  Wendy Demark-Wahnefried^1,14  Kerry S. Courneya^1,15  Kathryn H. Schmitz^1,16  Kate White^1,17  Marion R. Haas^1,18  Christobel M. Saunders^1,19 

[1] Cancer Council New South Wales, Sydney, Australia;Cancer Council South Australia, Adelaide, Australia;Cancer Council Victoria, Melbourne, Australia;Cancer Council Victoria, Melbourne, Australia;Melbourne School of Health Sciences, The University of Melbourne, Melbourne, Australia;Cancer Council Western Australia, Perth, Australia;Centre for Oncology Education and Research Translation (CONCERT), Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSW Medicine, University of New South Wales, Sydney, Australia;Flinders Medical Centre, Department of Medical Oncology, Bedford Park, Australia;Mater Hospital Sydney, The Patricia Ritchie Centre for Cancer Care and Research, Sydney, Australia;Peter MacCallum Cancer Centre, Department of Cancer Experiences Research, Melbourne, Australia;Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Australia;Queensland University of Technology, School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Brisbane, Australia;Swinburne University of Technology, School of Health Sciences, Melbourne, Australia;The University of Queensland, School of Public Health, Brisbane, Australia;The University of Sydney, Concord Clinical School, Sydney, Australia;University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, USA;University of Alberta, Faculty of Physical Education and Recreation, Edmonton, Canada;University of Pennsylvania, Perelman School of Medicine, Center for Clinical Epidemiology and Biostatistics, Philadelphia, USA;University of Sydney, Sydney Nursing School, Sydney, Australia;University of Technology Sydney, Centre for Health Economics Research and Evaluation, Sydney, Australia;University of Western Australia, School of Surgery, Perth, Australia;

关键词: Lifestyle intervention;    Cancer survivors;    Dissemination and implementation study;    Physical activity;    Nutrition;   

DOI  :  10.1186/s12885-015-2003-5

 received in 2015-08-30, accepted in 2015-12-10,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundGiven evidence shows physical activity, a healthful diet and weight management can improve cancer outcomes and reduce chronic disease risk, the major cancer organisations and health authorities have endorsed related guidelines for cancer survivors. Despite these, and a growing evidence base on effective lifestyle interventions, there is limited uptake into survivorship care.Methods/DesignHealthy Living after Cancer (HLaC) is a national dissemination and implementation study that will evaluate the integration of an evidence-based lifestyle intervention for cancer survivors into an existing telephone cancer information and support service delivered by Australian state-based Cancer Councils. Eligible participants (adults having completed cancer treatment with curative intent) will receive 12 health coaching calls over 6 months from Cancer Council nurses/allied health professionals targeting national guidelines for physical activity, healthy eating and weight control. Using the RE-AIM evaluation framework, primary outcomes are service-level indicators of program reach, adoption, implementation/costs and maintenance, with secondary (effectiveness) outcomes of patient-reported anthropometric, behavioural and psychosocial variables collected at pre- and post-program completion. The total participant accrual target across four participating Cancer Councils is 900 over 3 years.DiscussionThe national scope of the project and broad inclusion of cancer survivors, alongside evaluation of service-level indicators, associated costs and patient-reported outcomes, will provide the necessary practice-based evidence needed to inform future allocation of resources to support healthy living among cancer survivors.Trial registrationAustralian and New Zealand Clinical Trials Registry (ANZCTR) - ACTRN12615000882527 (registered on 24/08/2015)

【 授权许可】

CC BY   
© Eakin et al. 2015