A randomized controlled trial of physical activity, dietary habit, and distress management with the Leadership and Coaching for Health (LEACH) program for disease-free cancer survivors

BMC Cancer

Research Article

Sohee Kim¹  Byung-Ho Nam¹  Dong-Young Noh²  Myung Kyung Lee³  Jin Ah Sim⁴  Young Ho Yun⁵  Sohee Park⁶  Soon Nam Lee⁷  Si-Young Kim⁸  Chi-Heum Cho⁹  Kyung Hae Jung^1,10  Mison Chun^1,11  Jae-Young Lim^1,12  Sung Kim^1,13  Kyong Hwa Park^1,14  Young Ae Kim^1,15  Eun Sook Lee^1,15 

[1] Cancer Biostatistics Branch, Research Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, South Korea;Cancer Research Institute, Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea;College of Nursing, Kyungpook National University, Daegu, South Korea;Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, South Korea;Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, South Korea;Cancer Research Institute, Seoul National University Hospital and College of Medicine, Seoul, South Korea;Department of Epidemiology and Health Promotion, Yonsei University Graduate School of Public Health, Seoul, South Korea;Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, South Korea;Department of Internal Medicine, Kyung Hee University Hospital, Seoul, South Korea;Department of Obstetrics and Gynecology, Keimyung University School of Medicine, Daegu, South Korea;Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea;Department of Radiation Oncology, Ajou University School of Medicine, Suwon, South Korea;Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Bundang, South Korea;Department of Surgery, Sungkyunkwan University School of Medicine, Seoul, South Korea;Division of Medical Oncology, Department of Internal Medicine, Korea University College of Medicine, Seoul, South Korea;Research Institute and Hospital, National Cancer Center, Goyang, South Korea;

关键词: Health partnership;    Health coaching;    Balanced diet;    Regular exercise;    Positive thinking;   

DOI  :  10.1186/s12885-017-3290-9

 received in 2015-07-19, accepted in 2017-04-24,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundWe aimed to evaluate the potential benefits of the Leadership and Coaching for Health (LEACH) program on physical activity (PA), dietary habits, and distress management in cancer survivors.MethodsWe randomly assigned 248 cancer survivors with an allocation ratio of two-to-one to the LEACH program (LP) group, coached by long-term survivors, or the usual care (UC) group. At baseline, 3, 6, and 12 months, we used PA scores, the intake of vegetables and fruits (VF), and the Post Traumatic Growth Inventory (PTGI) as primary outcomes and, for secondary outcomes, the Ten Rules for Highly Effective Health Behavior adhered to and quality of life (QOL), the Hospital Anxiety and Depression Scale (HADS), and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30).ResultsFor primary outcomes, the two groups did not significantly differ in PA scores or VF intake but differed marginally in PTGI. For secondary outcomes, the LP group showed a significantly greater improvement in the HADS anxiety score, the social functioning score, and the appetite loss and financial difficulties scores of the EORTC QLQ-C30 scales from baseline to 3 months. From baseline to 12 months, the LP group showed a significantly greater decrease in the EORTC QLQ-C30 fatigue score and a significantly greater increase in the number of the Ten Rules for Highly Effective Health Behavior.ConclusionOur findings indicate that the LEACH program, coached by long-term survivors, can provide effective management of the QOL of cancer survivors but not of their PA or dietary habits.Trial registrationClinical trial information can be found for the following: NCT01527409 (the date when the trial was registered: February 2012).

【 授权许可】

CC BY   
© The Author(s). 2017