Data for the Spanish adaptation of Breast Cancer and Lymphedema Symptom Experience Index (BCLE SEI Esp).

Breast cancer is one of the most diagnosed cancer in women worldwide and lymphedema is one of the most common late and chronic adverse effects of breast cancer treatment. Lymphedema symptoms are essential signs of early-stage of lymphedema as they often precede changes in limb size or girth or a lymphedema diagnosis. Therefore, to achieve early detection and prevent lymphedema progression, it is important to promote patient selfcare in terms of the awareness symptoms identification. To this purpose Breast Cancer and Lymphedema Symptom Experience Index (BCLE SEI Esp) scale was used. Between October 2018 and June 2020, we collected data from 286 lymphedema and non-lymphedema patients post-breast cancer treatment on sociodemographic information, lymphedema symptoms, daily living-function and psychosocial distress, women and the data comparison between lymphedema and non-lymphedema patients were provided in this publication. This dataset can be used as a reference in clinical settings or in clinical studies or as an instructional tool to teach breast cancer patients and clinicians to be aware of lymphedema symptoms and to help clinicians and patients to achieve early identification of lymphedema symptoms and the impacts of lymphedema symptoms in women´s life and to develop future research, for example, to develop predictive algorithms.

Motiva.DM2 project. A pilot behavioral intervention on diet and exercise for individuals with type 2 diabetes mellitus.

AIM: The purpose of this study was to assess the efficacy of an educational intervention based on the Behavior Change Wheel (BCW) framework for individuals with type 2 diabetes mellitus (DM2) on dietary and exercise behavior in a Spanish region. METHODS: A two-arm pilot research was developed. The intervention consisted of a 6-month period with guidelines and 4 in-person interventions. The outcome was changes in behaviors, motivation, competence, autonomy, social support to implement the recommendations, HbA1c, and body composition. RESULTS: n = 111 patients were recruited. Individuals in the intervention experienced a significative improvement on adherence to dietary recommendations (+1.23; p = 0.026), exercise (+0.86; p = 0.001), and a decrease in HbA1c levels (-0.6%; p = 0.002) and BMI (-0.73; p < 0.001). CONCLUSION: The intervention for DM2 individuals, based on the BCW framework, developed, and implemented by primary care nurses has been effective in improving the adherence to healthy eating, exercise, HbA1c levels, and body composition.

[Analysis of the characteristics of door-to-door advertising sent by supermarkets in the Principality of Asturias (Spain): a cross-sectional study].

BACKGROUND: To analyze which foods and beverages, frequently included in advertising mail delivered by supermarkets in the Principality of Asturias, can be considered essential for consumption by the population, as well as to compare their price with that of essential products. METHODS: Cross-sectional, descriptive study of supermarket sales circulars delivered to seven homes in Asturias (Spain) by four supermarket chains from July to December 2018. Type of product, its classification as essential or non-essential and mean price of the advertised product were registered. RESULTS: The study identified 14,314 products, mostly belonging to the categories: "cakes, pastries, chocolate, sugar, and sweeteners" (15.3?%), "milk and milk derivatives" (9.7?%), "processed meats".and "alcoholic beverages" (8.9?% each) and "ready-made" (8.4?%). Products considered to be non-essential were found to predominate (61.9?%). Significant differences in product type were observed between supermarket chains. Essential products had a lower mean price than the non-essential products, both overall and for each supermarket chain, and was significantly lower for one of them. . CONCLUSIONS: Products which are non-essential from the point of view of health, such as sugar-rich products, processed meats, and alcoholic beverages, dominated the advertising mail delivered door-to-door by supermarkets in the Principality of Asturias. On a positive note, the prices of essential products, such as fresh fruit and vegetables, were, on average, significantly lower than the prices of non-essential products.

Spanish adaptation and validation of the Mobile Application Rating Scale questionnaire.

INTRODUCTION AND AIM: In recent years, numerous health-related apps have appeared on the market, and assessing their quality has become crucial. A very popular tool worldwide, created especially for this purpose, is the Mobile Application Rating Scale (MARS). However, there are no similar tools in Spanish. Therefore, the aim of this paper is to adapt MARS to the Spanish language and validate the resultant version. METHOD: The design consists of three processes: cross-cultural adaptation, translation, and metric evaluation. 46 mobile applications, 23 of which were for Apple telephones and 23 of which were for telephones running Android, were included in the study. The main objective of these applications was to promote physical activity. The internal factor structure and reliability of MARS were examined. RESULTS: No major differences were observed in the two Spanish translations, which were carried out independently. The blind back-translation, reviewed by the original author of MARS, suggested minor edits. Discrimination indices (item-scale correlation) obtained appropriate results for both raters. The reliability of the scores was found to be appropriate both in terms of internal consistency (α > 0.77), temporal stability (r > 0.72), and inter-rater reliability (IC > 0.76). The correlations between the subscales have shown high values with range between 0.47 and 0.83. CONCLUSION: The Spanish version of MARS was shown to have appropriate metric properties to assess the quality of health apps.

Prescribing fitness apps for people with cancer: a preliminary assessment of content and quality of commercially available apps.

PURPOSE: The benefits of physical activity for cancer survivors are increasingly recognised and smartphone applications are available to assist them to become more physically active. Cancer clinicians, however, lack confidence about which physical activity apps to recommend as evidence on their quality and content is limited. Therefore, we reviewed freely available commercial physical activity/fitness apps to systematically assess their behavioural change content and quality of their design. METHODS: Systematic searches of the app stores for Apple and Android operating systems were conducted and apps were screened to identify free apps appropriate for cancer survivors. Quality was assessed using the Mobile App Rating Scale (MARS) and behavioural content was evaluated using the Behavioural Change Techniques Taxonomy (BCTT). RESULTS: Of 341 apps identified, 67 were judged appropriate for cancer survivors and 46% combined aerobic and strength/stretching content. The overall number of behavioural change techniques (BCT) included was 3.96 (SD = 2.09), with the most frequent being 'feedback on behaviour' and 'goal setting behaviour'. The mean scores for objective and subjective quality were 4.11 (SD = 0.59) and 3.07 (SD = 0.91) respectively (range 0 to 5). Finally, a modest positive correlation was found between the number of BCT and the quality of engagement, awareness and knowledge as assessed by the MARS. CONCLUSION: Only a fifth of retrieved physical activity apps contained potentially suitable content for people affected by cancer. Overall, most apps we reviewed appeared to perform well in terms of their objective quality, but less well at promoting knowledge and awareness or help seeking related to physical activity. IMPLICATIONS FOR CANCER SURVIVORS: Many physical activity apps are available but the combined use of MARS and BCTT suggests that not all of them are suitable to the needs is a promising and feasible approach for assessing the applicability, usability and content of physical activity of apps employed by cancer survivors and this study is a first step toward developing a guide.

Impact of two nurse-led interventions targeting diet among breast cancer survivors: Results from a randomized controlled trial.

Breast cancer is the most common neoplasm among women worldwide. Improvements in early detection and treatment have resulted in improved survival rates; however, the continuation of unhealthy behaviours after diagnosis can increase the risk of second primary tumours. The aim of the study was to evaluate the effectiveness of two nurse-led health education interventions aiming at improving dietary behaviours among women diagnosed with breast cancer. Participants (n = 492) were included in a double-blind randomized controlled trial with three arms: a control group received usual care; women in the first intervention group received a booklet containing dietary advice; women in the second intervention group received the same booklet plus a tailored telephone intervention delivered by a trained nurse. One year after the intervention, women in both intervention groups were more likely to adhere to the recommendation of decreasing the consumption of animal fats compared with the control group (OR:5.0; 95% CI:1.5-16.9 and OR:6.6; 95% CI:2.0-22.6, respectively). Moreover, compared with the control group, the adjusted probability of eating the recommended amount of fruit and vegetables was higher in the second intervention group (OR:2.7; 95% CI:1.4-5.3). In summary, the booklet containing dietary advice for breast cancer survivors, either alone or supplemented with a nurse-led telephone intervention, was effective in promoting adherence to diet recommendations.