Tele-Motivational Interviewing for Cancer Survivors: Feasibility, Preliminary Efficacy, and Lessons Learned.
J Nutr Educ Behav
; 50(1): 19-32.e1, 2018 01.
Article
em En
| MEDLINE
| ID: mdl-29325658
ABSTRACT
OBJECTIVE:
Determine the feasibility, acceptability, and efficacy of tele-Motivational Interviewing (MI) for overweight cancer survivors.DESIGN:
Six-month nonrandomized phase 2 clinical trial.SETTING:
Urban garden and remote platforms.PARTICIPANTS:
Overweight and obese cancer survivors post active treatment. INTERVENTION Remote tele-MI from a trained registered dietitian nutritionist (RDN). MAIN OUTCOMEMEASURES:
Feasibility, acceptability, and preliminary efficacy.ANALYSIS:
Groups were stratified as users and nonusers based on tele-MI use. Qualitative survey data and remote MI interaction logs were analyzed for trends. Two-sample t tests were performed to assess pre-post intervention changes in physical activity and dietary behaviors, quality of life, self-efficacy, and clinical biomarkers.RESULTS:
A total of 29 participants completed the intervention. There were 17 tele-MI users (59%) and 12 nonusers (41%). Users were primarily female (88%), breast cancer survivors (59%), college educated (82%), with a mean age of 58 years. Users set 50% more goals, lost more weight (4.8 vs 2.6 kg), significantly improved quality of life (P = .03), and trended more positively in clinical biomarkers (eg, cholesterol, blood pressure) than did nonusers. CONCLUSIONS AND IMPLICATIONS Findings from this study indicate that tele-MI is a feasible and acceptable intervention for overweight cancer survivors after active therapy. Larger randomized trials are needed to establish efficacy and generalizability to a variety of demographic populations.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Telemedicina
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Entrevista Motivacional
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Sobreviventes de Câncer
Tipo de estudo:
Clinical_trials
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Qualitative_research
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article