为癌症患者和癌症晚期患者提供运动和行为改变支持:EXCEL 研究的中期结果和项目满意度

Chad W. Wagoner , Julianna Dreger , Melanie R. Keats , Margaret L. McNeely , Colleen Cuthbert , Lauren C. Capozzi , George J. Francis , Linda Trinh , Kristin Campbell , Daniel Sibley , Jodi Langley , S. Nicole Culos-Reed
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引用次数: 0

摘要

目的 探讨 "运动抗癌,改善生活"(EXCEL)10-12 周运动和行为改变支持干预对次要疗效的影响,包括患者报告的疗效、身体功能和项目满意度。结果在基线和为期 10-12 周的干预后立即进行测量。患者报告的结果包括参与者特征、总体健康状况、认知、疲劳、症状严重程度、运动障碍自我效能感和项目满意度。身体功能包括肩关节屈曲、30 秒坐立、坐立和伸展、2 分钟台阶测试或 6 分钟步行测试(仅限本人参加)以及单腿平衡。Wilcoxon 符号秩检验用于评估患者报告的结果和身体功能评估从基线到 12 周的变化。Wilcoxon 符号秩检验和罗森塔尔系数(r)显示,幸福感(r = 0.10)、疲劳感(r = 0.25)、症状严重程度(r = 0.17)和自我效能感(r = 0.11)均有显著改善(p < 0.05)。在 30 秒坐立(r = 0.54)、坐和伸手(左侧:r = 0.46;右侧:r = 0.41)、2 分钟台阶测试(r = 0.66)、6 分钟步行测试(r = 0.52)和单腿平衡(左侧:r = 0.32;右侧:r = 0.34)评估中,观察到了显著的中度到高度改善(p < 0.01)。参加者对项目工作人员的满意度很高(平均 = 4.5/5),并认为该项目有益且令人愉快(平均 = 4.6/5)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exercise and behaviour change support for individuals living with and beyond cancer: Interim results and program satisfaction of the EXCEL study

Purpose

Examine the impact of the EXercise for Cancer to Enhance Living Well's (EXCEL) 10–12-week exercise and behaviour change support intervention on secondary effectiveness outcomes, including patient-reported outcomes, physical function, and program satisfaction.

Methods

Individuals with cancer up to 3 years post treatment with any tumour type were eligible. Outcomes were measured at baseline and immediately following the 10–12-week intervention. Patient-reported outcomes included participant characteristics, overall well-being, cognition, fatigue, symptom severity, exercise barrier self-efficacy, and program satisfaction. Physical function included shoulder flexion, 30-s sit to stand, sit and reach, 2-min step test or 6-min walk test (in-person only), and single leg balance. Wilcoxon signed-rank tests were used to assess changes in patient-reported outcomes and physical function assessments from baseline to 12-weeks.

Results

A total of 804 participants enrolled in the study in the first 2.5-years, with 699 completing the intervention. Wilcoxon signed rank tests and Rosenthal coefficients (r) showed significant (p ​< ​0.05) small improvements in well-being (r ​= ​0.10), fatigue (r ​= ​0.25), symptom severity (r ​= ​0.17), and self-efficacy (r ​= ​0.11). Significant (p ​< ​0.01) moderate to large improvements were observed for the 30-s sit to stand (r ​= ​0.54), sit and reach (left: r ​= ​0.46; right: r ​= ​0.41), 2-min step test (r ​= ​0.66), 6-min walk test (r ​= ​0.52), and single leg balance (left: r ​= ​0.32; right: r ​= ​0.34) assessments. Participants reported high satisfaction with program staff (average ​= ​4.5/5) and that the program was beneficial and enjoyable (average ​= ​4.6/5).

Conclusion

EXCEL's group-based exercise program with behaviour change support, delivered in an online supervised setting to individuals living with cancer, may improve patient-reported outcomes and physical function and is associated with high participant satisfaction.

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