{"id":12360,"date":"2017-09-01T00:00:00","date_gmt":"2018-12-03T17:45:37","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/a-lifestyle-intervention-via-email-in-minority-breast-cancer\/"},"modified":"2018-12-03T18:45:37","modified_gmt":"2018-12-03T17:45:37","slug":"a-lifestyle-intervention-via-email-in-minority-breast-cancer","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/a-lifestyle-intervention-via-email-in-minority-breast-cancer\/","title":{"rendered":"A Lifestyle Intervention via Email in Minority Breast Cancer Survivors: Randomized Parallel-Group Feasibility Study."},"content":{"rendered":"

BACKGROUND<\/strong>
\nOur data have indicated that minority breast cancer survivors are receptive to participating in lifestyle interventions delivered via email or the Web, yet few Web-based studies exist in this population.<\/p>\n

OBJECTIVE<\/strong>
\nThe aim of this study was to examine the feasibility and preliminary results of an email-delivered diet and activity intervention program, "A Lifestyle Intervention Via Email (ALIVE)," delivered to a sample of racial and ethnic minority breast cancer survivors.<\/p>\n

METHODS<\/strong>
\nSurvivors (mean age: 52 years, 83% [59\/71] African American) were recruited and randomized to receive either the ALIVE program's 3-month physical activity track or its 3-month dietary track. The fully automated system provided tools for self-monitoring and goal setting, tailored content, and automated phone calls. Descriptive statistics and mixed-effects models were computed to examine the outcomes of the study.<\/p>\n

RESULTS<\/strong>
\nUpon completion, 44 of 71 survivors completed the study. Our "intention-to-treat" analysis revealed that participants in the physical activity track made greater improvements in moderate to vigorous activity than those in the dietary track (+97 vs. +49 min\/week, P<.001). Similarly, reductions in total sedentary time among those in the physical activity track (-304 vs. -59 min\/week, P<.001) was nearly 5 times greater than that for participants in the dietary track. Our completers case analysis indicated that participants in the dietary track made improvements in the intake of fiber (+4.4 g\/day), fruits and vegetables (+1.0 cup equivalents\/day), and reductions in saturated fat (-2.3 g\/day) and trans fat (-0.3 g\/day) (all P<.05). However, these improvements in dietary intake were not significantly different from the changes observed by participants in the physical activity track (all P>.05). Process evaluation data indicated that most survivors would recommend ALIVE to other cancer survivors (97%), were satisfied with ALIVE (82%), and felt that ALIVE was effective (73%). However, survivors expressed concerns about the functionality of the interactive emails.<\/p>\n

CONCLUSIONS<\/strong>
\nALIVE appears to be feasible for racial and ethnic minority cancer survivors and showed promising results for larger implementation. Although survivors favored the educational content, a mobile phone app and interactive emails that work on multiple email domains may help to boost adherence rates and to improve satisfaction with the Web-based platform.<\/p>\n

TRIAL REGISTRATION<\/strong>
\nClinicalTrials.gov NCT02722850; https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02722850 (Archived by WebCite at http:\/\/www.webcitation.org\/6tHN9VsPh).<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-12360","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Department of Community Medicine and Population Health, The University of Alabama, Tuscaloosa, AL, United States.","annee":"2017","mois":"9","numero":"3:2","page":"","auteurs":[{"ID":12348,"post_author":"0","post_date":"2018-12-03 18:45:31","post_date_gmt":"2018-12-03 17:45:31","post_content":"","post_title":"Torin Block","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"torin-block","to_ping":"","pinged":"","post_modified":"2018-12-03 18:45:31","post_modified_gmt":"2018-12-03 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