1. 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
- Author
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Jae Young Lim, Sohee Park, Myung Kyung Lee, Soon Nam Lee, Young Ho Yun, Eun Sook Lee, Young A Kim, Si Young Kim, Kyong Hwa Park, Sohee Kim, Dong Young Noh, Chi Heum Cho, Sung Kim, Byung-Ho Nam, Mison Chun, Jin Ah Sim, and Kyung Hae Jung
- Subjects
Counseling ,Male ,Cancer Research ,Hospital Anxiety and Depression Scale ,Balanced diet ,law.invention ,0302 clinical medicine ,Randomized controlled trial ,Quality of life ,law ,Neoplasms ,Health coaching ,Medicine ,Positive thinking ,030212 general & internal medicine ,Survivors ,media_common ,Middle Aged ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,humanities ,Distress ,Treatment Outcome ,Oncology ,030220 oncology & carcinogenesis ,Female ,Health partnership ,Regular exercise ,Research Article ,Adult ,medicine.medical_specialty ,media_common.quotation_subject ,Health Promotion ,lcsh:RC254-282 ,03 medical and health sciences ,Optimism ,Genetics ,Humans ,Exercise ,Aged ,business.industry ,social sciences ,Feeding Behavior ,Clinical trial ,Health promotion ,Physical therapy ,Quality of Life ,business ,Stress, Psychological - Abstract
Background We 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. Methods We 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). Results For 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. Conclusion Our 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 registration Clinical trial information can be found for the following: NCT01527409 (the date when the trial was registered: February 2012). Electronic supplementary material The online version of this article (doi:10.1186/s12885-017-3290-9) contains supplementary material, which is available to authorized users.
- Published
- 2017