1. Efficacy of health coaching and a web‐based program on physical activity, weight, and distress management among cancer survivors: A multi‐centered randomised controlled trial
- Author
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Kyung Hwan Shin, Seung Bum Ryoo, Seung-Yong Jeong, Eun Kyo Kang, Moon Soo Kim, Jin Ah Sim, Aesun Shin, Young Ho Yun, Seok Jin Nam, Cheol Il Lim, Dong Young Noh, Sung Chan Park, Sang Min Park, Jong Mog Lee, Jae Il Zo, Ji Won Park, Byung In Moon, Dae Ho Lee, Ye Eun Rhee, Keun Won Ryu, J.-H. Lee, Wonshik Han, Young Mog Shim, Eun Sook Lee, Sung Kim, Hak Jae Kim, Jae Hwan Oh, Joohyun Woo, Ju Youn Jung, Kyung Hae Jung, Young Tae Kim, Young-Woo Kim, and Kyu Joo Park
- Subjects
Adult ,Male ,medicine.medical_specialty ,Lung Neoplasms ,Health coaching ,education ,Breast Neoplasms ,Experimental and Cognitive Psychology ,Psychological Distress ,Coaching ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Breast cancer ,Cancer Survivors ,Randomized controlled trial ,Stomach Neoplasms ,law ,Clinical endpoint ,Humans ,Medicine ,030212 general & internal medicine ,Lung cancer ,Exercise ,Internet ,business.industry ,Body Weight ,Mentoring ,Cancer ,Middle Aged ,medicine.disease ,Psychiatry and Mental health ,Distress ,Treatment Outcome ,Oncology ,030220 oncology & carcinogenesis ,Colonic Neoplasms ,Physical therapy ,Female ,business ,Posttraumatic Growth, Psychological ,Stress, Psychological - Abstract
OBJECTIVES To investigate the efficacy of health coaching and a web-based program on survivor physical activity (PA), weight, and distress management among stomach, colon, lung and breast cancer patients. METHODS This randomised, controlled, 1-year trial conducted in five hospitals recruited cancer survivors within 2 months of completing primary cancer treatment who had not met ≥1 of these behavioural goals: (i) conducting moderate PA for at least 150 minutes/week or strenuous exercise for over 75 minutes per week or, in the case of lung cancer patients, low or moderate intensity exercise for over 12.5 MET per week, (ii) maintaining normal weight, and (iii) attaining a score >72 in the Post Traumatic Growth Inventory (PTGI). Participants were randomly assigned to one of three groups: the control group, a web-only group, or a health coaching + web group. The primary endpoint was based on a composite of PA, weight, and PTGI score at 12 months. RESULTS Patients in the health coaching + web group (difference = 6.6%, P = .010) and the web-only group (difference = 5.9%, P = .031) had greater overall improvements across the three-outcome composite than the control group. The health coaching + web group had greater overall improvement in PTGI (difference = 12.6%; P
- Published
- 2020