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Healthy Living after Cancer: a dissemination and implementation study evaluating a telephone-delivered healthy lifestyle program for cancer survivors

机译:癌症后的健康生活:一项传播和实施研究,评估了电话发送给癌症幸存者的健康生活方式计划

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Background Given evidence shows physical activity, a healthful diet and weight management can improve cancer outcomes and reduce chronic disease risk, the major cancer organisations and health authorities have endorsed related guidelines for cancer survivors. Despite these, and a growing evidence base on effective lifestyle interventions, there is limited uptake into survivorship care. Methods/Design Healthy Living after Cancer (HLaC) is a national dissemination and implementation study that will evaluate the integration of an evidence-based lifestyle intervention for cancer survivors into an existing telephone cancer information and support service delivered by Australian state-based Cancer Councils. Eligible participants (adults having completed cancer treatment with curative intent) will receive 12 health coaching calls over 6?months from Cancer Council nurses/allied health professionals targeting national guidelines for physical activity, healthy eating and weight control. Using the RE-AIM evaluation framework, primary outcomes are service-level indicators of program reach, adoption, implementation/costs and maintenance, with secondary (effectiveness) outcomes of patient-reported anthropometric, behavioural and psychosocial variables collected at pre- and post-program completion. The total participant accrual target across four participating Cancer Councils is 900 over 3?years. Discussion The national scope of the project and broad inclusion of cancer survivors, alongside evaluation of service-level indicators, associated costs and patient-reported outcomes, will provide the necessary practice-based evidence needed to inform future allocation of resources to support healthy living among cancer survivors. Trial registration Australian and New Zealand Clinical Trials Registry (ANZCTR) - ACTRN12615000882?527 (registered on 24/08/2015)
机译:背景技术已有证据表明,体育锻炼,健康的饮食和体重管理可以改善癌症结局并降低慢性病风险,主要的癌症组织和卫生当局已经批准了有关癌症幸存者的相关指南。尽管有这些,并且越来越多的证据基于有效的生活方式干预措施,但对生存护理的吸收仍然有限。方法/设计癌症后的健康生活(HLaC)是一项全国性的传播和实施研究,将评估针对癌症幸存者的循证生活方式干预与澳大利亚州癌症委员会提供的现有电话癌症信息和支持服务的整合。符合条件的参与者(已完成具有治愈意图的癌症治疗的成年人)将在6个月内接受来自癌症委员会护士/专职健康专业人员的12次健康指导电话,以针对身体活动,健康饮食和体重控制的国家准则为目标。使用RE-AIM评估框架,主要结果是服务水平指标,包括计划覆盖范围,采用,实施/成本和维护,以及在患者治疗前后均收集的患者报告的人体测量学,行为学和社会心理变量的次要(有效性)结果。程序完成。四个参与癌症委员会的参与者的应计总目标是在3年内达到900个。讨论该项目的国家范围和癌症幸存者的广泛纳入,以及对服务水平指标,相关费用和患者报告的结局的评估,将提供必要的基于实践的证据,以为将来分配资源以支持健康生活提供信息。癌症幸存者。试验注册澳大利亚和新西兰临床试验注册中心(ANZCTR)-ACTRN12615000882?527(于2015年8月24日注册)

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