@Article{info:doi/10.2196/cancer.6435,
author="Krebs, Paul
and Shtaynberger, Jonathan
and McCabe, Mary
and Iocolano, Michelle
and Williams, Katie
and Shuk, Elyse
and Ostroff, Jamie S",
title="An eHealth Intervention to Increase Physical Activity and Healthy Eating in Older Adult Cancer Survivors: Summative Evaluation Results",
journal="JMIR Cancer",
year="2017",
month="Mar",
day="01",
volume="3",
number="1",
pages="e4",
keywords="survivors; diet; food and nutrition; breast neoplasms; prostatic neoplasms; eHealth",
abstract="Background: A healthy lifestyle is associated with improved quality of life among cancer survivors, yet adherence to health behavior recommendations is low. Objective: This pilot trial developed and tested the feasibility of a tailored eHealth program to increase fruit and vegetable consumption and physical activity among older, long-term cancer survivors. Methods: American Cancer Society (ACS) guidelines for cancer survivors were translated into an interactive, tailored health behavior program on the basis of Social Cognitive Theory. Patients (N=86) with a history of breast (n=83) or prostate cancer (n=3) and less than 5 years from active treatment were randomized 1:1 to receive either provider advice, brief counseling, and the eHealth program (intervention) or advice and counseling alone (control). Primary outcomes were self-reported fruit and vegetable intake and physical activity. Results: About half (52.7{\%}, 86/163) of the eligible patients consented to participate. The most common refusal reasons were lack of perceived time for the study (32/163) and lack of interest in changing health behaviors (29/163). Furthermore, 72{\%} (23/32) of the intervention group reported using the program and most would recommend it to others (56{\%}, 14/25). Qualitative results indicated that the intervention was highly acceptable for survivors. For behavioral outcomes, the intervention group reported increased fruit and vegetable consumption. Self-reported physical activity declined in both groups. Conclusions: The brief intervention showed promising results for increasing fruit and vegetable intake. Results and participant feedback suggest that providing the intervention in a mobile format with greater frequency of contact and more indepth information would strengthen treatment effects. ",
issn="2369-1999",
doi="10.2196/cancer.6435",
url="http://cancer.jmir.org/2017/1/e4/",
url="https://doi.org/10.2196/cancer.6435",
url="http://www.ncbi.nlm.nih.gov/pubmed/28410171"
}