%0 Journal Article
%@ 2369-1999
%I JMIR Publications
%V 3
%N 1
%P e4
%T An eHealth Intervention to Increase Physical Activity and Healthy Eating in Older Adult Cancer Survivors: Summative Evaluation Results
%A Krebs,Paul
%A Shtaynberger,Jonathan
%A McCabe,Mary
%A Iocolano,Michelle
%A Williams,Katie
%A Shuk,Elyse
%A Ostroff,Jamie S
%+ Department of Population Health, New York University School of Medicine, Translational Research Building, 7th Floor, 227 E 30th St, New York, NY, 10016, United States, 1 646 501 2637, Paul.Krebs@nyumc.org
%K survivors
%K diet
%K food and nutrition
%K breast neoplasms
%K prostatic neoplasms
%K eHealth
%D 2017
%7 01.03.2017
%9 Original Paper
%J JMIR Cancer
%G English
%X 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. 
%M 28410171
%R 10.2196/cancer.6435
%U http://cancer.jmir.org/2017/1/e4/
%U https://doi.org/10.2196/cancer.6435
%U http://www.ncbi.nlm.nih.gov/pubmed/28410171