TY  - JOUR
AU  - Krebs, Paul
AU  - Shtaynberger, Jonathan
AU  - McCabe, Mary
AU  - Iocolano, Michelle
AU  - Williams, Katie
AU  - Shuk, Elyse
AU  - Ostroff, Jamie S
PY  - 2017
DA  - 2017/03/01
TI  - An eHealth Intervention to Increase Physical Activity and Healthy Eating in Older Adult Cancer Survivors: Summative Evaluation Results
JO  - JMIR Cancer
SP  - e4
VL  - 3
IS  - 1
KW  - survivors
KW  - diet
KW  - food and nutrition
KW  - breast neoplasms
KW  - prostatic neoplasms
KW  - eHealth
AB  - 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. 
SN  - 2369-1999
UR  - http://cancer.jmir.org/2017/1/e4/
UR  - https://doi.org/10.2196/cancer.6435
UR  - http://www.ncbi.nlm.nih.gov/pubmed/28410171
DO  - 10.2196/cancer.6435
ID  - info:doi/10.2196/cancer.6435
ER  -