Kim, Soo Hyun; Shin, Mi Soon; Lee, Han Sul; Lee, Eun Sook; Ro, Jung Sil; Kang, Han Sung; Kim, Seok Won; Lee, Won Hee; Kim, Hee Soon; Kim, Chun Ja; Kim, Joohyung; Yun, Young Ho
Oncology nursing forum
2011Mar ; 38 ( 2 ) :E97-106.
PMID : 21356647
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Kim, Soo Hyun -
Shin, Mi Soon -
Lee, Han Sul -
Lee, Eun Sook -
Ro, Jung Sil -
Kang, Han Sung -
Kim, Seok Won -
Lee, Won Hee -
Kim, Hee Soon -
Kim, Chun Ja -
Kim, Joohyung -
Yun, Young Ho -
ABSTRACT
PURPOSE/OBJECTIVES: To investigate the feasibility and preliminary effects of a simultaneous stage-matched exercise and diet (SSED) intervention in breast cancer survivors. DESIGN: Randomized, controlled trial. SETTING: Oncology outpatient treatment clinics at the National Cancer Center in South Korea. SAMPLE: 45 women with breast cancer who completed their cancer therapy.
METHODS: Participants were assigned to the SSED intervention group (n = 23) or a control group (n = 22). Participants in the SSED group received a 12-week individualized intervention promoting prescribed exercise and a balanced diet through stage-matched telephone counseling and a workbook. MAIN RESEARCH VARIABLES: Program feasibility, behavioral outcomes (stage of motivational readiness for exercise and diet, physical activity, and diet quality), and quality-of-life (QOL) outcomes (functioning and global QOL, fatigue, anxiety, and depression). FINDINGS: Participant evaluations of the SSED intervention indicated that it was feasible and acceptable. All women felt that the overall intervention contents were appropriate, and 95% believed that the intervention helped to promote healthy behaviors. Objective data also supported the SSED intervention's feasibility (i.e., 91% completed the trial and 100% of intervention calls were received). When compared to control, the SSED intervention group showed significantly greater improvement in motivational readiness for exercise and diet, emotional functioning, fatigue, and depression.
CONCLUSIONS: Preliminary results suggest that the SSED intervention delivered via telephone counseling and workbook is feasible and beneficial for positive behavioral and QOL outcomes. IMPLICATIONS FOR NURSING: Nurse-led lifestyle interventions may improve QOL for cancer survivors.
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MESH
Adult, Aged, *Breast Neoplasms/nursing/psychology/therapy, Diet, *Exercise, Feasibility Studies, Female, Humans, Life Style, Middle Aged, Motivation, Oncology Nursing/*methods/*organization & administration, Outpatients, Program Evaluation, Quality of Life, Surveys and Questionnaires, Survivors
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