Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: a randomized controlled trial

Hawkes, Anna L., Pakenham, Kenneth I., Chambers, Suzanne K., Patrao, Tania A., and Courneya, Kerry S. (2014) Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: a randomized controlled trial. Annals of Behavioral Medicine, 48 (3). pp. 359-370.

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Abstract

Background: Multiple health behavior change can ameliorate adverse effects of cancer.

Purpose: The purpose of this study was to determine the effects of a multiple health behavior change intervention (CanChange) for colorectal cancer survivors on psychosocial outcomes and quality of life.

Methods: A total of 410 colorectal cancer survivors were randomized to a 6-month telephone-based health coaching intervention (11 sessions using acceptance and commitment therapy strategies focusing on physical activity, weight management, diet, alcohol, and smoking) or usual care. Posttraumatic growth, spirituality, acceptance, mindfulness, distress, and quality of life were assessed at baseline, 6 and 12 months.

Results: Significant intervention effects were observed for posttraumatic growth at 6 (7.5, p < 0.001) and 12 months (4.1, p = 0.033), spirituality at 6 months (1.8, p = 0.011), acceptance at 6 months (0.2, p = 0.005), and quality of life at 6 (0.8, p = 0.049) and 12 months (0.9, p = 0.037).

Conclusions: The intervention improved psychosocial outcomes and quality of life (physical well-being) at 6 months with most effects still present at 12 months.

Item ID: 37481
Item Type: Article (Research - C1)
ISSN: 1532-4796
Keywords: colorectal cancer survivor, multiple health behavior change intervention, telephone-delivered, psychosocial, acceptance and commitment therapy (ACT)
Funders: Australian Government through Cancer Australia
Date Deposited: 04 Feb 2015 07:38
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1112 Oncology and Carcinogenesis > 111299 Oncology and Carcinogenesis not elsewhere classified @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111710 Health Counselling @ 50%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920401 Behaviour and Health @ 50%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920102 Cancer and Related Disorders @ 50%
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