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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):359-370.

Document type: Journal Article
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IRMA ID 75039815xPUB530
Title Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: a randomized controlled trial
Author Hawkes, Anna L.
Pakenham, Kenneth I.
Chambers, Suzanne K.
Patrao, Tania A.
Courneya, Kerry S.
Journal Name Annals of Behavioral Medicine
Publication Date 2014
Volume Number 48
Issue Number 3
ISSN 0883-6612   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84901731131
Start Page 359
End Page 370
Total Pages 12
Place of Publication United States
Publisher Springer New York LLC
HERDC Category C1 - Journal Article (DIISR)
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. (Trial Registration Number: ACTRN12608000399392).

Keywords Colorectal cancer survivor
Multiple health behavior change intervention
Telephone-delivered
Psychosocial
Acceptance and commitment therap
DOI http://dx.doi.org/10.1007/s12160-014-9610-2   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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