A Web-based Lifestyle Intervention for Cancer Survivors: Feasibility and Acceptability of SurvivorSHINE

Williams, Victoria; Brown, Nashira; Johnson, Roman; Ainsworth, Matthew Cole; Farrell, David; Barnes, Margaux; Perumean-Chaney, Suzanne E.; Fontaine, Kevin R.; Martin, Michelle Y.; Pekmezi, Dori; Demark‐Wahnefried, Wendy

doi:10.1007/s13187-021-02026-x

Cited by 11 publications

(16 citation statements)

References 40 publications

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“…Data for this study were collected from survivors of cancer participating in a single-arm pilot study of the SurvivorSHINE lifestyle intervention website. Initial findings have already supported feasibility, acceptability, and behavior change (improvements in physical activity, healthy lifestyle knowledge, etc) in response to SurvivorSHINE [ 32 ]. The current analyses focus on website metrics (time spent on websites, log-ins, and page visits) over the 2 weeks of use and their relationship with demographics at baseline and lifestyle factors (healthy lifestyle knowledge, body weight, diet, and physical activity) at baseline and after the intervention.…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, they were directed to access the website via their personal profiles each time. At the completion of the intervention period, participants completed follow-up assessments and exit interviews in person [ 32 ]. Full details of the trial design, participants, protocol, measures, and intervention are described in a previous report [ 32 ] but are briefly outlined below.…”

Section: Methodsmentioning

confidence: 99%

“…SurvivorSHINE is a theoretically-driven (social cognitive theory) [ 32 ], web-delivered intervention promoting physical activity, a healthy diet, and weight management among survivors of cancer. SurvivorSHINE was largely adapted from the written materials that were used in the Reach-out to Enhance Wellness intervention, which demonstrated proven efficacy in improving diet quality and physical activity, as well as body weight and physical functioning among 641 older survivors of cancer [ 36 ].…”

Section: Methodsmentioning

confidence: 99%

“…SurvivorSHINE was largely adapted from the written materials that were used in the Reach-out to Enhance Wellness intervention, which demonstrated proven efficacy in improving diet quality and physical activity, as well as body weight and physical functioning among 641 older survivors of cancer [ 36 ]. The website was designed using input obtained from 4 sets of focus groups stratified by gender (male or female) and race (White or Black) [ 32 ]. It includes six main sections: My Profile , Home Page , Healthy Weight , Healthy Eating , Exercise , and News You Can Use .…”

Section: Methodsmentioning

confidence: 99%

“…The purpose of this research is to describe the use (log-ins, time on the website, and page views) of a web-based healthy lifestyle program, SurvivorSHINE [ 32 ], in a pilot study for adult survivors of cancer. Furthermore, we examined patterns of use by participant characteristics (gender and race) and associations between website use and changes in knowledge, body weight, diet, and physical activity.…”

Section: Introductionmentioning

confidence: 99%

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Web-Based Lifestyle Interventions for Survivors of Cancer: Usability Study

Williams¹,

Brown²,

Moore³

et al. 2022

JMIR Form Res

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Background Internet-based lifestyle programs are increasingly being used to deliver health behavior change interventions to survivors of cancer. However, little is known about website use in this population or its association with healthy lifestyle changes. Objective The aim of this study is to describe lifestyle intervention website use (log-ins, time on website, and page views) among survivors of cancer and patterns of use by participant characteristics. In addition, associations were explored between website use and changes in healthy lifestyle knowledge and practice. Methods A total of 35 survivors of cancer were recruited between August 2017 and 2018 to participate in a 2-week, single-arm pilot test of the SurvivorSHINE lifestyle intervention website. Knowledge and practices related to healthy diet and physical activity behaviors were measured at baseline and follow-up. Website use (eg, time spent on the website, frequency of log-ins, and page views) were collected from the SurvivorSHINE administrative site during the intervention period. Patterns of use were examined by participants’ gender and race. Correlations between website use and changes in healthy lifestyle knowledge, physical activity, diet, and weight were explored. Mann–Whitney U tests were used to compare demographic factors on website use. Results Participants logged into the SurvivorSHINE intervention website an average of 3.2 (SD 2) times over the 2-week period and spent a total average of 94 (SD 56) minutes viewing the website during the intervention. Examining website activity, 1905 page views were logged. The User Profile (344 page views) and Home sections (301 page views) were the most frequently visited components. No associations were observed between the frequency of log-ins or the total time on the website, improvements in knowledge related to healthy lifestyles, or changes in body weight or dietary intake. However, the total time on the website was positively correlated with improvements in accelerometer-measured physical activity (r=0.74; P=.02) and self-reported physical activity (r=0.35; P=.04). Conclusions Survivors of cancer demonstrated clear interest in a diet and exercise intervention website, as evidenced by their frequency of log-ins, page views on numerous features, and total viewing time. Moreover, increased website use was correlated with improvements in physical activity.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Web-Based Lifestyle Interventions for Survivors of Cancer: Usability Study

Williams¹,

Brown²,

Moore³

et al. 2022

JMIR Form Res

Self Cite

View full text Add to dashboard Cite

show abstract

Moderators of physical activity and quality of life response to a physical activity intervention for breast cancer survivors

Schleicher

McAuley

Courneya

et al. 2022

Support Care Cancer

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Moderate-to-vigorous physical activity (MVPA) can improve quality of life (QoL) for breast cancer survivors (BCS); yet most do not achieve 150 + weekly minutes of MVPA. This study investigated moderators of response to a physical activity (PA) behavior change intervention for BCS. Methods BCS (N = 222) were randomized to the 3-month intervention (BEAT Cancer) or usual care. Measurements occurred at baseline, post-intervention, and 3 months post-intervention. Measures included accelerometry, self-reported MVPA, and Functional Assessment of Cancer Therapy (FACT-General, FACT-Breast, physical well-being [PWB], social well-being [SWB], emotional well-being [EWB], functional well-being [FWB], additional concerns [AC], and Trial Outcome Index (TOI). ResultsAdjusted linear mixed-model analyses indicated individuals ≤ 24 months post-diagnosis who were single reported smaller increases in weekly MVPA than those > 24 months (44.07 vs 111.93) and partnered (-16.24 vs. 49.16 min), all p's < 0.05. As for QoL, participants < 12 months post-diagnosis who received chemotherapy experienced smaller improvements than those ≥ 12 months in FACT-General, FACT-Breast, PWB, SWB scores. Survivors with a history of chemotherapy had smaller improvements in FACT-General, FACT-Breast, PWB, SWB, TOI, and AC scores, all p's < 0.05. ConclusionThese ndings indicate that being < 2 years post-diagnosis, single, and having history of chemotherapy may limit MVPA and QOL responses to a physical activity intervention. Further studies are needed to determine if and/or what additional PA supports and resources these subgroups of BCS might nd bene cial and effective.

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A pilot randomized controlled trial of an online intervention for Hodgkin lymphoma survivors to increase knowledge about late effects and recommended screening

Rick,

Sagaram,

Jewett

et al. 2024

J Cancer Surviv

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Background Hodgkin lymphoma (HL) survivors who received chest radiotherapy are at risk for breast cancer and cardiovascular disease, but screening adherence is low. We assessed the acceptability/feasibility of a web-based educational intervention and its impact on knowledge of health risks and screening. Methods HL survivors were randomized to either an interactive online educational intervention or handouts only. Surveys were completed at baseline and 3 months post-intervention. We described the acceptability/feasibility of the intervention and compared knowledge between groups. Results Fifty-two HL survivors participated; 27 in the intervention group and 25 in the control group. Eighteen (66%) intervention participants completed the intervention and reported high acceptability (89–100%). At baseline, adherence to breast cancer screening was low across all participants. Post-intervention, those in the intervention group more often than controls correctly identified breast cancer and echocardiogram screening guidelines (35% vs. 28%, P = 0.02 and 82% vs. 52%, P = 0.04) and reported knowing how to address potential complications from cancer treatments (87% vs. 64%, P = 0.03). We detected no increase in screening behavior post-intervention. Conclusion Online education modules for high-risk HL survivors are an acceptable method to improve knowledge of health risks and screening guidelines. Future interventions should focus on improving screening uptake in this population. Implications for Cancer Survivors Web-based learning can be useful in increasing cancer survivor knowledge of their unique risks and screening recommendations but does not necessarily change patient behavior. Involvement in a cancer survivorship program can help assess individual barriers and monitor uptake of screening.

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A Web-based Lifestyle Intervention for Cancer Survivors: Feasibility and Acceptability of SurvivorSHINE

Cited by 11 publications

References 40 publications

Web-Based Lifestyle Interventions for Survivors of Cancer: Usability Study

Web-Based Lifestyle Interventions for Survivors of Cancer: Usability Study

Moderators of physical activity and quality of life response to a physical activity intervention for breast cancer survivors

A pilot randomized controlled trial of an online intervention for Hodgkin lymphoma survivors to increase knowledge about late effects and recommended screening

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