Mobile Health Applications, Cancer Survivors, and Lifestyle Modification

Kelley, Marjorie M.; Kue, Jennifer; Brophy, Lynne; Peabody, Andrea; Foraker, Randi E.; Yen, Po-Yin; Tucker, Sharon

doi:10.1097/cin.0000000000000781

Cited by 15 publications

(5 citation statements)

References 56 publications

(216 reference statements)

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“…We identified that remote-or hybrid-delivered interventions are most likely to meet retention goals. Similar to what has been concluded in previous work, this suggests continued efforts to develop effective programming using web-based and telephone resources [50]. Additionally, studies which reported protocol-specified retention goals and strategies were less likely to see differences in attrition by study arm compared to those that did not report.…”

Section: Discussionsupporting

confidence: 80%

Recruitment and Retention Strategies Used in Dietary Randomized Controlled Interventions with Cancer Survivors: A Systematic Review

Werts,

Lavelle,

Crane

et al. 2023

Cancers

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Background: The purpose of this review was to systematically evaluate the quality of reporting of recruitment and retention methods in diet-related intervention trials among cancer survivors. Methods: A systematic search of five databases in Spring 2023 identified dietary intervention randomized controlled trials with a minimum of 50 cancer survivors, an intervention of at least eight weeks, and at least six months of study duration. Outcomes investigated include methodologic description and reporting of recruitment and retention rates. Results: Seventeen trials met inclusion criteria. Recruitment methods included cancer registry and clinician referral, hospital records, flyers, and media campaigns, and were reported in 88.2% of studies. Eleven of 17 studies (64.7%) met a priori recruitment goals. Eleven studies identified an a priori retention goal and seven met the goal. Retention goals were met more often for studies of less than one year (71.4%) versus greater than one year (50%), and for studies with remote or hybrid delivery (66.7%) versus only in-person delivery (50%). Conclusions: Recruitment goals and methods are frequently reported; reporting of retention methods and goals is limited. Efforts are needed to improve reporting of retention methods and rates to inform best practices and enhance the rigor of future dietary intervention trials.

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Section: Discussionsupporting

confidence: 80%

Recruitment and Retention Strategies Used in Dietary Randomized Controlled Interventions with Cancer Survivors: A Systematic Review

Werts,

Lavelle,

Crane

et al. 2023

Cancers

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“…The risk of cancer recurrence and the increased risk of chronic diseases brought on by cancer treatments endanger the well-being of cancer survivors ( 52 ). Improving lifestyle behaviors attenuates these risks, and in particular, nutrition and physical activity have been considered powerful allies to cancer patients and survivors, as they positively impact body mass, physical fitness, fatigue, depressive symptoms, anxiety, inflammatory profile, and quality of life ( 53 – 57 ).…”

Section: Discussionmentioning

confidence: 99%

Changes in gut microbiota composition after 12 weeks of a home-based lifestyle intervention in breast cancer survivors during the COVID-19 lockdown

Donati Zeppa,

Natalucci,

Agostini

et al. 2023

Front. Oncol.

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BackgroundBreast cancer (BC) is the second-leading cause of cancer-related death worldwide. This study aimed to investigate the effects of a 12-week home-based lifestyle intervention (based on nutrition and exercise) on gut microbial composition in twenty BC survivors of the MoviS clinical trial (protocol: NCT 04818359).MethodsGut microbiota analysis through 16S rRNA gene sequencing, anthropometrics, Mediterranean Diet (MD) adherence, and cardiometabolic parameters were evaluated before (Pre) and after (Post) the lifestyle intervention (LI).ResultsBeneficial effects of the LI were observed on MD adherence, and cardiometabolic parameters (pre vs post). A robust reduction of Proteobacteria was observed after LI, which is able to reshape the gut microbiota by modulating microorganisms capable of decreasing inflammation and others involved in improving the lipid and glycemic assets of the host. A significant negative correlation between fasting glucose and Clostridia_vadinBB60 (r = -0.62), insulin and homeostatic model assessment (HOMA) index and Butyricicoccus genera (r = -0.72 and -0.66, respectively), and HDL cholesterol and Escherichia/Shigella (r = -0.59) have been reported. Moreover, positive correlations were found between MD adherence and Lachnospiraceae_ND3007 (r = 0.50), Faecalibacterium (r = 0.38) and Butyricimonas (r = 0.39).ConclusionThese data suggest that adopting a healthy lifestyle, may contribute to ameliorate several biological parameters that could be involved in the prevention of cancer relapses through the modulation of gut microbiota.

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“…For instance, the resulting mHealth app to improve public health may be considered an outcome from a design standpoint, but it is not considered a health outcome from a public health standpoint, where the key outcome of interest is the app’s impact on public health [ 27 ]. HCD practice is frequently evaluated through short-term usability testing or short-term feasibility study of design solutions [ 48 ]. However, existing mHealth design literature focuses heavily on short-term behavior changes [ 29 ] and overlooks long-term usage [ 48 ].…”

Section: Gaps In Current Hcd Practice In Achieving Long-term Efficacy...mentioning

confidence: 99%

“…HCD practice is frequently evaluated through short-term usability testing or short-term feasibility study of design solutions [ 48 ]. However, existing mHealth design literature focuses heavily on short-term behavior changes [ 29 ] and overlooks long-term usage [ 48 ]. Based on the anticipated usage of mHealth apps in lifestyle management, disease management, and even self-diagnosis, desired outcomes are unlikely to be achieved with short-term usage.…”

Section: Gaps In Current Hcd Practice In Achieving Long-term Efficacy...mentioning

confidence: 99%

Sustainable Development for Mobile Health Apps Using the Human-Centered Design Process

An¹,

Kelley²,

Hanners³

et al. 2023

JMIR Form Res

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Well-documented scientific evidence indicates that mobile health (mHealth) apps can improve the quality of life, relieve symptoms, and restore health for patients. In addition to improving patients’ health outcomes, mHealth apps reduce health care use and the cost burdens associated with disease management. Currently, patients and health care providers have a wide variety of choices among commercially available mHealth apps. However, due to the high resource costs and low user adoption of mHealth apps, the cost-benefit relationship remains controversial. When compared to traditional expert-driven approaches, applying human-centered design (HCD) may result in more useable, acceptable, and effective mHealth apps. In this paper, we summarize current HCD practices in mHealth development studies and make recommendations to improve the sustainability of mHealth. These recommendations include consideration of factors regarding culture norms, iterative evaluations on HCD practice, use of novelty in mHealth app, and consideration of privacy and reliability across the entire HCD process. Additionally, we suggest a sociotechnical lens toward HCD practices to promote the sustainability of mHealth apps. Future research should consider standardizing the HCD practice to help mHealth researchers and developers avoid barriers associated with inadequate HCD practices.

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Mobile Health Applications, Cancer Survivors, and Lifestyle Modification

Abstract: Supplemental digital content is available in the text.

Cited by 15 publications

References 56 publications

Recruitment and Retention Strategies Used in Dietary Randomized Controlled Interventions with Cancer Survivors: A Systematic Review

Recruitment and Retention Strategies Used in Dietary Randomized Controlled Interventions with Cancer Survivors: A Systematic Review

Changes in gut microbiota composition after 12 weeks of a home-based lifestyle intervention in breast cancer survivors during the COVID-19 lockdown

Sustainable Development for Mobile Health Apps Using the Human-Centered Design Process

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