Project PREVENT: A Randomized Trial to Reduce Multiple Behavioral Risk Factors for Colon Cancer

Emmons, Karen M.; McBride, Colleen M.; Puleo, Elaine; Pollak, Kathryn I.; Clipp, Elizabeth C.; Kuntz, Karen M.; Marcus, Bess H.; Napolitano, Melissa A.; Onken, Jane E.; Farraye, Francis A.; Fletcher, Robert H.

doi:10.1158/1055-9965.epi-04-0620

Cited by 82 publications

(152 citation statements)

References 43 publications

(42 reference statements)

Supporting

Mentioning

148

Contrasting

Order By: Relevance

“…Finally, a focus on multiple health behaviors has the potential for decreased efficacy on any single behavior. 53 However, the complex and multifactorial process of carcinogenesis suggests that multiple health behavior changes may be needed to significantly reduce risk, 22 and growing evidence suggests the potential for multiplebehavior interventions to have a greater impact on public health than single-behavior interventions. 54 Previous investigators have reported no intervention effect on HRQoL or cancer-related fatigue in CRC 15,16 or other cancer survivors 55,56 after participation in health behavior change trials.…”

Section: Discussionmentioning

confidence: 99%

“…19,20 Nevertheless, there remain large gaps in knowledge about the efficacy of interventions to address multiple health behaviors, 21 and few cancer studies have evaluated interventions on multiple behaviors simultaneously. 22 Because of the increasing number of cancer survivors, more research is needed testing the impact of health behavior change on health outcomes, especially research focusing on high-reach, sustainable interventions that recruit representative samples to help increase the generalizability of findings. 14 This report presents the results of an RCT to determine the effects of a telephone-delivered multiple health behavior change intervention for CRC survivors (CanChange) on health outcomes including PA, HRQoL, cancer-related fatigue, body mass index (BMI), dietary intake, and smoking.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of a Telephone-Delivered Multiple Health Behavior Change Intervention (CanChange) on Health and Behavioral Outcomes in Survivors of Colorectal Cancer: A Randomized Controlled Trial

Hawkes

Chambers²,

Pakenham³

et al. 2013

JCO

197

334

View full text Add to dashboard Cite

A B S T R A C T PurposeColorectal cancer survivors are at risk for poor health outcomes because of unhealthy lifestyles, but few studies have developed translatable health behavior change interventions. This study aimed to determine the effects of a telephone-delivered multiple health behavior change intervention (CanChange) on health and behavioral outcomes among colorectal cancer survivors. MethodsIn this two-group randomized controlled trial, 410 colorectal cancer survivors were randomly assigned to the health coaching intervention (11 theory-based telephone-delivered health coaching sessions delivered over 6 months focusing on physical activity, weight management, dietary habits, alcohol, and smoking) or usual care. ResultsAt 12 months, significant intervention effects were observed for moderate physical activity (28.5 minutes; P ϭ .003), body mass index (Ϫ0.9 kg/m 2 ; P ϭ .001), energy from total fat (Ϫ7.0%; P ϭ .006), and energy from saturated fat (Ϫ2.8%; P ϭ .016). A significant intervention effect was reported for vegetable intake (0.4 servings per day; P ϭ .001) at 6 months. No significant group differences were found at 6 or 12 months for HRQoL, cancer-related fatigue, fruit, fiber, or alcohol intake, or smoking. ConclusionThe CanChange intervention was effective for improving physical activity, dietary habits, and body mass index in colorectal cancer survivors. The intervention is translatable through existing telephone cancer support and information services in Australia and other countries.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of a Telephone-Delivered Multiple Health Behavior Change Intervention (CanChange) on Health and Behavioral Outcomes in Survivors of Colorectal Cancer: A Randomized Controlled Trial

Hawkes

Chambers²,

Pakenham³

et al. 2013

JCO

197

334

View full text Add to dashboard Cite

show abstract

“…PREVENT, a telephone-delivered intervention plus tailored materials, based on motivation to change and social cognitive theory, targeted six behavioral risks for colon cancer (Emmons, et al, 2005). Participants were 1,247 adults with recent diagnosis of adenomatous colorectal polyps.…”

Section: Recent Successes In Population-based Mhbc Interventionsmentioning

confidence: 99%

Multiple health behavior change research: An introduction and overview

Prochaska

Spring²,

Nigg

2008

Preventive Medicine

507

428

View full text Add to dashboard Cite

In 2002, the Society of Behavioral Medicine's special interest group on Multiple Health Behavior Change was formed. The group focuses on the interrelationships among health behaviors and interventions designed to promote change in more than one health behavior at a time. Growing evidence suggests the potential for multiple-behavior interventions to have a greater impact on public health than single-behavior interventions. However, there exists surprisingly little understanding of some very basic principles concerning multiple health behavior change (MHBC) research. This paper presents the rationale and need for MHBC research and interventions, briefly reviews the research base, and identifies core conceptual and methodological issues unique to this growing area. The prospects of MHBC for the health of individuals and populations are considerable.Keywords multiple health behavior change; methodology; interventions; review OverviewIn 2002, the Society of Behavioral Medicine formed a special interest group (SIG) to contribute to the development of a science of multiple health behavior change (MHBC) for health promotion and disease management. This multidisciplinary group of researchers and practitioners focuses on the interrelationships among health behaviors and interventions designed to promote change in more than one health behavior at a time. Recognizing that intervention on multiple behaviors presents a unique set of challenges, the group addresses theoretical, methodologic, intervention, statistical, and funding issues and fosters networking, mentorship, career development, and scientific discussion among its members. PrécisThis paper presents the rationale and need for multiple health behavior change research, briefly reviews the research base, and identifies core conceptual and methodological issues unique to this growing area.

show abstract

“…It might be hypothesized that participants are more likely to have favorable health behaviors. However, a number of studies (6,7) in the colorectal screening domain have reported inappropriate dietary intakes, levels of physical activity, and body weight among screening participants. In addition, disease screening has been said to awaken curiosity about health conditions and provides an opportunity to consider preventative actions (8).…”

Section: Introductionmentioning

confidence: 99%

Promoting Changes in Diet and Physical Activity in Breast and Colorectal Cancer Screening Settings: An Unexplored Opportunity for Endorsing Healthy Behaviors

Anderson

Mackison

Boath

et al. 2013

Cancer Prevention Research

View full text Add to dashboard Cite

The importance of diet, physical activity, and weight management in breast and colorectal cancer prevention is widely recognized. While there may be many "teachable moments" that could be used to assess and initiate changes in these behaviors by health professionals (to complement public health campaigns), there is little evidence that lifestyle is discussed within cancer screening settings. The lack of advocacy about lifestyle in these settings may endorse poor health behaviors, in particular the absence of guidance to visibly obese patients. To fully use the teachable moment, patients need to be aware of the relationship between diet and physical activity and the risk of cancer and to be able to relate guidance to personal behaviors. Results from cardiovascular and diabetes prevention programs provide evidence about the components of effective behavior change programs which could be used in the screening setting. Findings from interventions initiated in the colorectal cancer screening setting suggest that such programs can be delivered but it is not clear how acceptable these are in routine health services. Effective interventions delivered in this setting also offer an important opportunity to contribute to the reduction of the overall burden of chronic non-communicable diseases. Cancer Prev Res; 6(3); 165-72. Ó2013 AACR.

show abstract

Project PREVENT: A Randomized Trial to Reduce Multiple Behavioral Risk Factors for Colon Cancer

Cited by 82 publications

References 43 publications

Effects of a Telephone-Delivered Multiple Health Behavior Change Intervention (CanChange) on Health and Behavioral Outcomes in Survivors of Colorectal Cancer: A Randomized Controlled Trial

Effects of a Telephone-Delivered Multiple Health Behavior Change Intervention (CanChange) on Health and Behavioral Outcomes in Survivors of Colorectal Cancer: A Randomized Controlled Trial

Multiple health behavior change research: An introduction and overview

Promoting Changes in Diet and Physical Activity in Breast and Colorectal Cancer Screening Settings: An Unexplored Opportunity for Endorsing Healthy Behaviors

Contact Info

Product

Resources

About