Translating research into practice: outcomes from the Healthy Living after Cancer partnership project
- PDF / 987,172 Bytes
- 13 Pages / 595.276 x 790.866 pts Page_size
- 100 Downloads / 187 Views
RESEARCH ARTICLE
Open Access
Translating research into practice: outcomes from the Healthy Living after Cancer partnership project Elizabeth G. Eakin1,2* , Marina M. Reeves1, Ana D. Goode1, Elisabeth A. H. Winkler1, Janette L. Vardy3, Frances Boyle3,4, Marion R. Haas5, Janet E. Hiller6, Gita D. Mishra1, Michael Jefford7,8, Bogda Koczwara9, Christobel M. Saunders10, Kathy Chapman3,11, Liz Hing12, Anna G. Boltong8,13, Katherine Lane14, Polly Baldwin15, Lesley Millar10, Sandy McKiernan16, Wendy Demark-Wahnefried17, Kerry S. Courneya18, Jennifer Job1, Natasha Reid1, Erin Robson1, Nicole Moretto1,19, Louisa Gordon19 and Sandra C. Hayes20
Abstract Background: Healthy Living after Cancer (HLaC) was a national dissemination and implementation study of an evidence-based lifestyle intervention for cancer survivors. The program was imbedded into existing telephone cancer information and support services delivered by Australian state-based Cancer Councils (CC). We report here the reach, effectiveness, adoption, implementation, and maintenance of the program. Methods: In this phase IV study (single-group, pre-post design) participants - survivors of any type of cancer, following treatment with curative intent - received up to 12 nurse/allied health professional-led telephone health coaching calls over 6 months. Intervention delivery was grounded in motivational interviewing, with emphasis on evidence-based behaviour change strategies. Using the RE-AIM evaluation framework, primary outcomes were reach, indicators of program adoption, implementation, costs and maintenance. Secondary (effectiveness) outcomes were participant-reported anthropometric, behavioural and psychosocial variables including: weight; physical activity; dietary intake; quality-of-life; treatment side-effects; distress; and fear of cancer recurrence and participant satisfaction. Changes were evaluated using linear mixed models, including terms for timepoint (0/6 months), strata (Cancer Council), and timepoint x strata. Results: Four of 5 CCs approached participated in the study. In total, 1183 cancer survivors were referred (mostly via calls to the Cancer Council telephone information service). Of these, 90.4% were eligible and 88.7% (n = 791) of those eligible consented to participate. Retention rate was 63.4%. Participants were mostly female (88%), aged 57 years and were overweight (BMI = 28.8 ± 6.5 kg/m2). Improvements in all participant-reported outcomes (standardised effect sizes of 0.1 to 0.6) were observed (p < 0.001). The program delivery costs were on average AU$427 (US$296) per referred cancer survivor. (Continued on next page)
* Correspondence: [email protected] 1 The University of Queensland, Brisbane, QLD, Australia 2 School of Public Health, Faculty of Medicine, The University of Queensland, Herston Road, Herston, QLD 4006, Australia Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use,
Data Loading...
