TY -的AU - M Quintiliani,丽莎AU -曼Devin M盟——Puputti玛丽莎AU -奎因,艾米丽AU -鲍文,黛博拉·J PY - 2016 DA - 2016/05/09 TI -飞行员和可行性测试移动Health-Supported行为心理咨询干预乳腺癌幸存者对体重管理乔- JMIR癌症SP - e4六世- 2 - 1 KW -远程医疗KW -幸存者KW -乳房肿瘤KW -健康行为KW -体重AB -背景:癌症幸存者的健康行为和体重管理干预措施有可能预防未来癌症复发和改善长期健康;然而，如果干预复杂且参与者负担高，则其翻译可能受到限制。移动卫生(mHealth)提供了一种将干预措施融入日常生活的交付方式。目的:本研究的目的是评价采用前后评价设计的单组试验对参与度(使用和可接受性)、生理(体重)、行为(饮食和身体活动)和其他次要结果的影响。方法:为期10周的干预包括移动健康组件(通过每日短信自我监测选定的饮食行为，无线设备自动跟踪体重和步数)和4个基于技术辅助的动机性访谈电话会议，由非专业培训的咨询师进行。参与者都是体重超标的乳腺癌幸存者，他们完成了治疗并拥有智能手机。客观测量体重;通过简短的自我报告问卷来测量饮食和体育活动。结果:10名女性参与; they had a mean age of 59 years (SD 6), 50% belonged to a racial or ethnic minority group, 50% had some college or less, and 40% reported using Medicaid health insurance. Engagement was high: out of 70 days in total, the mean number of days recording steps via the wristband pedometer was 64 (SD 7), recording a weight via the scale was 45 (SD 24), and responding to text messages was 60 (SD 13); 100% of participants completed all 4 calls with the counselor. Most (90%) were very likely to participate again and recommend the program to others. Mean weight in pounds decreased (182.5 to 179.1, mean change −3.38 [SD 7.67]), fruit and vegetable daily servings increased (2.89 to 4.42, mean change 1.53 [SD 2.82]), and self-reported moderate physical activity increased in metabolic equivalent of task (MET) minutes per week (2791 to 3336, mean change 545 [SD 1694]). Conclusions: Findings support the conduct of a fully powered trial to evaluate the efficacy of mHealth as a feasible intervention modality for breast cancer survivors. Future research should employ accelerometer-based physical activity assessment and consider development of an all-in-one app to integrate devices, messaging, and educational content and other mHealth approaches to support behavioral counselors conducting weight management interventions. Trial Registration: ClinicalTrials.gov NCT02387671; https://clinicaltrials.gov/ct2/show/NCT02387671 (Archived by WebCite at http://www.webcitation.org/6hGEuttbZ). SN - 2369-1999 UR - http://cancer.www.mybigtv.com/2016/1/e4/ UR - https://doi.org/10.2196/cancer.5305 UR - http://www.ncbi.nlm.nih.gov/pubmed/28410174 DO - 10.2196/cancer.5305 ID - info:doi/10.2196/cancer.5305 ER -