Efficacy of health coaching and a Web-based program on physical activity, weight, and distress management among cancer survivors: a multi-centered randomised controlled trial
Mené en Corée sur des patients ayant survécu à un cancer (estomac, côlon, poumon et sein), cet essai randomisé évalue à 12 mois l’intérêt d’un programme en ligne, avec ou sans coaching de santé, pour améliorer leur activité physique, maintenir un poids normal et réduire la détresse psychologique
Objectives : To investigate the efficacy of health coaching and a Web?based program on survivor physical activity (PA), weight, and distress management among stomach, colon, lung and breast cancer patients. Methods : This randomised, controlled, 1?year trial conducted in 5 hospitals recruited cancer survivors within 2 months of completing primary cancer treatment who had not met ?1 of these behavioral goals: i) conducting moderate PA for at least 150 min/week or strenuous exercise for over 75 minutes per week or, in the case of lung cancer patients, low or moderate intensity exercise for over 12·5 MET per week, ii) maintaining normal weight, and iii) attaining a score >72 in the Post Traumatic Growth Inventory (PTGI). Participants were randomly assigned to one of three groups: the control group, a Web?only group, or a health coaching + Web group. The primary endpoint was based on a composite of PA, weight, and PTGI score at 12 months. Results : Patients in the health coaching+web group (difference = 6·6%, P=0.010) and the Web?only group (difference = 5·9%, P=0.031) had greater overall improvements across the 3?outcome composite than the control group. The health coaching+web group had greater overall improvement in PTGI (difference = 12·6%; P<0.001) than the control group, but not in PA and weight. Conclusion : The Web?based program, with or without health coaching, may improve health behaviours including PA, weight, and distress management among cancer survivors within 2 months of completing primary cancer treatment. The web?based program with health coaching was mainly effective for reducing psychological distress.