TY - JOUR
T1 - Translating research into practice
T2 - Outcomes from the Healthy Living after Cancer partnership project
AU - Eakin, Elizabeth G.
AU - Reeves, Marina M.
AU - Goode, Ana D.
AU - Winkler, Elisabeth A.H.
AU - Vardy, Janette L.
AU - Boyle, Frances
AU - Haas, Marion R.
AU - Hiller, Janet E.
AU - Mishra, Gita D.
AU - Jefford, Michael
AU - Koczwara, Bogda
AU - Saunders, Christobel M.
AU - Chapman, Kathy
AU - Hing, Liz
AU - Boltong, Anna G.
AU - Lane, Katherine
AU - Baldwin, Polly
AU - Millar, Lesley
AU - McKiernan, Sandy
AU - Demark-Wahnefried, Wendy
AU - Courneya, Kerry S.
AU - Job, Jennifer
AU - Reid, Natasha
AU - Robson, Erin
AU - Moretto, Nicole
AU - Gordon, Louisa
AU - Hayes, Sandra C.
PY - 2020/10/6
Y1 - 2020/10/6
N2 - 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. Conclusions: This telephone-delivered lifestyle intervention, which was feasibly implemented by Cancer Councils, led to meaningful and statistically significant improvements in cancer survivors' health and quality-of-life at a relatively low cost. Trial registration: Australian and New Zealand Clinical Trials Registry (ANZCTR)-ACTRN12615000882527 (registered on 24/08/2015).
AB - 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. Conclusions: This telephone-delivered lifestyle intervention, which was feasibly implemented by Cancer Councils, led to meaningful and statistically significant improvements in cancer survivors' health and quality-of-life at a relatively low cost. Trial registration: Australian and New Zealand Clinical Trials Registry (ANZCTR)-ACTRN12615000882527 (registered on 24/08/2015).
KW - Cancer survivors
KW - Dissemination and implementation study
KW - Healthy weight
KW - Lifestyle intervention
KW - Nutrition
KW - Physical activity
UR - http://www.scopus.com/inward/record.url?scp=85092501654&partnerID=8YFLogxK
U2 - 10.1186/s12885-020-07454-4
DO - 10.1186/s12885-020-07454-4
M3 - Article
C2 - 33023538
AN - SCOPUS:85092501654
SN - 1471-2407
VL - 20
JO - BMC Cancer
JF - BMC Cancer
IS - 1
M1 - 963
ER -
