Cited by 27Colorectal Cancer Screening and DetectionMobile Health and mHealth ApplicationsCancer survivorship and care

CanPrevent: a telephone-delivered intervention to reduce multiple behavioural risk factors for colorectal cancer

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Hawkes, Anna L, Patrao, Tania A, Green, Anita, Aitken, Joanne F·2012·BMC Cancer

Abstract

BACKGROUND: This pilot study aimed to test the acceptability and short-term effectiveness of a telephone-delivered multiple health behaviour change intervention for relatives of colorectal cancer survivors. METHODS: A community-based sample of 22 first-degree relatives of colorectal cancer survivors were recruited via a media release. Data were collected at baseline and at six weeks (post-intervention). Outcome measures included health behaviours (physical activity, television viewing, diet, alcohol, body mass index, waist circumference and smoking), health-related quality of life (Short Form-36) and perceived colorectal cancer risk. Intervention satisfaction levels were also measured. The intervention included six telephone health coaching sessions, a participant handbook and a pedometer. It focused on behavioural risk factors for colorectal cancer [physical activity, diet (red and processed meat consumption, fruit and vegetable intake), alcohol, weight management and smoking], and colorectal cancer risk. RESULTS: From baseline to six weeks, improvements were observed for minutes moderate-vigorous physical activity (150.7 minutes), processed meat intake (-1.2 serves/week), vegetable intake (1 serve/day), alcohol intake (-0.4 standard drinks/day), body mass index (-1.4 kg/m2), and waist circumference (-5.1 cm). Improvements were also observed for physical (3.3) and mental (4.4) health-related quality of life. Further, compared with baseline, participants were more likely to meet Australian recommendations post-intervention for: moderate-vigorous physical activity (27.3 vs 59.1%); fruit intake (68.2 vs 81.8%); vegetable intake (4.6 vs 18.2%); alcohol consumption (59.1 vs 72.7%); body mass index (31.8 vs 45.5%) and waist circumference (18.2 vs 27.3%). At six weeks participants were more likely to believe a diagnosis of CRC was related to family history, and there was a decrease in their perceived risk of developing CRC in their lifetime following participation in CanPrevent. The intervention retention rate was 100%, participants reported that it was highly acceptable and they would recommend it to others at risk of colorectal cancer. CONCLUSIONS: Positive behaviour change achieved through this intervention approach has the potential to impact on the progression of CRC and other cancers or chronic diseases. A large scale randomised controlled trial is required to confirm the positive results of this acceptability and short-term effectiveness study. TRIAL REGISTRATION: ACTRN12612000516886.

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  • There is growing evidence for the effectiveness of mindfulness courses for people with long-term medical conditions.

    “there is growing evidence for the effectiveness of mindfulness courses for people with long-term medical conditions.”

    From Distant delivery of a mindfulness-based intervention for people with Parkinson's disease: The study protocol of a randomised pilot trial (2017) · cites this paper as [21]

    The Background (page unavailable) says that Acceptance and Commitment Therapy (ACT), which uses mindfulness strategies, has been used successfully for several health conditions. It does not establish the effectiveness of mindfulness courses specifically; the Methods > Intervention section describes telephone health coaching using ACT strategies, not a mindfulness course. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • There is evidence that distance-delivered mindfulness interventions can be effective in people with chronic medical conditions.

    “Further, there is evidence that distance-delivered mindfulness interventions can also be effective in people with chronic medical conditions [20–23].”

    From Distant delivery of a mindfulness-based intervention for people with Parkinson's disease: The study protocol of a randomised pilot trial (2017) · cites this paper as [21]

    The Methods > Intervention section describes telephone-delivered coaching using ACT strategies that include mindfulness, and the Discussion reports short-term improvements. But the participants were first-degree relatives of colorectal cancer survivors, not people selected for a chronic medical condition; the study also lacked a control group. The Background discusses ACT in chronic conditions, but does not establish that those interventions were distance-delivered. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

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Authors
Hawkes, A. L., Patrao, T. A., Green, A., & Aitken, J. F.
Affiliations
  • Queensland University of Technology (AU)
  • Cancer Council Queensland (AU)
  • Queensland Health (AU)
Corresponding author
Hawkes, Anna L
Venue
BMC Cancer
Published
2012-11-27
Volume
12
Issue
1
Pages
560-560
ISSN
1471-2407 (ISSN-L)
OpenAlex
W577229610
Cited by
27
References
60
Citations by year
2026: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 1 · 2014: 1 · 2013: 3
FWCI
0.79
Type
journal article
Language
en
Open access
Locations
  • BMC Cancer (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • QUT ePrints (Queensland University of Technology) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Centre for Health Research; Faculty of Health; Institute of Health and Biomedical Innovation
Funders
Cancer Council Queensland
Topics
  • Health Sciences › Medicine › Oncology › Colorectal Cancer Screening and Detection
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
colorectal cancer, family history (medicine), behavioral risk factors, telephone-delivered intervention, health coaching, physical activity, diet, alcohol consumption, body mass index, waist circumference, smoking, health-related quality of life, cancer risk perception, pedometers, treatment acceptability, cancer prevention, first-degree relatives, red and processed meat, fruit and vegetable intake, intervention retention
MeSH terms
Smoking Prevention, Alcohol Drinking, Behavior Therapy, Diet, Female, Humans, Life Style, Male, Middle Aged, Motor Activity, Pilot Projects, Quality of Life, Risk Factors, Smoking, Telephone, Colorectal Neoplasms, Health Behavior, Body Mass Index, Waist Circumference

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