scholarly journals Feasibility study of “BENECA mHealth”: a mobile system to improve quality of life via energy balance in breast cancer survivors (Preprint)

2019 ◽  
Author(s):  
Mario Lozano-Lozano ◽  
Irene Cantarero-Villanueva ◽  
Lydia Martin-Martin ◽  
Noelia Galiano-Castillo ◽  
Maria-José Sanchez ◽  
...  

BACKGROUND Energy balance is defined as the difference between energy expenditure and energy intake. The current state of knowledge supports the need to better integrate mechanistic approaches through effective studies of energy balance in cancer population, due to it is observed a significant lack of adherence to healthy lifestyle recommendations. In an attempt to stimulate changes in breast cancer survivors (BCS) lifestyles based on energy balance, our group developed BENECA mHealth application, which has been previously validated as a reliable energy balance monitoring system. OBJECTIVE Based on our previous results, the goal of this study was to investigate the feasibility of BENECA mHealth in an ecological clinical setting with breast cancer survivors, studying (1) its feasibility; and (2) pretest-posttest differences with regard to BCS’ lifestyles, quality of life (QoL), and physical activity (PA) motivation. METHODS Eighty BCS were enrolled in this prospective test-retest quasi-experimental study diagnosed with stage I to IIIA and with a body mass index over 25 kg/m2. Patients had to use BENECA mHealth for 8 weeks and were assessed at baseline and post-intervention period. Feasibility main outcomes included percentage of adoption, usage and attrition, user app-quality perception measured with the Mobile App Rating Scale (MARS), satisfaction with Net Promoter Score (NPS), and barriers and facilitators of its use. Clinical main outcomes included quality of life measure with EORT QLQ-C30, PA assess with accelerometry, PA motivation measure with the self-efficacy scale for physical activity (EAF), and body composition with a Dual-energy X-ray absorptiometry. Statistical (paired-sample t-tests was used) and Kaplan-Meier survival curve were analyzed. RESULTS BENECA was considered feasible by the BCS, in terms of use (76.3%; 58/76 BCS) adoption (69%; 80/116), and satisfaction (positive NPS). App quality score did not make it one of the best rated apps (3.71 ± 0.47 points out of 5). BENECA mHealth seems to improve the QoL of BCSs (global health mean difference (MD) 12.83, 95% CI 8.95–16.71, p<.001), as well as EAF score (global MD 36.99, 95% CI 25.52 – 48.46, p<.001), daily moderate-to-vigorous PA (MD 7.38, 95% CI 14.37–0.39, p=.039) and reduce body weight (MD -1.42, 95% CI -1.97 – -0.87, p<.001). CONCLUSIONS BENECA mHealth can be considered feasible in a real clinical context for being able to promote behavioral changes in the lifestyles of BCSs, but it needs to be optimized to improve user satisfaction with use and functionality. This study highlights the importance of the use of mobile applications based on energy balance and how the QoL of BCSs can be improved via monitoring.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 200-200
Author(s):  
Wilma Kuijpers ◽  
Wim G Groen ◽  
Hester SA Oldenburg ◽  
Michel W.J.M. Wouters ◽  
Neil K Aaronson ◽  
...  

200 Background: MijnAVL is an interactive portal that includes patient education, an overview of appointments, access to the electronic medical record (EMR), patient-reported outcomes plus feedback and physical activity support. The aim of this feasibility study was to evaluate use, satisfaction and preliminary effects among breast cancer survivors. Methods: We included women currently or recently treated for breast cancer with curative intent. At baseline, they completed a questionnaire on sociodemographics, expectations of MijnAVL and three effect measures: patient activation (PAM), quality of life (SF-36), and physical activity (IPAQ). MijnAVL could be used noncommittally for 4 months. Log data were collected retrospectively and participants completed questions on satisfaction and effect measures. This process was conducted twice, to be able to improve MijnAVL iteratively. Results: We included 92 women (mean age 49.5 years, 59% on-treatment). Mean number of logins was 8.7 and mean duration 13.1 minutes. Overview of appointments (80% of participants) and access to the EMR (90%) were most frequently used and most appreciated. Website user satisfaction was rated 3.8 on a 1-5 scale on average and participants were primarily positive about the accessibility of information. We did not find an effect on the PAM. For the SF-36, we found significant improvements on the role functioning – emotional (65.3 to 78.5, p< .01), mental health (69.8 to 76.5, p< .01) and social functioning (71.2 to 80.5, p< .01) domains. Median vigorous physical activity significantly increased from 0 to 360 MET-minutes per week (p< .05); levels of walking and moderate physical activity did not change significantly over time. These effects were not related to the intensity of use of MijnAVL. Conclusions: This study showed that user experiences were positive and that exposure to MijnAVL resulted in improvements on three quality of life domains and vigorous physical activity. More tailored, interactive features might be needed to substantially change empowerment, quality of life and physical activity. Research with a controlled design and possibly a more sensitive measure for patient empowerment are needed to substantiate our findings.


2016 ◽  
Vol 1 (1) ◽  
pp. e000015 ◽  
Author(s):  
Adamu Ahmad Rufa'i ◽  
Wan Abdul Manan Wan Muda ◽  
Siew Hwa Yen ◽  
Aishah Knight Abd Shatar ◽  
Bhavaraju Venkata Krishna Murali ◽  
...  

2016 ◽  
Vol 26 (6) ◽  
pp. 822-828 ◽  
Author(s):  
Allyson D. Diggins ◽  
Lauren E. Hearn ◽  
Suzanne C. Lechner ◽  
Debra Annane ◽  
Michael H. Antoni ◽  
...  

Author(s):  
Juan Gavala-González ◽  
Amanda Torres-Pérez ◽  
José Carlos Fernández-García

The aim of this study was to determine whether a rowing training program improved the quantity and quality of physical activity and quality of life in female breast cancer survivors (stage I - 4.35%; II - 30.43%; III - 52.17%; and IV - 8.7%) diagnosed 6.57 ± 5.02 years previously, who had undergone a subsequent intervention (preservation 53.52%; total mastectomy 39.13% and double mastectomy 4.35%) and had a current mean age of 53.70 ± 7.88 years. The participants (N = 30) engaged in a 12-week training program, each week comprising three sessions and each session lasting 60-90 minutes. An anthropometric evaluation was performed before and after the program. The short form of the International Physical Activity Questionnaire (IPAQ-SF) and the Short Form 36 Health Survey (SF-36) were also administered. The results showed statistically significant improvements in levels of physical activity and in the dimensions of quality of life. We can conclude that a 12-week rowing training program tailored to women who have had breast cancer increases physical activity levels, leading to improved health status and quality of life.


Author(s):  
Jose L. García-Soidán ◽  
Ignacio Pérez-Ribao ◽  
Raquel Leirós-Rodríguez ◽  
Anxela Soto-Rodríguez

Background: There is still no consensus on the most suitable interventions for exercise practice in breast cancer survivors. Therefore, the aim of this study was to evaluate the effect of a two-year physical activity intervention (strength, aqua fitness and aerobic exercise programs) on the self-perceived quality of life and physical functionality of female breast cancer survivors. Methods: A randomized, controlled, experimental trial with a sample of 316 women (63 ± 7 years), who had been diagnosed with breast cancer. The evaluations were performed using the Rikli & Jones Senior Fitness Test, and the Short Form 12 Health Survey (SF-12). Results: The participants in the strength program showed statistically significant improvements in all the items of the SF-12. The aqua fitness program obtained significant improvements in Physical Functioning and Limitations, Pain and Emotional Limitations, General Health, Vitality, Social Functioning and the physical and mental components of the SF-12. The participants in the aerobic program showed a progressive deterioration of Vitality and Mental Health. Conclusion: When assigning breast cancer survivors to an exercise program, the preferential or predominant activity should include strength exercises. On the other hand, as the second choice, those patients with particularly low levels of Vitality or Physical Limitations will show greater improvement with an aqua fitness program.


2017 ◽  
Vol 26 (2) ◽  
pp. 329-332 ◽  
Author(s):  
Daniela Mirandola ◽  
Guido Miccinesi ◽  
Maria Grazia Muraca ◽  
Stefania Belardi ◽  
Roberta Giuggioli ◽  
...  

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