Impact of Lifestyle Intervention for Patients with Prostate Cancer

2020 ◽  
Vol 44 (1) ◽  
pp. 90-99 ◽  
Author(s):  
Saengryeol Park ◽  
Kwangnam Kim ◽  
Hyun Kyu Ahn ◽  
Jong Won Kim ◽  
Gyurang Min ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Lifestyle Intervention ◽  
Intervention Program ◽  
Intervention Group ◽  
Text Messages ◽  
Self Report ◽  
Control Group ◽  
Accelerometer Data ◽  
Promotion Of Physical Activity ◽  
The Impact

Objectives: Androgen-deprivation therapy (ADT) for prostate cancer (PCa) is associated with reduced physical function and quality of life (QoL). We investigated the impact of a structured lifestyle intervention on the promotion of physical activity (PA) and reduction of sedentary behavior (SB), and its effect on QoL in men on ADT. Methods: Patients with advanced PCa on long-term ADT were randomized to the intervention (N = 11) or a control arm (N = 10) between February 2018 and May 2019. The intervention group received a structured lifestyle intervention including motivational text messages for 8 weeks (maintenance visit at week 12). At each visit, self-report measures and accelerometer data were used to assess PA and SB, and questionnaires were used to measure QoL, life satisfaction, anxiety, and depression. Results: Significantly greater improvements in QoL and depression compared to baseline were reported in the intervention group compared to the control group. In addition, the intervention group also showed a significantly greater increase in self-reported light, as well as moderate-to-vigorous PA, and reduction in self-reported SB. Conclusions: Given its inherent advantage in improving QoL and reducing depression, a lifestyle intervention program should be offered to patients on ADT.

scholarly journals Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Friedrich C. Jassil ◽  
Sean Manning ◽  
Neville Lewis ◽  
Siri Steinmo ◽  
Helen Kingett ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Pilot Study ◽  
Lifestyle Intervention ◽  
Behavioral Intervention ◽  
Intervention Program ◽  
Intervention Group ◽  
Activity Level ◽  
Randomised Control Trial ◽  
Control Group ◽  
Supervised Exercise

Background.Lifestyle intervention programs after bariatric surgery have been suggested to maximise health outcomes. This pilot study aimed to investigate the feasibility and impact of an 8-week combined supervised exercise with nutritional-behavioral intervention following Roux-en-Y gastric bypass and sleeve gastrectomy.Methods.Eight female patients (44 ± 8 years old, BMI = 38.5 ± 7.2 kgm−2) completed the program. Before and after intervention, anthropometric measures, six-minute walk test (6MWT), physical activity level, eating behavior, and quality of life (QoL) were assessed. Percentage weight loss (%WL) outcomes were compared with a historical matched control group.Results.The program significantly improved functional capacity (mean increment in 6MWT was 127 ± 107 meters,p=0.043), increased strenuous intensity exercise (44 ± 49 min/week,p=0.043), increased consumption of fruits and vegetables (p=0.034), reduced consumption of ready meals (p=0.034), and improved “Change in Health” in QoL domain (p=0.039). The intervention group exhibited greater %WL in the 3–12-month postsurgery period compared to historical controls, 12.2 ± 7.5% versus 5.1 ± 5.4%, respectively (p=0.027).Conclusions.Lifestyle intervention program following bariatric surgery is feasible and resulted in several beneficial outcomes. A large randomised control trial is now warranted.

16. A RANDOMIZED CONTROLLED TRIAL OF THE IMPACT OF EMAIL AND TEXT (SMS) MESSAGES ON THE SEXUAL HEALTH OF YOUNG PEOPLE

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 290 ◽  
Author(s):  
M. S. C. Lim ◽  
J. S. Hocking ◽  
C. K. Aitken ◽  
L. Jordan ◽  
C. K. Fairley ◽  
...  
Keyword(s):  
Health Promotion ◽  
Young People ◽  
Sexual Health ◽  
Controlled Trial ◽  
Intervention Group ◽  
Text Messages ◽  
Control Group ◽  
Sexual Risk Behaviour ◽  
Health Seeking ◽  
The Impact

Objective: To trial a novel method of sexual health promotion - sending email and mobile phone text messages (SMS) about safe sex and STI to promote reductions in STI behaviours and increases in STI knowledge and testing. Methods: Young people (aged 16-29) were recruited at a music festival in Melbourne. They completed a questionnaire about sexual risk behaviour and were randomised to either the intervention arm of the study (to receive messages) or a control group. Text messages were sent every 3-4 weeks for a twelve month period and included catchy STI prevention slogans. Emails were sent monthly and contained detailed information about STI topics and links to related websites. Participants completed follow-up questionnaires online after 3, 6 and 12 months. Clustered weighted estimating equations were used to compare outcomes of the two groups. Results: 994 people completed at least one questionnaire (507 in the intervention group and 487 in the control group); at baseline 58% were female, the median age was 19 years and 82% had ever had sex. At 12 months, STI knowledge was higher among the intervention group for both males (OR 3.19, 95% CI 1.52, 6.69) and females (OR 2.36, 95% CI 1.27, 4.37). Females in the intervention group were also more likely to have discussed sexual health with a clinician (OR 2.92, 95% CI 1.66, 5.15) and to have had an STI test in the past 6 months (OR 2.51, 95% CI 1.11, 5.69). There were no significant differences in condom use between the groups. Respondents' opinions of the SMS and emails were positive. Conclusions: Receiving regular sexual health-related SMS and email messages can improve knowledge in young people and health seeking behaviour in young women. SMS and email are low cost, widely available and convenient, which - when combined with their popularity among youth - means that these media have considerable potential for sexual health promotion.

Prostate 8 study: A pilot randomized controlled trial (RCT) of a web-based lifestyle intervention versus control group among men with prostate cancer.

2018 ◽  
Vol 36 (6_suppl) ◽  
pp. 105-105
Author(s):  
Stacey A. Kenfield ◽  
Erin Van Blarigan ◽  
Niloufar Ameli ◽  
Emil Lavaki ◽  
Cynthia Monroy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Prostate Cancer ◽  
Lifestyle Intervention ◽  
Cancer Progression ◽  
Text Messaging ◽  
Control Group ◽  
Processed Meat ◽  
Accelerometer Data ◽  
Vigorous Activity ◽  
Lifestyle Behaviors

105 Background: Lifestyle behaviors may reduce risk of prostate cancer progression. Guidelines and tools to support lifestyle modification are needed to improve prostate cancer care. Methods: We conducted a 12-week RCT among 73 men with clinical stage T1-T3a prostate cancer to determine if a lifestyle intervention that included a responsive website, Fitbits, and text messaging helps men adopt 8 healthy lifestyle behaviors (vigorous activity, not smoking, and 6 diet factors) compared to a control group. Eligible men had no contra-indications to aerobic exercise, Internet access, and engaged in ≤4 of the targeted 8 habits at baseline. We explored the efficacy of the intervention (n = 32) vs. control (n = 32) on behavior change via a lifestyle survey, 7 days of ActiGraph GT3X+ accelerometer data, and the Prostate 8 (P8) score (8 self-reported behaviors assigned 0 or 1 point, range 0-8). Results: Baseline characteristics were similar between arms. The median baseline P8 score was 3 in each arm. 12-week assessments were 88% complete (intervention, 94%; control, 82%). Intervention arm participants’ wore their Fitbits a median of 82 days (98%, IQR: 72-83), replied to a median of 71% of texts (N = 60, IQR: 57-89%), and visited the website a median of 3 days [IQR: 2-5] and over 3 visits [IQR: 2-5]. Baseline moderate and vigorous activity were self-reported as 3.7 hrs/wk and 12 min/wk (intervention) and 5.3 hrs/wk and 18 min/wk (control). 1 person was a smoker at baseline. Median [IQR] absolute change in the P8 score from baseline to 12 wks was 2.0 [1.0, 3.0] (intervention) and 0.0 [-1.0, 1.0] (control) (p = 0.0005); and the change between groups was statistically significant for cooked tomatoes, cruciferous vegetables, fish, processed meat, but not significant for healthy sources of vegetable fat (high at baseline) or vigorous activity. Accelerometer data indicated no significant differences in change in physical activity between arms. Conclusions: This novel intervention was feasible and acceptable. These data suggest that the intervention was effective for promoting healthier dietary changes; further research is warranted to examine how to facilitate improvements in physical activity. Clinical trial information: NCT02470936.

MyBFF@school Study: The Effectiveness of a Psychology Module in Reducing the Emotional and Behavioral Problems among Overweight and Obese Secondary School Children in Malaysia

2019 ◽  
Author(s):  
Zahari Ishak ◽  
Suet Fin Low ◽  
Wan Abdul Hakim Wan Ibrahim ◽  
Abqariyah Yahya ◽  
Fuziah Md. Zain ◽  
...  
Keyword(s):  
Secondary School ◽  
Medical Research ◽  
School Children ◽  
Behavioral Problems ◽  
Intervention Program ◽  
Intervention Group ◽  
School Intervention ◽  
Self Report ◽  
Emotional And Behavioral Problems ◽  
Control Group

<p>Background: Obesity may cause negative impacts on the physical and psychosocial aspects of the children. This study aimed to assess the effectiveness of MyBFF@school intervention program on emotional and behavioral problems in a clustered randomized controlled trial among 768 overweight and obese secondary school children in Malaysia. Methods: They were assessed by using the Youth Self-Report Questionnaire to measure their emotional and behavioral problems. Comparison between intervention group (447 children) and control group (321 children) at post-intervention were analyzed using ANCOVA. Results: There were significant reduction in the symptoms of anxious/depressed, F(1,740)=4.591, p <0.05, withdrawn/depressed, F(1,745)=5.257, p <0.05 and somatic complaints, F(2,729)=4.072, p <0.05 post 6 months of intervention. MyBFF@school program was effective in reducing the aforementioned symptoms significantly, which prove the effectiveness of the psychology module used in the program. Conclusions: The findings demonstrated the importance of psychology component in programs combating obesity among overweight and obese secondary school children to reduce emotional and behavioural problems among them. Trial registration: National Medical Research Register: NMRR-13-439-16563. Registered 23rd July 2013. The intervention program was approved by the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia and Educational Planning and Research Division (EPRD), Ministry of Education Malaysia.</p>

MyBFF@school Study: The Effectiveness of a Psychology Module in Reducing the Emotional and Behavioral Problems among Overweight and Obese Secondary School Children in Malaysia

2019 ◽  
Author(s):  
Zahari Ishak ◽  
Suet Fin Low ◽  
Wan Abdul Hakim Wan Ibrahim ◽  
Abqariyah Yahya ◽  
Fuziah Md. Zain ◽  
...  
Keyword(s):  
Secondary School ◽  
Medical Research ◽  
School Children ◽  
Behavioral Problems ◽  
Intervention Program ◽  
Intervention Group ◽  
School Intervention ◽  
Self Report ◽  
Emotional And Behavioral Problems ◽  
Control Group

<p>Background: Obesity may cause negative impacts on the physical and psychosocial aspects of the children. This study aimed to assess the effectiveness of MyBFF@school intervention program on emotional and behavioral problems in a clustered randomized controlled trial among 768 overweight and obese secondary school children in Malaysia. Methods: They were assessed by using the Youth Self-Report Questionnaire to measure their emotional and behavioral problems. Comparison between intervention group (447 children) and control group (321 children) at post-intervention were analyzed using ANCOVA. Results: There were significant reduction in the symptoms of anxious/depressed, F(1,740)=4.591, p <0.05, withdrawn/depressed, F(1,745)=5.257, p <0.05 and somatic complaints, F(2,729)=4.072, p <0.05 post 6 months of intervention. MyBFF@school program was effective in reducing the aforementioned symptoms significantly, which prove the effectiveness of the psychology module used in the program. Conclusions: The findings demonstrated the importance of psychology component in programs combating obesity among overweight and obese secondary school children to reduce emotional and behavioural problems among them. Trial registration: National Medical Research Register: NMRR-13-439-16563. Registered 23rd July 2013. The intervention program was approved by the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia and Educational Planning and Research Division (EPRD), Ministry of Education Malaysia.</p>

scholarly journals A study protocol for a randomised controlled trial to evaluate the effectiveness of a dog-facilitated physical activity minimal intervention on young children’s physical activity, health and development: the PLAYCE PAWS trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michelle Ng ◽  
Elizabeth Wenden ◽  
Leanne Lester ◽  
Carri Westgarth ◽  
Hayley Christian
Keyword(s):  
Physical Activity ◽  
Low Cost ◽  
Intervention Group ◽  
Self Esteem ◽  
Text Messages ◽  
Trial Registration ◽  
Control Group ◽  
Dog Walking ◽  
The Impact ◽  
Children’S Physical Activity

Abstract Background Pet ownership brings many health benefits to individuals. In children developmental benefits can extend to improved self-esteem, better social competence and decreased loneliness. The majority of households with children own a dog, however only a small proportion of children gain the benefits of dog ownership through dog walking and play. There are few intervention studies investigating the impact of dog-facilitated physical activity in children. The PLAYCE PAWS study aims to test a minimal-contact intervention through the use of mobile health (“mhealth”) strategies, i.e. text (SMS) messages, to parents to encourage their children to walk and play with their dog more, and evaluate the impact on children’s overall physical activity and development. Methods/design The PLAYCE PAWS intervention study will target parents in dog-owning families with children aged 5 to 8 years in Perth, Western Australia. Approximately 150 dog-owning parents and children will be randomly allocated into either one of two intervention groups or a ‘usual care’ control group. The first intervention group will receive SMS messages over 4 weeks to encourage and prompt parents to undertake dog walking and dog play with their child. The second intervention group will receive the same text messages, plus a dog pedometer and personalised ‘dog steps’ diary for their child to complete. Parent-reported outcome measures include changes in children’s dog walking and play, overall physical activity, socio-emotional development, self-regulation, self-esteem, empathy, and level of attachment to their dog. Discussion The PLAYCE PAWS study appears to be the first to examine the effectiveness of a low-cost, mhealth intervention for increasing young children’s physical activity through dog walking and play. Given the high prevalence of dogs as family pets, this study presents a valuable opportunity to investigate if mHealth interventions encourage children to walk and play with their dog more, and if there are any associated impact on children’s overall physical activity and socio-emotional well-being. If effective, a larger trial or program could be implemented at low-cost and with wide reach in the community. Trial registration ANZCTR, ACTRN12620000288921. Registered 4th March 2020 - Retrospectively registered.

scholarly journals Mental Health Outreach via Supportive Text Messages during the COVID-19 Pandemic: Improved Mental Health and Reduced Suicidal Ideation after Six Weeks in Subscribers of Text4Hope Compared to a Control Population

2021 ◽  
Vol 18 (4) ◽  
pp. 2157
Author(s):  
Vincent I. O. Agyapong ◽  
Reham Shalaby ◽  
Marianne Hrabok ◽  
Wesley Vuong ◽  
Jasmine M. Noble ◽  
...  
Keyword(s):  
Mental Health ◽  
High Stress ◽  
Intervention Group ◽  
Text Message ◽  
Population Level ◽  
Text Messages ◽  
Self Report ◽  
Control Group ◽  
Effective Population ◽  
Cross Sectional

Background: In March 2020, Alberta Health Services launched Text4Hope, a free mental health text-message service. The service aimed to alleviate pandemic-associated stress, generalized anxiety disorder (GAD), major depressive disorder (MDD), and suicidal propensity. The effectiveness of Text4Hope was evaluated by comparing psychiatric parameters between two subscriber groups. Methods: A comparative cross-sectional study with two arms: Text4Hope subscribers who received daily texts for six weeks, the intervention group (IG); and new Text4Hope subscribers who were yet to receive messages, the control group (CG). Logistic regression models were used in the analysis. Results: Participants in the IG had lower prevalence rates for moderate/high stress (78.8% vs. 88.0%), likely GAD (31.4% vs. 46.5%), and likely MDD (36.8% vs. 52.1%), respectively, compared to respondents in the CG. After controlling for demographic variables, the IG remained less likely to self-report symptoms of moderate/high stress (OR = 0.56; 95% CI = 0.41–0.75), likely GAD (OR = 0.55; 95% CI = 0.44–0.68), and likely MDD (OR = 0.50; 95% CI = 0.47–0.73). The mean Composite Mental Health score, the sum of mean scores on the PSS, GAD-7, and PHQ-9 was 20.9% higher in the CG. Conclusions: Text4Hope is an effective population-level intervention that helps reduce stress, anxiety, depression, and suicidal thoughts during the COVID-19 pandemic. Similar texting services should be implemented during global crises.

scholarly journals Defensive Functioning Moderates the Effects of Nondirective Meditation

2021 ◽  
Vol 12 ◽  
Author(s):  
Anne Grete Hersoug ◽  
Morten Wærsted ◽  
Bjørn Lau
Keyword(s):  
Outcome Measures ◽  
Stress Reduction ◽  
Defense Mechanisms ◽  
Sleep Problems ◽  
Intervention Group ◽  
Self Report ◽  
Control Group ◽  
Beneficial Effects ◽  
Defensive Functioning ◽  
The Impact

We have recently found that nondirective meditation facilitates stress reduction. This supplementary study investigated whether defensive functioning would moderate these beneficial effects. We explored the occurrence of defense mechanisms and the impact of defensive functioning on the outcome of companies’ stress management programs regarding worries nervousness, mental distress, sleep problems, and muscle pain. The sample was a population of active, working professionals recruited from Norwegian companies (n = 105). The intervention group obtained significant benefits on all outcome measures, but there were no effects in the control group. We analyzed defensive functioning with the self-report questionnaire, Life Style Index, at four time points. The healthy adults who participated had a low level of defense scores at the outset. There was a significant reduction in the level of defenses in both groups over the study period, 6 months. Defensive functioning significantly moderated the change of the outcome measures from baseline to follow-up in the intervention group, but not in the control group.

Effects of a documentary on consumer perception of the environmental impact of meat consumption

2020 ◽  
Vol 123 (1) ◽  
pp. 177-189
Author(s):  
Andreas Bschaden ◽  
Eduardo Mandarano ◽  
Nanette Stroebele-Benschop
Keyword(s):  
Environmental Impact ◽  
Intervention Group ◽  
Meat Consumption ◽  
Self Report ◽  
Control Group ◽  
Content Type ◽  
Consumption Frequency ◽  
One Year ◽  
The Impact

PurposeMeat consumption causes a large amount of global greenhouse gas emissions and other environmental problems. Studies showed that consumers underestimate the environmental impact of meat consumption compared to other food-related behaviours. A video intervention was conducted to investigate the effect of information on consumers' perception and behaviour.Design/methodology/approachTwo didactically different videos about meat and the environment and a control video were shown to 189 participants. Ratings about the environmental impact of different food-related behaviours as well as participants' meat consumption frequency were obtained directly before, one week later and one year after the screening by self-report questionnaires.FindingsMean rating of the environmental impact of meat consumption was second to the least important of the different food consumption patterns. In the first intervention group, the rating increased significantly (p = 0.001) after having watched the video. There was no such effect in the second intervention or the control group. Self-reported meat consumption frequency did not change significantly in any of the groups. No long-term differences between the groups could be found.Research limitations/implicationsThe results suggest that there is still a lack of knowledge concerning the environmental impact of meat consumption. Providing information can affect awareness, depending on the type of information delivery. The circumstances under which information encourages behaviour change need to be further explored.Originality/valueThis is the first study that investigated the impact of different videos about environmental impacts of meat consumption on consumer perceptions and behaviour.

scholarly journals Physical activity and Mediterranean diet as potential modulators of osteoprotegerin and soluble RANKL in gBRCA1/2 mutation carriers: results of the lifestyle intervention pilot study LIBRE-1

2021 ◽  
Author(s):  
Leonie Neirich ◽  
Maryam Yahiaoui-Doktor ◽  
Jacqueline Lammert ◽  
Maryam Basrai ◽  
Benjamin Seethaler ◽  
...  
Keyword(s):  
Physical Activity ◽  
Pilot Study ◽  
Mediterranean Diet ◽  
Lifestyle Intervention ◽  
Intervention Program ◽  
Intervention Group ◽  
Serum Levels ◽  
Control Group ◽  
Baseline Serum ◽  
Mutation Carriers

Abstract Purpose Emerging evidence suggests that the progesterone-mediated receptor activator of nuclear factor κB (RANK)/soluble RANK ligand (sRANKL)/osteoprotegerin (OPG) pathway plays an important role in mammary carcinogenesis and is hyperactivated in germline (g)BRCA1/2 mutation carriers. We analyzed the effects of a 3-month intensive lifestyle intervention within the LIBRE-1 study on the serum levels of OPG and sRANKL and hypothesized that the intervention program provides a beneficial impact on the biomarkers by increasing OPG and reducing sRANKL serum concentrations. Methods Serum levels of OPG and sRANKL of 49 gBRCA1/2 mutation carriers were quantified using enzyme-linked immunosorbent assays. We used previously collected blood samples from participants of the prospective LIBRE-1 study, who were randomized into an intervention group (IG), increasing physical activity and adherence to the Mediterranean diet (MedD) through supervised sessions from study entry to the first study visit after 3 months and a usual-care control group (CG). Differences in biomarker levels before and after the 3-month intervention were tested within and between study groups. Results The lifestyle intervention resulted in a significant increase in OPG for participants in both the IG (q = 0.022) and CG (q = 0.002). sRANKL decreased significantly in the IG (q = 0.0464) and seemed to decrease in the CG (q = 0.5584). An increase in the intake of Omega-3 polyunsaturated fatty acids was significantly associated with an increase in OPG (r = 0.579, q = 0.045). Baseline serum levels of sRANKL were a strong predictor for the change of sRANKL in the course of the intervention (ß-estimate = − 0.70; q = 0.0018). Baseline physical fitness (assessed as VO2peak) might predict the change of OPG in the course of the intervention program (ß-estimate = 0.133 pg/ml/ml/min/kg; p = 0.0319; q = 0.2871). Conclusion Findings from this pilot study seem to confirm our hypothesis by showing an increase in OPG and decrease in sRANKL over a 3-month lifestyle intervention and suggest that increased physical activity and adherence to the MedD are potent modulators of the biomarkers OPG and potentially sRANKL.

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