Objectives:This study aimed to explore the effectiveness of the theory-based tailored mHealth physical activity(PA)intervention among patients with breast cancer undergoing chemotherapy.Methods:A quasi-experimental st...Objectives:This study aimed to explore the effectiveness of the theory-based tailored mHealth physical activity(PA)intervention among patients with breast cancer undergoing chemotherapy.Methods:A quasi-experimental study design was adopted.A total of 60 breast cancer patients were selected from two tertiary hospitals in Shanghai and Hangzhou City from September 2019 to August 2021.According to the admission order,30 patients werefirst included in the control group,followed by 30 patients in the intervention group.A smartphone application(app)named“Breast Care”was developed based on social cognitive theory,self-efficacy theory,and the theory of planned behavior.The app integrated various functions,including information browsing,PA monitoring and feedback,symptom reporting,and social interaction.Patients in the intervention group received three months of personalized online PA guidance in addition to routine care.The control group received routine care.Baseline and post-intervention investigations after three months were conducted in two groups using the Short Form of International Physical Activity Questionnaire,the Hospital Anxiety and Depression Scale,and the Functional Assessment of Cancer TherapydBreast cancer.Results:After three months of intervention,compared to the control group,breast cancer patients in the intervention group showed significant improvements in walking,moderate PA,and overall PA(P<0.05).Compared to the baseline data,breast cancer patients in the intervention group had significant improvements in walking and overall PA after three months(P<0.05),whereas the control group experienced significant declines in walking,moderate PA,and overall PA after three months(P<0.05).There were statistically differences between the two groups in scores for anxiety,overall quality of life,and its dimensions,such as physical well-being,emotional well-being,and additional breast cancer well-being(P<0.05).Conclusions:The theory-based tailored mHealth PA intervention has demonstrated a positive impact on promoting PA behavior change and emotional management among breast cancer patients.The‘Breast Care’app integrated various practical behavior change strategies,offering valuable guidance for personalized remote rehabilitation support for cancer patients.展开更多
目的在肿瘤患者群体中评价中文版患者报告结局测量信息系统(patient-reported outcomes measurement information system,PROMIS)疼痛干扰4a简表的测量学指标。方法于2021年12月-2022年1月,使用PROMIS疼痛干扰4a简表在复旦大学附属肿瘤...目的在肿瘤患者群体中评价中文版患者报告结局测量信息系统(patient-reported outcomes measurement information system,PROMIS)疼痛干扰4a简表的测量学指标。方法于2021年12月-2022年1月,使用PROMIS疼痛干扰4a简表在复旦大学附属肿瘤医院采用方便抽样法调研收集肿瘤患者资料,采用Mplus 8.3软件及SPSS 20.0软件分析量表及条目的地板效应、天花板效应;分析量表的结构效度、效标关联效度和信度等测量性能;并初步进行量表的测量等价性检验。结果最终纳入240例肿瘤患者。中文版PROMIS疼痛干扰4a简表在肿瘤患者群体中的Cronbach′sα系数为0.961,信度较好。验证性因子分析提示模型拟合较好。量表评分与中文版欧洲癌症研究中心(EORTC)生命品质评估量表(Quality of life questionnaire.core 30,QLO-C30)(v3.0)疼痛维度呈显著正相关(P<0.01),效标关联效度较好。癌症早期和晚期患者疼痛干扰得分差异具有统计学意义(P<0.05),提示已知组别效度良好。量表条目评分最低1分的患者比例大于20%,提示存在明显的地板效应。结论中文版PROMIS疼痛干扰4a简表在肿瘤患者中的测量学性能总体较好,适用于国内肿瘤患者人群。但今后还需对部分性能进一步检验和调试。展开更多
基金the National Natural Science Foundation of China(72104145)the Humanities and Social Science Research Project of the Ministry of Education(21YJCZH032)+1 种基金the Shanghai Science and Technology Innovation Action Plan Sail-ing Project(21YF1447700)The funders had no role in the study design,collection,analysis and interpretation of data,writing of the report,or the decision to submit the article for publication.
文摘Objectives:This study aimed to explore the effectiveness of the theory-based tailored mHealth physical activity(PA)intervention among patients with breast cancer undergoing chemotherapy.Methods:A quasi-experimental study design was adopted.A total of 60 breast cancer patients were selected from two tertiary hospitals in Shanghai and Hangzhou City from September 2019 to August 2021.According to the admission order,30 patients werefirst included in the control group,followed by 30 patients in the intervention group.A smartphone application(app)named“Breast Care”was developed based on social cognitive theory,self-efficacy theory,and the theory of planned behavior.The app integrated various functions,including information browsing,PA monitoring and feedback,symptom reporting,and social interaction.Patients in the intervention group received three months of personalized online PA guidance in addition to routine care.The control group received routine care.Baseline and post-intervention investigations after three months were conducted in two groups using the Short Form of International Physical Activity Questionnaire,the Hospital Anxiety and Depression Scale,and the Functional Assessment of Cancer TherapydBreast cancer.Results:After three months of intervention,compared to the control group,breast cancer patients in the intervention group showed significant improvements in walking,moderate PA,and overall PA(P<0.05).Compared to the baseline data,breast cancer patients in the intervention group had significant improvements in walking and overall PA after three months(P<0.05),whereas the control group experienced significant declines in walking,moderate PA,and overall PA after three months(P<0.05).There were statistically differences between the two groups in scores for anxiety,overall quality of life,and its dimensions,such as physical well-being,emotional well-being,and additional breast cancer well-being(P<0.05).Conclusions:The theory-based tailored mHealth PA intervention has demonstrated a positive impact on promoting PA behavior change and emotional management among breast cancer patients.The‘Breast Care’app integrated various practical behavior change strategies,offering valuable guidance for personalized remote rehabilitation support for cancer patients.
文摘目的在肿瘤患者群体中评价中文版患者报告结局测量信息系统(patient-reported outcomes measurement information system,PROMIS)疼痛干扰4a简表的测量学指标。方法于2021年12月-2022年1月,使用PROMIS疼痛干扰4a简表在复旦大学附属肿瘤医院采用方便抽样法调研收集肿瘤患者资料,采用Mplus 8.3软件及SPSS 20.0软件分析量表及条目的地板效应、天花板效应;分析量表的结构效度、效标关联效度和信度等测量性能;并初步进行量表的测量等价性检验。结果最终纳入240例肿瘤患者。中文版PROMIS疼痛干扰4a简表在肿瘤患者群体中的Cronbach′sα系数为0.961,信度较好。验证性因子分析提示模型拟合较好。量表评分与中文版欧洲癌症研究中心(EORTC)生命品质评估量表(Quality of life questionnaire.core 30,QLO-C30)(v3.0)疼痛维度呈显著正相关(P<0.01),效标关联效度较好。癌症早期和晚期患者疼痛干扰得分差异具有统计学意义(P<0.05),提示已知组别效度良好。量表条目评分最低1分的患者比例大于20%,提示存在明显的地板效应。结论中文版PROMIS疼痛干扰4a简表在肿瘤患者中的测量学性能总体较好,适用于国内肿瘤患者人群。但今后还需对部分性能进一步检验和调试。
