Physical activity (PA) enhancement and mental distress reduction are important issues in cancer survivorship care. Mobile technology, as an emerging method for changing health behaviors, is gaining attention from many researchers. This study aimed to investigate the effect of a mobile app-based community on enhancing PA and decreasing distress in breast cancer survivors. We conducted a non-randomized, prospective, interventional study that had a mobile community-later arm and mobile community-first arm. With an Android smartphone app (WalkON®), daily walk steps and weekly distress scores using app-based Distress Thermometer (DT) questionnaires were collected from participants for about 12 weeks. To examine the difference in weekly step counts before and during the community activity, we used a paired t-test method. For a comparative analysis, we referred to a previous prospective observational study without a mobile community intervention that had the same setting as the present study. After propensity score matching (PSM), multivariable regression modeling with difference-in-difference (DID) was performed to estimate the effect of the mobile app-based community on PA and mental distress. From January to August 2018, a total of 64 participants were enrolled in this study. In the univariate analysis, after participation in the mobile community, the participants showed a significant increase in total weekly steps (t = -3.5341; P = 0.00208). The mean of the differences was 10,408.72 steps. In the multivariate analysis after PSM, the mobile community significantly increased steps by 8,683.4 per week (p value <0.0001) and decreased DT scores by 0.77 per week (p value = 0.009) in the mixed effect model. In the two-way fixed effect model, the mobile community showed a significant increase in weekly steps by 8,723.4 (p value <0.0001) and decrease in weekly DT by 0.73 (p value = 0.013). The mobile app-based community is an effective and less resource-intensive tool to increase PA and decrease distress in breast cancer survivors. Trial Registration: NCT03190720, NCT03072966.

译文

增强体力活动 (PA) 和减少精神困扰是癌症幸存者护理中的重要问题。移动技术作为一种改变健康行为的新兴方法,正受到许多研究人员的关注。这项研究旨在调查基于移动应用程序的社区对增强PA和减少乳腺癌幸存者痛苦的影响。我们进行了一项非随机,前瞻性,干预性研究,其中包括移动社区-后期arm和移动社区-第一arm。使用安卓智能手机应用程序 (WalkON®),使用基于应用程序的遇险温度计 (DT) 问卷从参与者那里收集了约12周的每日步行步骤和每周遇险评分。为了检查社区活动之前和期间每周步数的差异,我们使用了配对t检验方法。为了进行比较分析,我们参考了以前的前瞻性观察性研究,而没有移动社区干预,其设置与本研究相同。在倾向得分匹配 (PSM) 之后,进行具有差异差异 (DID) 的多变量回归建模,以估计基于移动应用程序的社区对PA和精神困扰的影响。从1月到2018年8月,共有64名参与者参加了这项研究。在单变量分析中,参与移动社区后,参与者显示每周总步数显着增加 (t = -3.5341; P = 0.00208)。差异的平均值为10,408.72步。在PSM之后的多变量分析中,在混合效应模型中,移动社区每周显着增加8,683.4步 (p值 <0.0001),每周减少0.77 (p值 = 0.009)。在双向固定效应模型中,移动社区显示每周步长显着增加8,723.4 (p值 <0.0001),每周DT显着减少0.73 (p值 = 0.013)。基于移动应用程序的社区是一种有效且资源消耗较少的工具,可提高PA并减少乳腺癌幸存者的痛苦。试注册: NCT03190720,nct03072966。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录