Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: a randomized controlled trial.
BACKGROUND
Multiple health behavior change can ameliorate adverse effects of cancer.


OBJECTIVE
The purpose of this study was to determine the effects of a multiple health behavior change intervention (CanChange) for colorectal cancer survivors on psychosocial outcomes and quality of life.


METHODS
A total of 410 colorectal cancer survivors were randomized to a 6-month telephone-based health coaching intervention (11 sessions using acceptance and commitment therapy strategies focusing on physical activity, weight management, diet, alcohol, and smoking) or usual care. Posttraumatic growth, spirituality, acceptance, mindfulness, distress, and quality of life were assessed at baseline, 6 and 12 months.


RESULTS
Significant intervention effects were observed for posttraumatic growth at 6 (7.5, p < 0.001) and 12 months (4.1, p = 0.033), spirituality at 6 months (1.8, p = 0.011), acceptance at 6 months (0.2, p = 0.005), and quality of life at 6 (0.8, p = 0.049) and 12 months (0.9, p = 0.037).


CONCLUSIONS
The intervention improved psychosocial outcomes and quality of life (physical well-being) at 6 months with most effects still present at 12 months. (


BACKGROUND
ACTRN12608000399392).
School of Public Health and Social Work, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Brisbane, Queensland, 4059, Australia, Anna.Hawkes@gmail.com.
Anna L
AL
Hawkes
Kenneth I
KI
Pakenham
Suzanne K
SK
Chambers
Tania A
TA
Patrao
Kerry S
KS
Courneya
D000368:Aged; D015179:Colorectal Neoplasms / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D011613:Psychotherapy / Q000379:methods*; D011788:Quality of Life / Q000523:psychology*; D017741:Survivors / Q000523:psychology*; D013689:Telephone; D016896:Treatment Outcome