Study 1 (S1) Yun et al., 2017(1919 Yun Y, Kim Y, Lee M, Sim J, Nam BH, Kim S, et al. "A randomized controlled trial of physical activity, dietary habit, and distress management with the Leadership and Coaching for Health (LEACH) program for disease-free cancer survivors." BMC Cancer. 2017;17(1):298-8. doi: https://doi.org/10.1186/s12885-017-3290-9
https://doi.org/10.1186/s12885-017-3290-...
) South Korea |
To evaluate the potential benefits of the Leadership and Coaching for Health (LEACH) program on physical activity (PA), dietary habits, and distress management in cancer survivors. |
Randomized controlled trial.
A total of 248 cancer survivors who completed primary cancer treatment (in situ, localized, or regional with a favorable prognosis) within the last 24 months for breast, stomach, colon (other than rectal), and lung cancer within 18 months of completion of primary treatment were included. |
First, patients were given a 1-h health education workshop (physical activity, dietary habits, and distress management) and a 3-h leadership workshop (Seven Habits of Highly Effective People with Cancer). Next, the Intervention group was also offered individual coaching by telephone for a 24-week period. A total of 16 sessions of tele-coaching were conducted: 30 min per week for 12 sessions, 30 min per 2 weeks for 2 sessions, and 30 min per month for 2 sessions were offered for the intervention group. |
24 weeks, of which 1 were dedicated to educational strategies. |
Study 2 (S2) Eakin et al., 2015(2020 Eakin E, Hayes S, Haas M, Reeves M, Vardy J, Boyle F, Hiller J, et al. "Healthy living after cancer: a dissemination and implementation study evaluating a telephone-delivered healthy lifestyle program for cancer survivors." BMC Cancer. 2015;15:992. doi: https://doi.org/10.1186/s12885-015-2003-5
https://doi.org/10.1186/s12885-015-2003-...
) Australia |
To evaluate the integration of an evidence-based lifestyle intervention for cancer survivors into an existing telephone cancer information and support service delivered by the Australian state-based Cancer Councils. |
Study protocol of a randomized clinical trial with a pre- and a postintervention measurement. The HLaC (Healthy Living after Cancer) dissemination and implementation study uses a single-group, pre-post-test study design. Eligible participants were adults who completed cancer treatment with curative intent. |
A semi-structured approach and tailored to each participant, with an initial focus on targets in areas that the participant is most motivated and confident to change. Participants are encouraged to: begin with a focus on increasing physical activity, identifying enjoyable activities with gradual increases in physical activity, do resistance exercise (2–3 sessions/week), increasing intake of vegetables, fruit and whole grains, reducing intake of foods high in added sugars and fat limiting portion size and improving dietary quality. The intervention is delivered in three phases, with weekly, fortnightly and then monthly calls. |
28 weeks, of which 4 will be dedicated to educational strategies. |
|
Study 3 (S3) Gates, Seymour & Krishnasamy, 2012(2121 Gates P, Seymour J, Krishnasamy M. Insights into the development of a nurse-led survivorship care intervention for long-term survivors of Hodgkin lymphoma. Aust J Cancer Nurs. 2012;13(1):4-10.) Australia |
To establish whether receiving a health promoting intervention from a specialist cancer nurse is able to improve Hodgkin lymphoma (HL) survivors’ knowledge of and motivation to adopt health promoting behaviors and is able to: improve HL survivors’ perceptions of their health status, reduce patientreported unmet information needs in relation to Late Effects (LE) and reduce health worries associated with knowledge of the risk of developing LE. |
Quasi-experimental pilot study.
A total of 30 people who had received curative treatment for HL were recruited from referral lists to the hematology late effects clinic at Peter Mac. Additionally, 30 healthy controls matched for age and gender were recruited to provide data at baseline only, to help contextualize HL survivor data at study entry. |
The nurse-led consultations include an education package tailored to Hodgkin lymphoma survivor’s health needs, screening for emotional distress and delivery of an individualized survivorship care plan. |
14 weeks, of which 2 were dedicated to educational strategies. |
Study 4 (S4) Green, Hayman, & Cooley, 2015(2222 Green A, Hayman L, Cooley M. Multiple health behavior change in adults with or at risk for cancer: a systematic review. Am J Health Behav. 2015;39(3):380-94. doi: https://doi.org/10.5993/AJHB.39.3.11
https://doi.org/10.5993/AJHB.39.3.11...
) United States |
To identify components of efficacious interventions for multiple health behavior change (MHBC) in cancer survivors and individuals at high risk of developing cancer and to identify components of efficacious interventions on changing multiple health behaviors, determine effect sizes, and address any gaps that may exist on this topic that need to be addressed in future research. |
Literature review article;
13 articles were included |
A lot of 13 interventions were described: Lifestyle intervention (LI), FRESH START interventions (3), Telephone counseling and mailed print material diet and exercise intervention, Educational intervention (EI) using I-Change Model, CanChange intervention, Project PREVENT, NC STRIDES Health communication interventions, Lifestyle program, Tailored telephone counseling intervention, Psychological interventions (2). |
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Study 5 (S5) Rosenberg et al., 2016(2323 Rosenberg C, Flanagan C, Brockstein B, Obel J, Dragon L, Merkel D, et al. Promotion of self-management for post treatment cancer survivors: evaluation of a risk-adapted visit. J Cancer Surviv. 2016;10(1):206-19. doi: https://doi.org/10.1007/s11764-015-0467-6
https://doi.org/10.1007/s11764-015-0467-...
) United States |
To describe and evaluate riskadapted visits (RAV) provided by LIFE Cancer Survivorship Program at North Shore University Health System and facilitated by an Oncology nurse in promoting individualized health care and selfmanagement during survivorship transition. |
Clinical trial with a postintervention measurement.
Patients completed a post-RAV questionnaire at their RAV and another ≥1 year after their RAV.
1713 RAVs, mostly for breast cancer, occurred from January 2007 to March 2014. One thousand six hundred fifteen (1615) “dayof” post-RAV questionnaires were completed. |
The intervention includes a face-toface visit provides a 1-hour time frame for the provision and discussion of a personalized SCP and a monthly group education seminars on topics tailored specifically to RAV participants regarding lifestyle (nutrition/fitness), genetics, sexuality, employment, cognition and lymphedema. |
1 year, of which 10 months were dedicated to educational strategies. |
Study 6 (S6) Anderson et al., 2017(2424 Anderson D, Seib C, Tjondronegoro D, Turner J, Monterosso L, McGuire A, Porter-Steele J, et al. The women's wellness after cancer program: a multisite, single-blinded, randomised controlled trial protocol. BMC Cancer. 2017;17(1):98. doi: https://doi.org/10.1186/s12885-017-3088-9
https://doi.org/10.1186/s12885-017-3088-...
) Australia |
To determine the efficacy and cost effectiveness of a multimodal, digitized lifestyle intervention — The Women’s Wellness after Cancer Program (WWACP) − aiming to enhance health-related quality of life in women previously treated for breast, gynecological, or blood cancers. |
Study protocol of a randomized controlled trial.
A total of 330 women were recruited within 24 months of completion of chemotherapy (primary or adjuvant) and/or radiotherapy. |
This multi-modal intervention comprises a virtually- delivered health professional consultations, an interactive web interface (including podcasts), an interactive electronic book (iBook) which provides detailed intervention instructions and supports participants to log relevant health and lifestyle information into a journal. |
12 weeks, of which 8 will dedicated to educational strategies. |
Study 7 (S7) Tramm, McCarthy & Yates, 2012(2525 Tramm R, McCarthy A, Yates P. Using the precede-proceed model of health program planning in breast cancer nursing research. J Adv Nurs, 2012;68(8):1870-80. doi: https://doi.org/10.1111/j.1365-2648.2011.05888.x
https://doi.org/10.1111/j.1365-2648.2011...
) Australia |
To discuss the use of the Precede–Proceed model when investigating health promotion options for breast cancer survivors; to understand health behaviors of female cancer survivors in order to plan a health promotion program that optimizes their posttreatment health. |
Discussion Paper.
Interview data from the breast cancer survivor cohort was used to illustrate the use of Precede–Proceed model in this nursing research context. Interview data was collected from June to December 2009. Medline, CINAHL, PsychInfo and PsychExtra literature was also searched until 2010 to analyse data from other theoretical perspectives. |
No intervention |
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Study 8 (S8) Meraviglia et al., 2013(2626 Meraviglia M, Stuifbergen A, Parsons D, Morgan S. Health Promotion for Cancer Survivors: adaptation and Implementation of an Intervention. Holist Nurs Pract. 2013;27(3):140-7. doi: https://doi.org/10.1097/HNP.0b013e31828a0988
https://doi.org/10.1097/HNP.0b013e31828a...
) United States |
To adapt, refine and implement a holistic intervention to promote the use of health-promoting behaviors of cancer survivors after their initial therapy. |
Randomized control trial of a health promotion intervention that was implemented for lowincome cancer survivors.
A total of 51 cancer survivors were initially enrolled in 2 cohorts (29 intervention, 22 control). |
The innovative 3-component intervention included (a) development of one-on-one participant-provider support relationships (individualized support to facilitate benefits and reduce barriers to attending classes and adopting healthpromoting behavior); (b) attendance at 6 weekly classes (acquisition of knowledge about cancer, cancer survivorship, surveillance, and smoking cessation; stress management; physical activity/exercise; nutrition; and spiritual growth); and (c) follow-up support for 2 months to encourage use of health-promoting behaviors (telephone calls) |
14 weeks, of which 6 will dedicated to educational strategies. |
Study 9 (S9) Li et al., 2015(2727 Li W, Chan S, Wang K, Lam T. Helping cancer patients quit smoking by increasing their risk perception: a study protocol of a cluster randomized controlled trial. BMC Cancer. 2015;15:490. doi: https://doi.org/10.1186/s12885-015-1496-2
https://doi.org/10.1186/s12885-015-1496-...
) Hong Kong |
To test the effectiveness of a smoking cessation intervention using risk communication approach to help cancer patients quit smoking and improve their health-related quality of life. |
Study protocol of a cluster randomized controlled trial. Inclusion criteria included patients who smoked weekly in the past 6 months, diagnosed with smoking-related cancers, diagnosed with cancer for at least 6 months, in all disease stages, aged 18 or above, and able to communicate in Cantonese. |
Apart from receiving a generic self-help smoking cessation booklet, subjects will receive: a) a specifically designed risk communication leaflet from oncologists/oncology nurses during the medical consultation (including risk of continued smoking),
b) a patient-centered motivational intervention by an experienced nurse counsellor focusing on risk communication based on self-regulation model of illness for cancer patients, c) at least one boost up telephone intervention within one week, and d) another telephone intervention within one month by nurse counsellor (10–15 min). |
5 weeks, of which 1 will be dedicated to educational strategies. |
Study 10 (S10) Hirschey et al., 2016(2828 Hirschey R, Lipkus I, Jones L, Mantyh C, Sloane R, Demark-Wahnefried W. Message framing and physical activity promotion in colorectal cancer survivors. Oncol Nurs Forum. 2016;43(6):607-705. doi: https://doi.org/10.1188/16.ONF.43-06AP
https://doi.org/10.1188/16.ONF.43-06AP...
) United States |
To test effects of gain-framed versus loss-framed mailed brochures on increasing physical activity (PA) among colorectal cancer (CRC) survivors. |
Randomized clinical trial with a pre- and a postintervention measurement
(baseline, 1 month, and 12 months post-intervention). A total of 148 inactive CRC survivors who completed primary therapy were included: aged 18 years and older with diagnoses of early-stage (I–II), who had adequately recovered from surgical and completed adjuvant therapy within the previous six months to five years; no evidence of recurrence; no preexisting medical condition(s) that precluded adherence to an unsupervised PA program; approved for contact by their oncologic care physician; community dwelling. |
All participants received a single-page tri-folded educational brochure with an insert that had four main sections: (a) tips on how to become more physically active (e.g., get friends and family to help, blocking off time on your daily calendar), with examples of activities of moderate-intensity PA; (b) description of other diseases for which CRC survivors are at increased risk (e.g., heart disease, dia- betes, second cancers) and the protective influence of PA on these comorbid conditions; (c) description and results of two epidemiologic studies that showed a significant inverse relationship between self-reported PA and risk of cancer-specific mortal- ity and all-cause mortality in CRC survivors; and (d) a summary of benefits of being or disadvantages of not being PA. |
1 day, entirely dedicated to educational strategies. |
Study 11 (S11) Loprinzi & Lee, 2014(2929 Loprinzi P, Lee H. Rationale for promoting physical activity among cancer survivors: literature review and epidemiologic examination. Oncol Nurs Forum. 2014;41(2):117-25. doi: https://doi.org/10.1188/14.ONF.117-125
https://doi.org/10.1188/14.ONF.117-125...
) United States |
To review the existing literature on the relation between physical activity and health outcomes among cancer survivors; identify evidencebased strategies to promote physical activity among this population; and conduct an epidemiologic study based on gaps from the literature review, examining the association between physical activity and various biologic markers. |
Literature Review and Epidemiologic Examination.
Studies were examined through a systematic review process. In the epidemiologic study, 227 adult cancer survivors wore an accelerometer for four days or longer, with biologic markers (e.g. cholesterol) assessed from a blood sample. |
(no intervention) |
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Study 12 (S12) Demark-Wahnefried et al., 2017(3030 Demark-Wahnefried W, Schmitz K, Alfano C, Bail J, Goodwin P, Thomson C, Bradley D, et al. Weight management and physical activity throughout the cancer care continuum. CA Cancer J Clin. 2017;68(1):64-89. doi: https://doi.org/10.3322/caac.21441
https://doi.org/10.3322/caac.21441...
) United States |
To summarize key topics addressed in a recent National Academies of Science, Engineering, and Medicine workshop entitled “Incorporating Weight Management and Physical Activity Throughout the Cancer Care Continuum”. |
Literature review.
The study collected 23 articles that included interventions for Weight Management in Cancer Survivors. |
(too many interventions were described) |
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