Can people living with and beyond colorectal cancer make lifestyle changes with the support of health technology?


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Victoria Aubrey1,Clare Shaw2
1The Royal Marsden NHS Foundation Trust,2Biomedical Research Centre at The Royal Marsden NHS Foundation Trust and Institute of Cancer Research, London and Sutton

Abstract

Background

A recent review of the literature of lifestyle interventions in RCTs in people with CRC concluded studies to date have not been based on robust study designs that have combined all lifestyle interventions linked to CRC. There has recently been an increased interest in the use of digital behaviour change interventions (DBCIs) and smartphone applications in the healthcare setting. A recent review of DBCIs amongst cancer survivors concluded DBCIs can improve physical activity and Body Mass Index (BMI).

Method

Aim

To evaluate whether patients who have undergone CRC treatment are able to comply with remote follow-ups using telephone reviews and digital technology to help promote and track individual healthy lifestyle, diet and physical activity changes.

Study design

8 week lifestyle feasibility intervention

Method

Participants will be asked to complete a 3 day food diary using an online platform (MyFood24) prior to attending an initial in person orientation and consultation.

Individual diet and lifestyle goals based on the World Cancer Research Fund primary prevention recommendations will be set by each participant with assistance from a dietitian. Baseline data of height, weight and BMI will be measured.  

3 fortnightly follow ups will be arranged via 15 minute telephone consultations. Participants will be asked to complete three 24 hour food diaries via MyFood24, measure their daily activity via a pedometer on their smart phones and to complete the Godin leisure time questionnaire.

End point data will be collected within 3 weeks of the end of the 2 month intervention with a consultation. Follow up data collection will include weight, height and BMI, a 3 day food diary via MyFood24 and the Godin leisure time questionnaire. Participants will complete an end of intervention evaluation form to help identify any barriers to the use of telecommunications and digital technology.

Results

Conclusion