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Abstract
Objectives: To assess the feasibility of delivering and evaluating a lifestyle programme for colorectal cancer patients undergoing potentially curative treatments.
Study design: Non-randomised feasibility trial
Setting: NHS Tayside
Participants: Adults with stage I - III colorectal cancer
Intervention: The programme targeted smoking, alcohol, physical activity, diet and weight management. It was delivered in 3 face-to-face counselling sessions (plus 9 phone calls) by lifestyle coaches over three phases (1 - pre-surgery, 2 - surgical recovery and 3 - post treatment recovery).
Primary outcome: Feasibility measures (recruitment, retention, programme implementation, achieved measures, fidelity, factors affecting protocol adherence and acceptability).
Secondary outcomes: Measured changes in body weight, waist circumference, walking and self –reported physical activity, diet, smoking and alcohol intake, fatigue, bowel function and Quality of Life (QoL).
Results: Of 84 patients diagnosed, 22 (26%) were recruited and 15 (18%) completed the study. Median time for intervention delivery was 5.5 hours. Coaches reported covering most (>70%) of the intervention components but had difficulties during phase 2. Evaluation measures (except walk test) were achieved by all participants at baseline, and most (<90%) at end of phase 2 and phase 3, but <20% at end of phase 1. Protocol challenges included limited time between diagnosis and surgery and the presence of co-morbidities. The intervention was rated highly by participants but limited support from NHS staff was noted. The majority of participants (77%) had a BMI >25kg/m2 and none were underweight. Physical activity data showed a positive trend towards increased activity overall but no other changes in secondary outcomes were detected.
Conclusions: To make this intervention feasible for testing as a full trial, further research is required on a) recruitment optimisation b) appropriate assessment tools c) protocols for phase 2 and 3 which can build in flexibility and d) ways for NHS staff to facilitate the program.
Study design: Non-randomised feasibility trial
Setting: NHS Tayside
Participants: Adults with stage I - III colorectal cancer
Intervention: The programme targeted smoking, alcohol, physical activity, diet and weight management. It was delivered in 3 face-to-face counselling sessions (plus 9 phone calls) by lifestyle coaches over three phases (1 - pre-surgery, 2 - surgical recovery and 3 - post treatment recovery).
Primary outcome: Feasibility measures (recruitment, retention, programme implementation, achieved measures, fidelity, factors affecting protocol adherence and acceptability).
Secondary outcomes: Measured changes in body weight, waist circumference, walking and self –reported physical activity, diet, smoking and alcohol intake, fatigue, bowel function and Quality of Life (QoL).
Results: Of 84 patients diagnosed, 22 (26%) were recruited and 15 (18%) completed the study. Median time for intervention delivery was 5.5 hours. Coaches reported covering most (>70%) of the intervention components but had difficulties during phase 2. Evaluation measures (except walk test) were achieved by all participants at baseline, and most (<90%) at end of phase 2 and phase 3, but <20% at end of phase 1. Protocol challenges included limited time between diagnosis and surgery and the presence of co-morbidities. The intervention was rated highly by participants but limited support from NHS staff was noted. The majority of participants (77%) had a BMI >25kg/m2 and none were underweight. Physical activity data showed a positive trend towards increased activity overall but no other changes in secondary outcomes were detected.
Conclusions: To make this intervention feasible for testing as a full trial, further research is required on a) recruitment optimisation b) appropriate assessment tools c) protocols for phase 2 and 3 which can build in flexibility and d) ways for NHS staff to facilitate the program.
| Original language | English |
|---|---|
| Article number | e21117 |
| Pages (from-to) | 1-11 |
| Number of pages | 11 |
| Journal | BMJ Open |
| Volume | 8 |
| Issue number | 6 |
| Early online date | 6 Jun 2018 |
| DOIs | |
| Publication status | Published - 6 Jun 2018 |
Keywords
- colorectal cancer
- lifestyle intervention
- prehabilitation
ASJC Scopus subject areas
- General Medicine
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- Final Published Version
This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non- commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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- 1 Finished
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TreatWELL - A Feasibility Study to Assess the Delivery of a Lifestyle Intervention for Colorectal Cancer Patients Undergoing Potentially Curative Treatment (Joint with Universities of Stirling and Surrey)
Anderson, A. (Investigator), Campbell, A. (Investigator), Munro, A. (Investigator) & Steele, B. (Investigator)
1/12/13 → 30/06/15
Project: Research