研究动态
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基于应用程序的生活方式指导(粉红色!)陪伴乳腺癌患者和幸存者减少心理困扰和疲劳并改善身体活动:可行性试点研究。

App-Based Lifestyle Coaching (PINK!) Accompanying Breast Cancer Patients and Survivors to Reduce Psychological Distress and Fatigue and Improve Physical Activity: A Feasibility Pilot Study.

发表日期:2023 Oct
作者: Josefine Wolff, Pia Wuelfing, Alexander Koenig, Brigitte Ehrl, Jana Damsch, Martin Smollich, Freerk Theeagnus Baumann, Nadia Harbeck, Rachel Wuerstlein
来源: PHYSICAL THERAPY & REHABILITATION JOURNAL

摘要:

这项试点研究旨在调查使用名为 PINK! 的基于应用程序的认证医疗产品的效果!关于乳腺癌患者和幸存者。目的是使用 PINK! 测量患者的心理困扰、身体活动和治疗相关的疲劳!确定趋势并制定研究设计,以进行后续的多中心疗效证明 RCT.PINK!提供个性化、循证治疗和副作用管理、基于正念的减压、营养和心理教育、身体活动跟踪和激励练习,以在日常生活中可持续地改变生活方式。 2021 年,慕尼黑综合癌症中心对 60 名患者进行了一项前瞻性个体随机对照试验。 BC 患者的纳入与疾病阶段无关。干预组获得了粉红色!超过 12 周。对照组作为“标准护理”的等候名单比较。主要疗效变量分析显示,与对照组相比,心理困扰相对平均减少了 32.9%,这相当于 12 周内显着减少(p < 0.001)。控制组。使用组内的线性回归显示应用程序的高使用率与心理困扰的减少存在相关性。疲劳数据呈现出统计学上显着的抗疲劳功效 (p < 0.001),体力活动增加了 63.9%。基于应用程序的支持性护理为改善心理健康、生活质量、疲劳和体力活动。需要更多的研究来在临床癌症护理中实施电子健康解决方案。© 2023 S. Karger AG,巴塞尔。
This pilot study aimed to investigate the effects of using an app-based certified medical product named PINK! on breast cancer patients and survivors. The objectives were to measure psychological distress, physical activity, and therapy-related fatigue of patients using PINK! to identify trends and develop a study design for a subsequent multicentric proof of efficacy RCT.PINK! offers individualized, evidence-based therapy and side-effect management, mindfulness-based stress reduction, nutritional and psychological education, physical activity tracking, and motivational exercises to implement lifestyle changes sustainably in daily routine. A prospective, intraindividual RCT was performed with n = 60 patients in 2021 at Comprehensive Cancer Center Munich. Patients with BC were included independent of the stage of diseases. The intervention group got access to PINK! over 12 weeks. Control group served as a waiting-list comparison to "standard of care."Primary efficacy variable analysis revealed a relative average decrease of 32.9% in psychological distress, which corresponds to a statistically significant reduction (p < 0.001) within 12 weeks compared to the control group. Linear regressions within usage groups showed a correlation of high app usage and a reduction of psychological distress. Fatigue data presented a statistically significant antifatigue efficacy (p < 0.001) and physical activity increased by 63.9%.App-based supportive care offers a promising, low-threshold, and cost-efficient opportunity to improve psychological well-being, quality of life, fatigue, and physical activity. More research is needed to implement eHealth solutions in clinical cancer care.© 2023 S. Karger AG, Basel.