PO.CL11.02 · 临床研究
从生存到蓬勃发展：通过社区健康辅导赋能乳腺癌生存者
Surviving to thriving: Empowering breast cancer survivors through community-based health coaching
作者与单位 Authors & Affiliations
摘要 Abstract
中文摘要
背景：乳腺癌生存率正在提高，然而成功治疗所带来的附带损害往往被忽视。超过400万名生存者在沉默中问着“接下来怎么办？”——许多人在躯体能力、情绪健康、生活质量以及不良健康结局方面持续挣扎，而这些问题在传统的生存期护理计划中往往得不到解决。
目的：LYTE（Living Your Truth Empowered）基金会与克莱蒙特研究生大学试点了一种应对这一空白的新颖方法：一项个性化的健康辅导项目，旨在赋能生存者重获健康、重建信心、改善生活质量并实现蓬勃发展，而不仅仅是生存。
方法：本单臂准实验试点研究旨在评估该项目对乳腺癌生存者生活质量、躯体健康和幸福感的可行性与有效性。成年女性乳腺癌生存者（N=9）完成了一项为期9周的健康辅导项目，该项目由每周一次的实时虚拟辅导会话组成。参与者完成了干预前后的现场评估（身体成分、代谢健康和躯体能力）和在线问卷（体力活动/功能、营养、生活质量和自信心）。
结果：该辅导项目展现出很强的可行性，全部9名参与者均完成了干预，并对使用Zoom给予高度认可（89%的参与者报告“非常”易于使用）。干预后，参与者报告功能性体力活动有所改善，日常任务（包括爬楼梯、步行和购物）的困难程度有所降低。参与者进行了更频繁、更长时间的剧烈和中等强度体力活动，同时自我报告的步行速度也有所提高。体力活动的心理和环境障碍有所改善，日常活动和体力活动的信心有所增强。一些挑战（时间限制和经济限制）依然存在或略有增加。现场评估数据支持了自我报告的问卷数据。参与者的右手握力和高密度脂蛋白（HDL）水平有所提高，体重、BMI和血压有所下降。参与者干预后的步行距离也出现了具有统计学意义的增加（p=0.0005）。
结论：LYTE的健康辅导项目提供了一种创新的、以生存者为中心的方法来改善生活质量、躯体健康和幸福感。本试点研究的发现证明了健康辅导项目的可行性和有效性，并为更大规模的随机对照试验奠定了基础。最重要的是，本研究凸显了个性化健康辅导帮助乳腺癌生存者照亮前行最光明道路的潜力。
查看英文原文 English abstract
Background: Breast cancer survival rates are improving, yet the collateral damage of successful treatment is often overlooked. Over 4 million survivors are left in silence asking “now what?”- many facing ongoing struggles with their physical abilities, emotional well-being, quality of life, and adverse health outcomes that often go unaddressed in a traditional survivorship care plan.
Objective: LYTE (Living Your Truth Empowered) Foundation with Claremont Graduate University piloted a novel approach to address this gap: a personalized health coaching program designed to empower survivors to reclaim their health, rebuild their confidence, improve their quality of life, and thrive, not just survive.
Methods: This one-arm quasi-experimental pilot study was designed to evaluate the program's feasibility and effectiveness on the quality of life, physical health, and well-being of breast cancer survivors. Female, adult breast cancer survivors (N=9) completed a 9-week health coaching program consisting of weekly, live virtual coaching sessions. Participants completed pre and post in-person assessments (body composition, metabolic health, and physical ability) and online surveys (physical activity/function, nutrition, quality of life and self-confidence).
Results: The coaching program demonstrated strong feasibility, with all 9 participants completing the intervention and high approval of Zoom utilization (89% participants reported ‘very much' easy to use). Post-intervention, participants reported improvements in functional physical activity and reduced difficulty of everyday tasks, including climbing stairs, walking and shopping. Participants engaged in more frequent and longer sessions of vigorous and moderate physical activity, accompanied by an increase in self-reported walking pace. Psychological and environmental barriers to physical activity improved, and confidence in daily movement and physical activity increased. A few challenges (time constraints and financial limitations) persisted or slightly increased. In-person assessment data supported self-reported survey data. Participants showed gains in right-hand grip strength and high-density lipoprotein (HDL) levels and decreases in weight, BMI, and blood pressure. There was also a statistically significant increase in the participants post-intervention walking distance (p=0.0005).
Conclusion: LYTE's health coaching program offers an innovative, survivor-centered approach to improving quality of life, physical health, and well-being. The findings from this pilot study demonstrate feasibility and effectiveness of a health coaching program and lays the groundwork for a larger, randomized control trial. Most importantly, the study highlights the potential of personalized health coaching to help breast cancer survivors illuminate their brightest path forward.
利益披露 Disclosure
C. J. Arriaga, None..
E. L. Cauble, None..
U. S. Nwogu, None..
M. Rodenbaugh, None..
M. Novelo, None..
D. Gorman, None..
J. Clague DeHart, None.