Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: a Randomized Controlled Trial

Anna Hawkes, Kenneth Pakenham, Suzanne Chambers, Tania Patrao, Kerry Courneya

    Research output: Contribution to journalArticle

    Abstract

    Background: Multiple health behavior change can ameliorate adverse effects of cancer.

    Purpose: The purpose of this study was to determine the effects of a multiple health behavior change intervention (CanChange) for colorectal cancer survivors on psychosocial outcomes and quality of life.

    Methods: A total of 410 colorectal cancer survivors were randomized to a 6-month telephone-based health coaching intervention (11 sessions using acceptance and commitment therapy strategies focusing on physical activity, weight management, diet, alcohol, and smoking) or usual care. Posttraumatic growth, spirituality, acceptance, mindfulness, distress, and quality of life were assessed at baseline, 6 and 12months.

    Results: Significant intervention effects were observed for posttraumatic growth at 6 (7.5, p < 0.001) and 12 months (4.1, p = 0.033), spirituality at 6 months (1.8, p = 0.011), acceptance at 6 months (0.2, p = 0.005), and quality of life at 6 (0.8, p = 0.049) and 12 months (0.9, p = 0.037).

    Conclusions: The intervention improved psychosocial outcomes and quality of life (physical well-being) at 6 months with most effects still present at 12 months.
    Original languageEnglish
    Pages (from-to)359-370
    Number of pages12
    JournalAnnals of Behavioral Medicine
    Volume48
    Issue number3
    DOIs
    Publication statusPublished - 2014

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