- Title
- Translating research into practice: Outcomes from the Healthy Living after Cancer partnership project
- Creator
- Eakin, Elizabeth G.; Reeves, Marina M.; Koczwara, Bogda; Saunders, Christobel M.; Chapman, Kathy; Hing, Liz; Boltong, Anna G.; Lane, Katherine; Baldwin, Polly; Millar, Lesley; McKiernan, Sandy; Demark-Wahnefried, Wendy; Goode, Ana D.; Courneya, Kerry S.; Job, J; Reid, N; Robson, E; Moretto, N; Gordon, L; Hayes, SC; Winkler, Elisabeth A. H.; Vardy, Janette L.; Boyle, Frances; Haas, Marion R.; Hiller, Janet E.; Mishra, Gita D.; Jefford, Michael
- Relation
- BMC Cancer Vol. 20, no. 963
- Publisher Link
- http://dx.doi.org/10.1186/s12885-020-07454-4
- Publisher
- BioMed Central (BMC)
- Resource Type
- journal article
- Date
- 2020
- Description
- Background: Healthy Living after Cancer (HLaC) was a national dissemination and implementation study of an evidence-based lifestyle intervention for cancer survivors. The program was imbedded into existing telephone cancer information and support services delivered by Australian state-based Cancer Councils (CC). We report here the reach, effectiveness, adoption, implementation, and maintenance of the program. Methods: In this phase IV study (single-group, pre-post design) participants - survivors of any type of cancer, following treatment with curative intent - received up to 12 nurse/allied health professional-led telephone health coaching calls over 6 months. Intervention delivery was grounded in motivational interviewing, with emphasis on evidence-based behaviour change strategies. Using the RE-AIM evaluation framework, primary outcomes were reach, indicators of program adoption, implementation, costs and maintenance. Secondary (effectiveness) outcomes were participant-reported anthropometric, behavioural and psychosocial variables including: weight; physical activity; dietary intake; quality-of-life; treatment side-effects; distress; and fear of cancer recurrence and participant satisfaction. Changes were evaluated using linear mixed models, including terms for timepoint (0/6 months), strata (Cancer Council), and timepoint x strata. Results: Four of 5 CCs approached participated in the study. In total, 1183 cancer survivors were referred (mostly via calls to the Cancer Council telephone information service). Of these, 90.4% were eligible and 88.7% (n = 791) of those eligible consented to participate. Retention rate was 63.4%. Participants were mostly female (88%), aged 57 years and were overweight (BMI = 28.8 ± 6.5 kg/m2). Improvements in all participant-reported outcomes (standardised effect sizes of 0.1 to 0.6) were observed (p < 0.001). The program delivery costs were on average AU$427 (US$296) per referred cancer survivor. Conclusions: This telephone-delivered lifestyle intervention, which was feasibly implemented by Cancer Councils, led to meaningful and statistically significant improvements in cancer survivors’ health and quality-of-life at a relatively low cost. Trial registration: Australian and New Zealand Clinical Trials Registry (ANZCTR) - ACTRN12615000882527 (registered on 24/08/2015).
- Subject
- lifestyle intervention; cancer survivors; dissemination and implementation study; physical activity; nutrition; healthy weight; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1496777
- Identifier
- uon:54244
- Identifier
- ISSN:1471-2407
- Rights
- x
- Language
- eng
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