Supporting women's health outcomes after breast cancer treatment comparing a text message intervention to usual care: the EMPOWER-SMS randomised clinical trial

被引：18

作者：

Singleton, Anna C. ^{[1
]}

Raeside, Rebecca ^{[1
]}

Partridge, Stephanie R. ^{[1
,2
]}

Hyun, Karice K. ^{[1
,3
]}

Tat-Ko, Justin ^{[1
]}

Sum, Stephanie Che Mun ^{[1
]}

Hayes, Molly ^{[1
]}

Chow, Clara K. ^{[4
,5
,6
,7
]}

Thiagalingam, Aravinda ^{[4
,5
,6
]}

Maka, Katherine ^{[8
,9
]}

Sherman, Kerry A. ^{[10
]}

Elder, Elisabeth ^{[9
]}

Redfern, Julie ^{[1
,6
,7
]}

机构：

[1] Univ Sydney, Fac Med & Hlth, Sch Hlth Sci, Engagement & Codesign Res Hub, Sydney, NSW, Australia

[2] Univ Sydney, Charles Perkins Ctr, Prevent Res Collaborat, Sydney, NSW, Australia

[3] Concord Repatriat Gen Hosp, Dept Cardiol, Sydney, NSW, Australia

[4] Univ Sydney, Fac Med & Hlth, Westmead Appl Res Ctr, Sydney, NSW, Australia

[5] Westmead Hosp, Dept Cardiol, Sydney, NSW, Australia

[6] Univ New South Wales, George Inst Global Hlth, Sydney, NSW, Australia

[7] Western Sydney Local Hlth Dist, Res Educ Network, Sydney, NSW, Australia

[8] Westmead Hosp, Dept Physiotherapy, Sydney, NSW, Australia

[9] Westmead Hosp, Westmead Breast Canc Inst, Sydney, NSW, Australia

[10] Macquarie Univ, Ctr Emot Hlth, Dept Psychol, Sydney, NSW, Australia

来源：

JOURNAL OF CANCER SURVIVORSHIP | 2023年 / 17卷 / 06期

基金：

澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;

关键词：

Text messaging; Breast cancer; Cancer survivorship; Mobile health; Randomised controlled trial; Telemedicine; QUALITY-OF-LIFE; SELF-EFFICACY; MEDICATION ADHERENCE; THERAPY ADHERENCE; PHYSICAL-ACTIVITY; CHRONIC DISEASE; SURVIVORS; DEPRESSION; BEHAVIOR; MANAGE;

D O I：

10.1007/s11764-022-01209-9

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose The aim of this study is to evaluate the efficacy, feasibility and acceptability of a co-designed lifestyle-focused text message intervention (EMPOWER-SMS) for breast cancer survivors' self-efficacy, quality of life (QOL), mental (anxiety, depression, stress) and physical (endocrine therapy medication adherence, physical activity, BMI) health. Methods Single-blind randomised controlled trial (1:1) comparing EMPOWER-SMS to usual care at 6-months (intention-to-treat). Setting: public Breast Cancer Institute (Sydney, Australia). Eligibility criteria: adult (> 18 years) females, < 18-months post-active breast cancer treatment (stage I-III), owned a mobile phone, written informed consent. Primary outcome: Self-Efficacy for Managing Chronic Disease Scale at 6 months. Process data: message delivery analytics, cost, and post-intervention survey. Results Participants (N = 160; mean age +/- SD 55.1 +/- 11.1 years) were recruited 29th-March-2019 to 7th-May-2020 and randomised (n = 80 EMPOWER-SMS: n = 80 control). Baseline mean self-efficacy was high (I: 7.1 [95%CI 6.6, 7.5], C: 7.4 [7, 7.8]). Six-month follow-up: no significant differences between groups for self-efficacy (I: 7.6 [7.3, 7.9], C: 7.6 [7.3, 7.9], adjusted mean difference 0 (95%CI 0.4, 0.4), QOL, mental health, physical activity, or BMI. Significantly less EMPOWER-SMS participants missed >= 1 endocrine therapy medication doses compared to control (I: 3/42[7.1%], C: 8/47[17.0%], Adjusted RR 0.13 [95%CI 0.02, 0.91]). Text messages were delivered successfully (7925/8061, 98.3%), costing $13.62USD/participant. Participants strongly/agreed EMPOWER-SMS was easy-to-understand (64/64; 100%), useful (58/64; 90.6%), motivating for lifestyle change (43/64; 67.2%) and medication adherence (22/46; 47.8%). Conclusion EMPOWER-SMS was feasible, inexpensive, acceptable for delivering health information to breast cancer survivors between medical appointments, with minor improvements in medication adherence. Implications for Cancer Survivors Text messages offer a feasible strategy for continuity-of-care between medical appointments.

引用

页码：1533 / 1545

页数：13

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