Roberts, AL;
Fisher, A;
Smith, L;
Heinrich, M;
Potts, HWW;
(2017)
Digital health behaviour change interventions targeting physical activity and diet in cancer survivors: a systematic review and meta-analysis.
Journal of Cancer Survivorship
, 11
(6)
pp. 704-719.
10.1007/s11764-017-0632-1.
Preview |
Text
Fisher VoR Roberts2017_Article_DigitalHealthBehaviourChangeIn.pdf Download (747kB) | Preview |
Preview |
Text (Supplementary file 1)
Roberts_Digital_health_behaviour_S1.pdf - Accepted Version Download (266kB) | Preview |
Preview |
Text (Supplementary file 2)
Roberts_Digital_health_behaviour_S2.pdf - Accepted Version Download (199kB) | Preview |
Abstract
PURPOSE: The number of cancer survivors has risen substantially due to improvements in early diagnosis and treatment. Health behaviours such as physical activity (PA) and diet can reduce recurrence and mortality, and alleviate negative consequences of cancer and treatments. Digital behaviour change interventions (DBCIs) have the potential to reach large numbers of cancer survivors. METHODS: We conducted a systematic review and meta-analyses of relevant studies identified by a search of Medline, EMBASE, PubMed and CINAHL. Studies which assessed a DBCI with measures of PA, diet and/or sedentary behaviour were included. RESULTS: Fifteen studies were identified. Random effects meta-analyses showed significant improvements in moderate-vigorous PA (seven studies; mean difference (MD) = 41 min per week; 95% CI 12, 71) and body mass index (BMI)/weight (standardised mean difference (SMD) = -0.23; 95% CI -0.41, -0.05). There was a trend towards significance for reduced fatigue and no significant change in cancer-specific measures of quality of life (QoL). Narrative synthesis revealed mixed evidence for effects on diet, generic QoL measures and self-efficacy and no evidence of an effect on mental health. Two studies suggested improved sleep quality. CONCLUSIONS: DBCIs may improve PA and BMI among cancer survivors, and there is mixed evidence for diet. The number of included studies is small, and risk of bias and heterogeneity was high. Future research should address these limitations with large, high-quality RCTs, with objective measures of PA and sedentary time. IMPLICATIONS FOR CANCER SURVIVORS: Digital technologies offer a promising approach to encourage health behaviour change among cancer survivors.
| Type: | Article |
|---|---|
| Title: | Digital health behaviour change interventions targeting physical activity and diet in cancer survivors: a systematic review and meta-analysis |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1007/s11764-017-0632-1 |
| Publisher version: | https://doi.org/10.1007/s11764-017-0632-1 |
| Language: | English |
| Additional information: | Copyright © The Author(s) 2017. Open Access: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
| Keywords: | Behaviour change, Cancer survivors, Diet, Digital interventions, Physical activity, Sedentary behaviour |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics > CHIME |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/1569107 |
Archive Staff Only
 |
View Item |
