Cargando…
Developing a Web-Based Weight Management Program for Childhood Cancer Survivors: Rationale and Methods
BACKGROUND: Due to advances in the field of oncology, survival rates for children with cancer have improved significantly. However, these childhood cancer survivors are at a higher risk for obesity and cardiovascular diseases and for developing these conditions at an earlier age. OBJECTIVE: In this...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5135730/ https://www.ncbi.nlm.nih.gov/pubmed/27864163 http://dx.doi.org/10.2196/resprot.6381 |
_version_ | 1782471596136464384 |
---|---|
author | Zhang, Fang Fang Meagher, Susan Scheurer, Michael Folta, Sara Finnan, Emily Criss, Kerry Economos, Christina Dreyer, ZoAnn Kelly, Michael |
author_facet | Zhang, Fang Fang Meagher, Susan Scheurer, Michael Folta, Sara Finnan, Emily Criss, Kerry Economos, Christina Dreyer, ZoAnn Kelly, Michael |
author_sort | Zhang, Fang Fang |
collection | PubMed |
description | BACKGROUND: Due to advances in the field of oncology, survival rates for children with cancer have improved significantly. However, these childhood cancer survivors are at a higher risk for obesity and cardiovascular diseases and for developing these conditions at an earlier age. OBJECTIVE: In this paper, we describe the rationale, conceptual framework, development process, novel components, and delivery plan of a behavioral intervention program for preventing unhealthy weight gain in survivors of childhood acute lymphoblastic leukemia (ALL). METHODS: A Web-based program, the Healthy Eating and Active Living (HEAL) program, was designed by a multidisciplinary team of researchers who first identified behaviors that are appropriate targets for weight management in childhood ALL survivors and subsequently developed the intervention components, following core behavioral change strategies grounded in social cognitive and self-determination theories. RESULTS: The Web-based HEAL curriculum has 12 weekly self-guided sessions to increase parents’ awareness of the potential impact of cancer treatment on weight and lifestyle habits and the importance of weight management in survivors’ long-term health. It empowers parents with knowledge and skills on parenting, nutrition, and physical activity to help them facilitate healthy eating and active living soon after the child completes intensive cancer treatment. Based on social cognitive theory, the program is designed to increase behavioral skills (goal-setting, self-monitoring, and problem-solving) and self-efficacy and to provide positive reinforcement to sustain behavioral change. CONCLUSIONS: Lifestyle interventions are a priority for preventing the early onset of obesity and cardiovascular risk factors in childhood cancer survivors. Intervention programs need to meet survivors’ targeted behavioral needs, address specific barriers, and capture a sensitive window for behavioral change. In addition, they should be convenient, cost-effective and scalable. Future studies are needed to evaluate the feasibility of introducing weight management early in cancer care and the efficacy of early weight management on survivors’ health outcomes. |
format | Online Article Text |
id | pubmed-5135730 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-51357302016-12-12 Developing a Web-Based Weight Management Program for Childhood Cancer Survivors: Rationale and Methods Zhang, Fang Fang Meagher, Susan Scheurer, Michael Folta, Sara Finnan, Emily Criss, Kerry Economos, Christina Dreyer, ZoAnn Kelly, Michael JMIR Res Protoc Original Paper BACKGROUND: Due to advances in the field of oncology, survival rates for children with cancer have improved significantly. However, these childhood cancer survivors are at a higher risk for obesity and cardiovascular diseases and for developing these conditions at an earlier age. OBJECTIVE: In this paper, we describe the rationale, conceptual framework, development process, novel components, and delivery plan of a behavioral intervention program for preventing unhealthy weight gain in survivors of childhood acute lymphoblastic leukemia (ALL). METHODS: A Web-based program, the Healthy Eating and Active Living (HEAL) program, was designed by a multidisciplinary team of researchers who first identified behaviors that are appropriate targets for weight management in childhood ALL survivors and subsequently developed the intervention components, following core behavioral change strategies grounded in social cognitive and self-determination theories. RESULTS: The Web-based HEAL curriculum has 12 weekly self-guided sessions to increase parents’ awareness of the potential impact of cancer treatment on weight and lifestyle habits and the importance of weight management in survivors’ long-term health. It empowers parents with knowledge and skills on parenting, nutrition, and physical activity to help them facilitate healthy eating and active living soon after the child completes intensive cancer treatment. Based on social cognitive theory, the program is designed to increase behavioral skills (goal-setting, self-monitoring, and problem-solving) and self-efficacy and to provide positive reinforcement to sustain behavioral change. CONCLUSIONS: Lifestyle interventions are a priority for preventing the early onset of obesity and cardiovascular risk factors in childhood cancer survivors. Intervention programs need to meet survivors’ targeted behavioral needs, address specific barriers, and capture a sensitive window for behavioral change. In addition, they should be convenient, cost-effective and scalable. Future studies are needed to evaluate the feasibility of introducing weight management early in cancer care and the efficacy of early weight management on survivors’ health outcomes. JMIR Publications 2016-11-18 /pmc/articles/PMC5135730/ /pubmed/27864163 http://dx.doi.org/10.2196/resprot.6381 Text en ©Fang Fang Zhang, Susan Meagher, Michael Scheurer, Sara Folta, Emily Finnan, Kerry Criss, Christina Economos, ZoAnn Dreyer, Michael Kelly. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 18.11.2016. https://creativecommons.org/licenses/by/2.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/ (https://creativecommons.org/licenses/by/2.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included. |
spellingShingle | Original Paper Zhang, Fang Fang Meagher, Susan Scheurer, Michael Folta, Sara Finnan, Emily Criss, Kerry Economos, Christina Dreyer, ZoAnn Kelly, Michael Developing a Web-Based Weight Management Program for Childhood Cancer Survivors: Rationale and Methods |
title | Developing a Web-Based Weight Management Program for Childhood Cancer Survivors: Rationale and Methods |
title_full | Developing a Web-Based Weight Management Program for Childhood Cancer Survivors: Rationale and Methods |
title_fullStr | Developing a Web-Based Weight Management Program for Childhood Cancer Survivors: Rationale and Methods |
title_full_unstemmed | Developing a Web-Based Weight Management Program for Childhood Cancer Survivors: Rationale and Methods |
title_short | Developing a Web-Based Weight Management Program for Childhood Cancer Survivors: Rationale and Methods |
title_sort | developing a web-based weight management program for childhood cancer survivors: rationale and methods |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5135730/ https://www.ncbi.nlm.nih.gov/pubmed/27864163 http://dx.doi.org/10.2196/resprot.6381 |
work_keys_str_mv | AT zhangfangfang developingawebbasedweightmanagementprogramforchildhoodcancersurvivorsrationaleandmethods AT meaghersusan developingawebbasedweightmanagementprogramforchildhoodcancersurvivorsrationaleandmethods AT scheurermichael developingawebbasedweightmanagementprogramforchildhoodcancersurvivorsrationaleandmethods AT foltasara developingawebbasedweightmanagementprogramforchildhoodcancersurvivorsrationaleandmethods AT finnanemily developingawebbasedweightmanagementprogramforchildhoodcancersurvivorsrationaleandmethods AT crisskerry developingawebbasedweightmanagementprogramforchildhoodcancersurvivorsrationaleandmethods AT economoschristina developingawebbasedweightmanagementprogramforchildhoodcancersurvivorsrationaleandmethods AT dreyerzoann developingawebbasedweightmanagementprogramforchildhoodcancersurvivorsrationaleandmethods AT kellymichael developingawebbasedweightmanagementprogramforchildhoodcancersurvivorsrationaleandmethods |