Predictors of enrollment in individual- and couple-based lifestyle intervention trials for cancer survivors.

Purpose: To utilize data from lifestyle intervention pilot studies for cancer survivors to elucidate demographic, disease-related, and health behavior factors that might predict enrollment in this type of research. Additionally, factors were differentially compared based on intervention design (i.e....

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Published in:Supportive Care in Cancer Vol. 26; no. 7; pp. 2387 - 2396
Main Authors: Cox-Martin, Emily, Song, Jaejoon, Demark-Wahnefried, Wendy, Lyons, Elizabeth J., Basen-Engquist, Karen
Format: research tables/charts Journal Article
Published: Springer Nature Jul2018
Online Access:View this record in EBSCOhost
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      dt: Jul2018
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      pub: Springer Nature
      place: New York, New York
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        atl: Predictors of enrollment in individual- and couple-based lifestyle intervention trials for cancer survivors.
      aug:
        au:
          Cox-Martin, Emily
          Song, Jaejoon
          Demark-Wahnefried, Wendy
          Lyons, Elizabeth J.
          Basen-Engquist, Karen
        affil: Division of Medical Oncology, School of Medicine, University of Colorado Anschutz Medical Campus, 12801 E 17th Ave, 80045, Aurora, CO, USA
      sug:
        subj:
          Health Behavior
          Neoplasms Therapy
          Life Style
          Female
          Middle Age
          Neoplasms Mortality
          Human
          Middle Aged: 45-64 years
          Female
      ab: Purpose: To utilize data from lifestyle intervention pilot studies for cancer survivors to elucidate demographic, disease-related, and health behavior factors that might predict enrollment in this type of research. Additionally, factors were differentially compared based on intervention design (i.e., individual versus couple-based).Methods: Secondary data analysis was conducted regarding predictors of enrollment into lifestyle intervention studies, including Healthy Moves Weight Loss (individual participants, screened n = 89, enrolled n = 30) and Healthy Moves Couples (survivors and their partners, screened n = 197, enrolled n = 23). Due to small sample sizes, common in pilot studies, random forest analyses were used to maximize information yielded by the data.Results: Results identified numerous important predictors of enrollment in individual and couple-based lifestyle interventions. Percent energy from fat and physical activity minutes were identified as important predictors for both recruitment methods. Age, cancer site, and marital status were important predictors of enrollment in the individual-based intervention. Weight, fiber consumption, and disease-related symptom severity and interference were important predictors of enrollment in the couple-based intervention.Conclusion: Although there was some overlap in predictors for enrollment between studies, many differential predictors were identified between individual versus couple-based study designs for lifestyle intervention in cancer survivors. Future lifestyle intervention studies for cancer survivors may benefit from targeting different predictors of enrollment based on study design to optimize recruitment. Additionally, understanding predictors may allow certain barriers to enrollment (i.e., symptom burden) to be directly addressed, making lifestyle intervention research more feasible and acceptable to difficult-to-recruit survivors.
      pubtype: Academic Journal
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    language: English
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