Abstract

Purpose: We assessed the feasibility and acceptability of a 12-week telehealth behavior change intervention to promote physical activity and fruit and vegetable consumption among rural-living young adult cancer survivors.

Methods: Participants met with a health coach once a week for 60 minutes for 12 weeks. Feasibility measures included rates of recruitment, enrollment, attrition, retention, adherence, and missing data. Acceptability was assessed using semi-structured interviews.

Findings: Over 1-year, 18 individuals self-referred, 9 were eligible and consented to participate, and 2 dropped out. Retention was 74% and adherence was 95%. Participants considered the length of the intervention, synchronous communication with the health coach, and the distance-based delivery mode to be acceptable. Moreover, participants described key behavior change techniques and recommended minor changes.

Implications: Findings provide information that can help refine future trials seeking to increase access to behavior change interventions and optimize participation in health-promoting behaviors for underserved populations.

Trial registration: ClinicalTrials.gov. NCT03691545. Registered on October 1, 2018.

摘要

目的：我们评估了为期 12 周的远程医疗行为改变干预措施的可行性和可接受性，以促进农村年轻成年癌症幸存者的身体活动和水果和蔬菜消费。

方法：参与者每周与健康教练会面一次，每次 60 分钟，持续 12 周。可行性措施包括招聘率、入学率、减员率、保留率、依从率和缺失数据。可接受性通过半结构化访谈进行评估。

结果： 1 年多来，18 人自荐，9 人符合条件并同意参加，2 人退学。保留率为 74%，依从率为 95%。参与者认为干预的长度、与健康教练的同步沟通以及基于距离的交付模式是可以接受的。此外，参与者描述了关键的行为改变技术并推荐了一些小的改变。

启示：研究结果提供的信息可以帮助改进未来的试验，以增加获得行为改变干预的机会，并优化服务不足人群对健康促进行为的参与。

试验注册：ClinicalTrials.gov。NCT03691545。于 2018 年 10 月 1 日注册。