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Journal of Cancer Survivorship
Published in: Journal of Cancer Survivorship 5/2016

Open Access 01-10-2016

Lifestyle-related effects of the web-based Kanker Nazorg Wijzer (Cancer Aftercare Guide) intervention for cancer survivors: a randomized controlled trial

Authors: Iris M. Kanera, Catherine A. W. Bolman, Roy A. Willems, Ilse Mesters, Lilian Lechner

Published in: Journal of Cancer Survivorship | Issue 5/2016

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Abstract

Purpose

The web-based Kanker Nazorg Wijzer (Cancer Aftercare Guide) responds to the needs of cancer survivors and oncology care providers to improve the counseling related to self-management of lifestyle and psychosocial challenges. In present study, overall intervention effects and the effects of using specific components were evaluated on vegetable, fruit, whole grain bread, and fish consumption, physical activity (PA), and smoking behavior.

Methods

Cancer survivors from 21 Dutch hospitals were recruited for a randomized controlled trial (N = 432). Intervention effects after 6 months were evaluated using multilevel linear regression analysis (complete cases and intention-to-treat). By conducting moderation analyses, additional effects of following the behavior-related modules were explored. The false discovery rate correction was applied to account for multiple testing.

Results

After 6 months, 409 participants completed follow-up (dropout = 11.5 %). Indications were found that access to the intervention may result in increases of moderate PA and vegetable intake. The moderate PA increase was meaningful: 74.74 min p/w higher increase in the intervention condition. Effect sizes of moderate PA (d = .25) and vegetable (d = .37) consumption were comparable to prior effective interventions. Visiting behavior-related modules affected moderate PA, fruit, and fish consumption. However, after correction for multiple testing, significances expired. No significant intervention effect was found on smoking behavior due to low numbers of smokers.

Implications for Cancer Survivors

Although the effectiveness was only shown only to a limited extend, this study provided several indications that this theory-based, comprehensive, and personalized eHealth intervention provides valuable content to complement usual cancer aftercare.
Footnotes
1
After recruitment, it was observed that participants had been included slightly earlier or later than initially defined (6–52 weeks after completion of primary treatment) [41]. This inclusion criterion was broadened to enable analysis of data filled out 4 weeks (N = 13) and up to 56 weeks (N = 7) after completion of primary treatment. We assumed that cancer survivors, who voluntarily participated 2 weeks earlier and 1 month later than predetermined, were not different as compared to the other participants.
 
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Metadata
Title
Lifestyle-related effects of the web-based Kanker Nazorg Wijzer (Cancer Aftercare Guide) intervention for cancer survivors: a randomized controlled trial
Authors
Iris M. Kanera
Catherine A. W. Bolman
Roy A. Willems
Ilse Mesters
Lilian Lechner
Publication date
01-10-2016
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 5/2016
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-016-0535-6

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