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Effectiveness of a Nurse-Led Mobile-Based Health Coaching Program for Patients With Prostate Cancer at High Risk of
Kyoungjin Lee1,2, Jeongok Park3, Eui Geum Oh3
1College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, Republic of Korea.
JMIR Mhealth and Uhealth
|February 1, 2024
Summary
A nurse-led mobile program effectively improved healthy lifestyles, metabolic syndrome components, and body composition in prostate cancer patients undergoing androgen deprivation therapy. This intervention helps manage side effects and enhances self-care.
Area of Science:
- Oncology
- Metabolic Health
- Digital Health Interventions
Background:
- Androgen deprivation therapy (ADT) for prostate cancer (PC) causes metabolic side effects, increasing risks for diabetes and cardiovascular disease.
- Metabolic syndrome (MetS) is a significant concern for PC patients on ADT.
- Maintaining a healthy lifestyle is crucial for PC patients undergoing ADT.
Purpose of the Study:
- To evaluate the effectiveness of a nurse-led, mobile-based program promoting healthy lifestyles in PC patients undergoing ADT.
- To assess the program's impact on MetS risk factors in this patient population.
Main Methods:
- A single-blind, randomized, waitlist control study involving 46 PC patients with MetS risk factors undergoing ADT.
- The experimental group received a 4-week mobile-based lifestyle intervention (diet, exercise, counseling); the control group received usual care.
- Outcomes measured at 6 and 12 weeks included lifestyle score, MetS components, body composition, and quality of life.
Main Results:
- The experimental group demonstrated significant improvements in healthy lifestyle scores compared to the control group.
- Positive changes were observed in fasting blood sugar, abdominal circumference, body weight, and BMI in the intervention group.
- Health-related quality of life, specifically urinary irritative and obstructive domains, improved significantly in the experimental group.
Conclusions:
- Nurse-led lifestyle education delivered via a mobile program can effectively improve MetS components and body composition in PC patients on ADT.
- This intervention enhances self-management and mitigates ADT-related side effects.
- Mobile health interventions are a viable strategy for supporting lifestyle modifications in cancer patients.
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