대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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스마트폰 앱을 활용한 동료지지가 유방암 생존자의 건강행위와 체질량지수에 미치는 효과

The Effects of Utilizing Smartphone Application Peer Support on Health Behavior and Body Mass Index among Breast Cancer Survivors

  • Park, Gaeun (Department of Nursing, Pusan National University Yangsan Hospital) ;
  • Lee, Haejung (College of Nursing, Pusan National University) ;
  • Kim, Hyun Yul (Department of Surgery, Pusan National University Yangsan Hospital)
  • 투고 : 2019.02.14
  • 심사 : 2019.07.15
  • 발행 : 2019.10.31
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초록

Purpose: This study aimed to identify the effects of utilizing Smartphone Application Peer Support (SAPS) on health behavior and body mass index (BMI) among overweight or obese breast cancer survivors (BCS). Methods: A nonequivalent control group with a non-synchronized design was utilized and 36 participants (experimental group 14, control group 22) were recruited from August 2017 to September 2018. Participants were 40~65 years old, overweight or obese, had completed primary cancer treatment within the 12 months prior to the study, and had not done regular exercise during the last 6 months. The 3-month SAPS consisted of exercise and diet education (once p/2 weeks), peer support (once p/week), and self-monitoring using smartphone applications (5 times p/week). All participants underwent assessments at baseline, right after SAPS, and at 3 months after SAPS. Data were analyzed using repeated measures ANOVA. Results: At the completion of SAPS significant differences were found between groups in motivation for exercise (t=-3.24, p=.005), physical activity (t=-4.15, p<.001), total calorie intake (t=3.42, p=.002), calories from fat (t=-3.01, p=.005), intake of vegetables (t=-2.83, p=.008), and BMI (t=5.21, p<.001). Significant differences in BMI (t=4.13, p<.001) remained up to 3 months after SAPS completion. No significant differences was shown between groups in self-efficacy for exercise, either immediately after or 3 months after SAPS. Conclusion: The SAPS has the potential to improve motivation for exercise, health behavior, and BMI of BCS. However, special efforts are required to encourage participants to complete the intervention and maintain long-term effects for future trials.

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참고문헌

  1. Kroenke CH, Chen WY, Rosner B, Holmes MD. Weight, weight gain, and survival after breast cancer diagnosis. Journal of Clinical Oncology. 2005;23(7):1370-1378. https://doi.org/10.1200/jco.2005.01.079
  2. Phillips SM, McAuley E. Associations between self-reported post-diagnosis physical activity changes, body weight changes, and psychosocial well-being in breast cancer survivors. Supportive Care in Cancer. 2015;23(1):159-167. https://doi.org/10.1007/s00520-014-2346-5
  3. Seo JS, Park HA, Kang JH, Kim KW, Cho YG, Hur YI, et al. Obesity and obesity-related lifestyles of Korean breast cancer survivors. Korean Journal of Health Promotion. 2014;14(3):93-102. https://doi.org/10.15384/kjhp.2014.14.3.93
  4. Ministry of Health and Welfare. Prevalence of obesity [Internet]. Sejong: Ministry of Health and Welfare; c2016 [cited 2016 Apr 20]. Available from: http://kosis.kr/statHtml/statHtml. do?orgId=117&tblId=DT_11702_N101&conn_path=I2.
  5. Mehta LS, Watson KE, Barac A, Beckie TM, Bittner V, Cruz-Flores S, et al. Cardiovascular disease and breast cancer: Where these entities intersect: A scientific statement from the American Heart Association. Circulation. 2018;137(8):e30-e66. https://doi.org/10.1161/CIR.0000000000000556
  6. Korean Breast Cancer Society. Dietary guideline for breast cancer survivors [Internet]. Seoul: Korean Breast Cancer Society; c2009 [cited 2017 Apr 20]. Available from: http://www.kbcs.or.kr/journal/common_sense_14.html.
  7. Goodwin PJ, Segal RJ, Vallis M, Ligibel JA, Pond GR, Robidoux A, et al. Randomized trial of a telephone-based weight loss intervention in postmenopausal women with breast cancer receiving letrozole: The LISA trial. Journal of Clinical Oncology. 2014;32(21):2231-2239. https://doi.org/10.1200/jco.2013.53.1517
  8. Han SH. Factors of stages of exercise for patients with breast cancer based on the trans-theoretical model. Korean Journal of Sport Psychology. 2004;15(2):139-160.
  9. Park M, Hwang E, Moon HG, Noh DY, Lee JE. Dietary intake status among Korean female breast cancer survivors. Korean Journal of Community Nutrition. 2014;19(2):163-175. https://doi.org/10.5720/kjcn.2014.19.2.163
  10. Kim MK, Lee WY, Kang JH, Kang JH, Kim BT, Kim SM, et al. 2014 Clinical practice guidelines for overweight and obesity in Korea. Endocrinology and Metabolism. 2014;29(4):405-409. https://doi.org/10.3803/EnM.2014.29.4.405
  11. Bandura A. Organisational applications of social cognitive theory. Australian Journal of Management. 1988;13(2):275-302. https://doi.org/10.1177/031289628801300210
  12. Greenlee H, Gaffney AO, Aycinena AC, Koch P, Contento I, Karmally W, et al. Cocinar para su salud!: Randomized controlled trial of a culturally based dietary intervention among Hispanic breast cancer survivors. Journal of the Academy of Nutrition and Dietetics. 2015;115(5):709-723.e3. https://doi.org/10.1016/j.jand.2014.11.002
  13. Rock CL, Flatt SW, Byers TE, Colditz GA, Demark-Wahnefried W, Ganz PA, et al. Results of the exercise and nutrition to enhance recovery and good health for you (ENERGY) trial: A behavioral weight loss intervention in overweight or obese breast cancer survivors. Journal of Clinical Oncology. 2015;33(28):3169-3176. https://doi.org/10.1200/JCO.2015.61.1095
  14. Choi PB. Influence of a regular aerobic exercise on body composition and immune cell in breast cancer patients undergoing surgery. The Korea Journal of Sports Science. 2013;22(4):961-970.
  15. Lee MK, Yun YH, Park HA, Lee ES, Jung KH, Noh DY. A web-based self-management exercise and diet intervention for breast cancer survivors: Pilot randomized controlled trial. International Journal of Nursing Studies. 2014;51(12):1557-1567. https://doi.org/10.1016/j.ijnurstu.2014.04.012
  16. Kim YW, Sung GD, Baek YH. Effect of 12 weeks combined exercise and nutrition education on body composition and metabolic syndrome in breast cancer patients. Journal of the Korean Society of Living Environmental System. 2013;20(1):1-9.
  17. Cherrington AL, Willig AL, Agne AA, Fowler MC, Dutton GR, Scarinci IC. Development of a theory-based, peer support intervention to promote weight loss among Latina immigrants. BMC Obesity. 2015;2:17. https://doi.org/10.1186/s40608-015-0047-3
  18. Turner-McGrievy GM, Beets MW, Moore JB, Kaczynski AT, Barr-Anderson DJ, Tate DF. Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program. Journal of the American Medical Informatics Association. 2013;20(3):513-518. https://doi.org/10.1136/amiajnl-2012-001510
  19. van der Weegen S, Verwey R, Spreeuwenberg M, Tange H, van der Weijden T, de Witte L. It's LiFe! Mobile and webbased monitoring and feedback tool embedded in primary care increases physical activity: A cluster randomized controlled trial. Journal of Medical Internet Research. 2015;17(7):e184. https://doi.org/10.2196/jmir.4579
  20. Chung BY, Oh EH, Song SJ. Mobile health for breast cancer patients: A systematic review. Asian Oncology Nursing. 2017;17(3):133-142. https://doi.org/10.5388/aon.2017.17.3.133
  21. Allen JK, Stephens J, Dennison Himmelfarb CR, Stewart KJ, Hauck S. Randomized controlled pilot study testing use of smartphone technology for obesity treatment. Journal of Obesity. 2013;2013:1-7. https://doi.org/10.1155/2013/151597
  22. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hoboken (NJ): Elsevier Science; 2013. p. 273-379.
  23. Lee R, Lee KS, Oh EG, Kim SH. A randomized trial of dyadic peer support intervention for newly diagnosed breast cancer patients in Korea. Cancer Nursing. 2013;36(3):E15-E22. https://doi.org/10.1097/ncc.0b013e3182642d7c
  24. Choi M, Ahn S, Jung D. Psychometric evaluation of the Korean version of the self-efficacy for exercise scale for older adults. Geriatric Nursing. 2015;36(4):301-305. https://doi.org/10.1016/j.gerinurse.2015.03.005
  25. Resnick B, Jenkins LS. Testing the reliability and validity of the self-efficacy for exercise scale. Nursing Research. 2000;49(3):154-159. https://doi.org/10.1097/00006199-200005000-00007
  26. Yu J, Kim J. Effects of a physical activity program using exergame with elderly women. Journal of Korean Academy of Nursing. 2015;45(1):84-96. https://doi.org/10.4040/jkan.2015.45.1.84
  27. McAuley E, Duncan T, Tammen VV. Psychometric properties of the intrinsic motivation inventory in a competitive sport setting: A confirmatory factor analysis. Research Quarterly for Exercise and Sport. 1989;60(1):48-58. https://doi.org/10.1080/02701367.1989.10607413
  28. Chun MY. Validity and reliability of Korean version of international physical activity questionnaire short form in the elderly. Korean Journal of Family Medicine. 2012;33(3):144-151. https://doi.org/10.4082/kjfm.2012.33.3.144
  29. Bandura A. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs (NJ): Prentice-Hall; 1986. p. 390-449.
  30. Kim SH. Effects of a volunteer-run peer support program on health and satisfaction with social support of older adults living alone. Journal of Korean Academy of Nursing. 2012;42(4):525-536. https://doi.org/10.4040/jkan.2012.42.4.525
  31. Kim EJ, Hyun JS, Han JH, Kim N. Analysis of nursing needs of home-dwelling breast cancer patients based on counselling contents. Journal of Korean Public Health Nursing. 2016;30(3):420-433. https://doi.org/10.5932/JKPHN.2016.30.3.420

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  2. Peer‐supported lifestyle interventions on body weight, energy intake, and physical activity in adults: A systematic review and meta‐analysis vol.22, pp.12, 2019, https://doi.org/10.1111/obr.13328