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Feasibility study to assess the delivery of a lifestyle intervention (TreatWELL) for patients with colorectal cancer undergoing potentially curative treatment

Macleod, Maureen; Steele, Robert J C; O�Carroll, Ronan E; Wells, Mary; Campbell, Anna; Sugden, Jacqui A; Rodger, Jackie; Stead, Martine; McKell, Jennifer; Anderson, Annie S

Authors

Maureen Macleod

Robert J C Steele

Ronan E O�Carroll

Mary Wells

Jacqui A Sugden

Jackie Rodger

Martine Stead

Jennifer McKell

Annie S Anderson



Abstract

Objectives To assess the feasibility of delivering and evaluating a lifestyle programme for patients with colorectal cancer undergoing potentially curative treatments.

Study design Non-randomised feasibility trial.

Setting National Health Service (NHS) Tayside.

Participants Adults with stage I–III colorectal cancer.

Intervention The programme targeted smoking, alcohol, physical activity, diet and weight management. It was delivered in three face-to-face counselling sessions (plus nine phone calls) by lifestyle coaches over three phases (1: presurgery, 2: surgical recovery and 3: post-treatment recovery).

Primary outcome Feasibility measures (recruitment, retention, programme implementation, achieved measures, fidelity, factors affecting protocol adherence and acceptability).

Secondary outcomes Measured changes in body weight, waist circumference, walking and self-reported physical activity, diet, smoking, alcohol intake, fatigue, bowel function and quality of life.

Results Of 84 patients diagnosed, 22 (26%) were recruited and 15 (18%) completed the study. Median time for intervention delivery was 5.5 hours. Coaches reported covering most (>70%) of the intervention components but had difficulties during phase 2. Evaluation measures (except walk test) were achieved by all participants at baseline, and most (

Citation

Macleod, M., Steele, R. J. C., O’Carroll, R. E., Wells, M., Campbell, A., Sugden, J. A., Rodger, J., Stead, M., McKell, J., & Anderson, A. S. (2018). Feasibility study to assess the delivery of a lifestyle intervention (TreatWELL) for patients with colorectal cancer undergoing potentially curative treatment. BMJ Open, 8, Article e021117. https://doi.org/10.1136/bmjopen-2017-021117

Journal Article Type Article
Acceptance Date Apr 20, 2018
Online Publication Date Jun 6, 2018
Publication Date Jun 6, 2018
Deposit Date Apr 23, 2018
Publicly Available Date Jul 6, 2018
Journal BMJ OPen
Electronic ISSN 2044-6055
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 8
Article Number e021117
DOI https://doi.org/10.1136/bmjopen-2017-021117
Public URL http://researchrepository.napier.ac.uk/Output/1163306
Contract Date Jul 6, 2018

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http://creativecommons.org/licenses/by-nc/4.0/

Copyright Statement
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/









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