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

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., …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
• Print ISSN: 2044-6055
• 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