Efficacy of the Survivor Health and Resilience Education (SHARE) Program to Improve Bone Health Behaviors Among Adolescent Survivors of Childhood Cancer
- First Online:
The purpose of this study is to test the efficacy of the Survivor Health and Resilience Education Program intervention—a manualized, behavioral intervention focusing on bone health behaviors among adolescent survivors of childhood cancer.
Participants were 75 teens aged 11–21 years, one or more years post-treatment, and currently cancer-free. Teens were randomized to a group-based intervention focusing on bone health or a wait-list control. Bone health behaviors were assessed at baseline and 1-month post-intervention.
Controlling for baseline outcome measures and theoretical predictors, milk consumption frequency (p = 0.03), past month calcium supplementation (p < 0.001), days in the past month with calcium supplementation (p < 0.001), and dietary calcium intake (p = 0.04) were significantly greater at 1-month follow-up among intervention participants compared with control participants.
The intervention had a significant short-term impact on self-reported bone health behaviors among adolescent survivors of childhood cancer. Research examining long-term intervention effectiveness is warranted.
KeywordsCancer Pediatrics Survivors Bone health Behavioral intervention
- 1.National Cancer Institute. SEER Cancer Statistics Review 1975–2007. Available at http://seer.cancer.gov/csr/1975_2007/index.html. Accessed August 31, 2010.
- 2.Centers for Disease Control and Prevention CDC (2004) Cancer survivorship—United States, 1971–2001. MMWR Morb Mortal Wkly Rep. 2004; 53:526–529.Google Scholar
- 14.U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General. Bone Health and Osteoporosis: A Report of the Surgeon General, 2004. Washington, DC: U.S. Government Printing Office, 2004.Google Scholar
- 15.Chung M, Balk EM, Brendel M, Ip S, Lau J, Lee J, Lichtenstein A, Patel K, Raman G, Tatsioni A, Terasawa T, Trikalinos TA. Vitamin D and Calcium: Systematic Review of Health Outcomes. Evidence Report/Technology Assessment No. 183. (Prepared by Tufts Evidence-based Practice Center under Contract No. 290-2007-10055-I). AHRQ Publication No. 09-E015, Rockville, MD: Agency for Healthcare Research and Quality. August 2009.Google Scholar
- 23.Tercyak KP, Donze JR, Prahlad S, Mosher RB, Shad AT. Identifying, recruiting, and enrolling adolescent survivors of childhood cancer into a randomized controlled trial of health promotion: Preliminary experiences in the Survivor Health and Resilience Education (SHARE) Program. J Pediatr Psychol. 2006; 31: 252-261.PubMedCrossRefGoogle Scholar
- 24.U.S. Department of Health and Human Services, Office on Women's Health. Best Bones Forever! Quizzes. Available at http://www.bestbonesforever.gov/fun/quizzes.cfm. Accessed August 31, 2010.
- 33.Axxya Systems. Nutritionist ProTM. Available at: http://www.nutritionistpro.com. Accessed January 6, 2011.
- 34.Green LW, Kreuter MW. Health Promotion Planning: An Educational and Ecological Approach. New York: McGraw-Hill, 2004.Google Scholar
- 35.Glanz K, Rimer BK, Marcus F. Health Behavior and Health Education: Theory, Research, and Practice. 3rd ed. San Francisco, CA: Jossey-Bass, 2002.Google Scholar
- 36.Tabachnick BG, Fidell LS. Using Multivariate Statistics. 5th ed. Boston, MA: Allyn & Bacon, 2007.Google Scholar