Skip to main content

Advertisement

Log in

“It makes you feel so full of life” LiveWell, a feasibility study of a personalised lifestyle programme for colorectal cancer survivors

  • Original Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Goals

The acceptability and feasibility of a 3-month personalised lifestyle (diet, exercise and weight management) intervention in overweight adults who had completed curative treatment for colorectal cancer were assessed by qualitative interviews, quality-of-life questionnaires and subjective and objective measures of diet and activity.

Main results

Over a 4-month period, 28 of 37 (75%) patients met the inclusion criteria and 20 (71%) of the eligible patients agreed to participate in the study and 18 (90%) completed the 3-month study. Reported adherence related to tailored advice, personalised feedback and family support. Reported barriers included time following surgery, fatigue, having a stoma or chronic diarrhoea and conflicting advice from clinicians. A weight change of −1.2 (±4.4) kg was achieved overall and −4.1 (±3.7) kg in the ten who had lost weight.

Conclusions

Colorectal cancer survivors will participate in a lifestyle change initiative. Interventions should be personalised to suit abilities, provide feedback on personal goals and encourage social support. Intervention timing and attaining greater support from clinicians should be explored prior to the development of an efficacy trial.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ (2003) Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med 348:625–638

    Article  Google Scholar 

  2. Davey Smith G, Shipley MJ, Batty GD, Morris JN, Marmot M (2000) Physical activity and cause-specific mortality in the Whitehall study. Public Health 114(5):308–315

    Article  CAS  PubMed  Google Scholar 

  3. Giovannucci E (1995) Ascherio A Rimm EB Colditz GA Stampfer MJ Willett WC Physical activity, obesity, and risk for colon cancer and adenoma in men. Ann Intern Med 122(5):327–334

    CAS  PubMed  Google Scholar 

  4. Haydon AM, Macinnis RJ, English DR, Giles GG (2006) Effect of physical activity and body size on survival after diagnosis with colorectal cancer. Gut 55:62–67

    Article  CAS  PubMed  Google Scholar 

  5. Meyerhardt JA, Niedzwiecki D, Hollis D et al (2007) Association of dietary patterns with cancer recurrence and survival in patients with stage III colon cancer. JAMA 298(7):754–764

    Article  CAS  PubMed  Google Scholar 

  6. Meyerhardt JA, Catalano PJ, Haller DG, Mayer RJ, Benson AB III, Macdonald JS, Fuchs CS (2003) Influence of body mass index on outcomes and treatment-related toxicity in patients with colon carcinoma. Cancer 98(3):484–495

    Article  PubMed  Google Scholar 

  7. Meyerhardt JA, Hesletine D, Niedzwiecki D et al (2005) The impact of physical activity on patients with stage III colon cancer: findings from Intergroup trial CALGB 89803. J Clin Oncol 23(16S):3534

    Google Scholar 

  8. Avenell A, Broon J, Brown TJ et al (2004) Systematic review of the long term effects and economic consequences of treatments for obesity and implications of health improvements. Health Technol Assess 8(21):1–455

    Google Scholar 

  9. Knowler WC, Barrett-Connor E, Fowler SE et al (2002) Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Eng J Med 346(6):393–403

    Article  CAS  Google Scholar 

  10. Tuomilehto J, Lindstrom J, Eriksson JG et al (2001) Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Eng J Med 344(18):1343–1350

    Article  CAS  Google Scholar 

  11. Torjesen JS, Birkeland KI, Anderssen KI et al (1997) Lifestyle changes may reverse development of the insulin resistance syndrome: the Oslo Diet and Exercise Study. Diabetes Care 20(1):26–31

    Article  CAS  PubMed  Google Scholar 

  12. Anderson AS, Ferguson CS, Barton KL, Steele RJC (2006) Implementing lifestyle interventions to reduce chronic disease risk: lessons from diabetes prevention trials. Proc Nutr Soc 65:55A

    Google Scholar 

  13. Campbell M, Fitzpatrick R, Haines A et al (2000) Framework for design and evaluation of complex interventions to improve health. BMJ 321:694–696

    Article  CAS  PubMed  Google Scholar 

  14. Roe L, Strong C, Whiteside C, Neil A, Mant D (1994) Dietary intervention in primary care: validity of the DINE method for diet assessment. Fam Pract 11:375–381

    Article  CAS  PubMed  Google Scholar 

  15. Bandura A (2006) Guide for constructing self-efficacy scales. http://www.des.emory.edu/mfp/self-efficacy2.html (revised)

  16. Ruta DA, Garratt AM, Leng M, Russell IT, MacDonald LM (1994) A new approach to measurement of quality of life. Med Care 3(11):1109–1126

    Article  Google Scholar 

  17. Ness AR, Khaw KT, Bingham S, Day NE (1998) Plasma Vitamin C: what does it measure? Pub Health Nutrition 2(1):51–54

    Google Scholar 

  18. Craig K (2007) Enjoy project. Evaluation of a lifestyle intervention programme for colorectal cancer patients in Tayside. MPH thesis, University of Dundee

  19. Anderson AS et al (2004) Evidence based dietary behaviour strategies to reduce cancer risk. In: Sancho-Garnier H (ed) Evidence-based cancer prevention strategies for NGOs. UICC, Geneva

    Google Scholar 

  20. Anderson AS (2000) How to implement dietary changes to prevent the development of metabolic syndrome. Br J Nutrition 83:S165–S168

    Article  CAS  Google Scholar 

  21. Miles MB, Huberman A (1994) Qualitative data analysis: an expanded sourcebook. Sage, Thousand Oaks

    Google Scholar 

  22. Pan X et al (1997) Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: the Da Qing IGT and Diabetes Study. Diabetes Care 20(4):537–544

    Article  CAS  PubMed  Google Scholar 

  23. Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M (2008) Developing and evaluating complex interventions: the new Medical Research Council guidance. Br Med J 337:1655

    Article  Google Scholar 

  24. Scottish Executive (2005) Scottish health survey 2003. http://www.scotland.gov.uk/Publications/2005/11/25145024/50251

  25. Hawe P, Shiell A, Riley T, Gold L (2004) Methods for exploring implementation variation and local context within a cluster randomised community intervention trial. J Epidemiol Community Health 58(9):788–793

    Article  PubMed  Google Scholar 

  26. Wells EM (2007) Behind the scenes of randomised trials of complex interventions: Insiders reveal the importance of context. Ph.D. Thesis, University of Dundee

Download references

Funding

The study was funded by a research grant from The World Cancer Research Fund International (WCRF).

Conflicts of interest

None

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Annie S. Anderson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Anderson, A.S., Caswell, S., Wells, M. et al. “It makes you feel so full of life” LiveWell, a feasibility study of a personalised lifestyle programme for colorectal cancer survivors. Support Care Cancer 18, 409–415 (2010). https://doi.org/10.1007/s00520-009-0677-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-009-0677-4

Keywords

Navigation