Physical Activity and Sedentary Behavior in Older Gastrointestinal Cancer Survivors: Need and Acceptability of Digital Health Interventions

Sanders, Ashley B.; Conroy, David E.; Schmitz, Kathryn H.; Gusani, Niraj J.

doi:10.1007/s12029-018-0128-x

Cited by 4 publications

(4 citation statements)

References 29 publications

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“…This finding has to be taken into consideration when designing digital interventions. Similar results regarding the use of digital interventions in older patients were previously observed [ 38 ]. Nevertheless, older patients are not to be neglected in terms of the development of digital interventions as the aging population is expected to become increasingly accustomed to the use of smart technologies [ 39 ].…”

Section: Discussionsupporting

confidence: 88%

Needs and Requirements in the Designing of Mobile Interventions for Patients With Peripheral Arterial Disease: Questionnaire Study

Lortz¹,

Simanovski²,

Kuether³

et al. 2020

JMIR Form Res

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Background The development of mobile interventions for noncommunicable diseases has increased in recent years. However, there is a dearth of apps for patients with peripheral arterial disease (PAD), who frequently have an impaired ability to walk. Objective Using a patient-centered approach for the development of mobile interventions, we aim to describe the needs and requirements of patients with PAD regarding the overall care situation and the use of mobile interventions to perform supervised exercise therapy (SET). Methods A questionnaire survey was conducted in addition to a clinical examination at the vascular outpatient clinic of the West-German Heart and Vascular Center of the University Clinic Essen in Germany. Patients with diagnosed PAD were asked to answer questions on sociodemographic characteristics, PAD-related need for support, satisfaction with their health care situation, smartphone and app use, and requirements for the design of mobile interventions to support SET. Results Overall, a need for better support of patients with diagnosed PAD was identified. In total, 59.2% (n=180) expressed their desire for more support for their disease. Patients (n=304) had a mean age of 67 years and half of them (n=157, 51.6%) were smartphone users. We noted an interest in smartphone-supported SET, even for people who did not currently use a smartphone. “Information,” “feedback,” “choosing goals,” and “interaction with physicians and therapists” were rated the most relevant components of a potential app. Conclusions A need for the support of patients with PAD was determined. This was particularly evident with regard to disease literacy and the performance of SET. Based on a detailed description of patient characteristics, proposals for the design of mobile interventions adapted to the needs and requirements of patients can be derived.

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Section: Discussionsupporting

confidence: 88%

Needs and Requirements in the Designing of Mobile Interventions for Patients With Peripheral Arterial Disease: Questionnaire Study

Lortz¹,

Simanovski²,

Kuether³

et al. 2020

JMIR Form Res

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“…The range of attitudes, and the belief that DI should supplement traditional healthcare, are consistent with previous literature ( 40 , 49 , 50 , 54 ). Similarly, participants believed that DI is likely to benefit people with mild conditions ( 40 , 55 , 56 ), further suggesting that healthcare consumers want DI to complement the existing healthcare system rather than replace it.…”

Section: Discussionsupporting

confidence: 87%

“…Despite attitudes influencing the likelihood of using DI, surprisingly, little is known about the attitudes people hold. Attitudes about DI for physical health have rarely been studied, with few existing studies suggesting somewhat positive attitudes ( 49 , 50 ). Attitudes about DI for mental health have been more widely studied, perhaps as DI are more commonly used to support mental health.…”

Section: Introductionmentioning

confidence: 99%

Will they or won't they? Understanding New Zealand adults' attitudes towards using digital interventions

Wilson

Hayward²,

Donkin³

2023

Front. Digit. Health

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BackgroundDigital interventions deliver healthcare via the internet or smartphone application to support people's well-being and health. Yet uptake is relatively poor. Furthermore, several studies exploring attitudes towards digital interventions have found inconsistent attitudes. In addition to this, regional and cultural nuances may further influence attitudes to digital interventions.ObjectiveThis study aimed to understand New Zealand adults' attitudes towards digital interventions and their influences.ResultsA mixed-method design consisting of a cross-sectional survey and semi-structured interviews found that New Zealand adults hold varied and complex attitudes towards digital interventions. Attitudes were found to be influenced by group membership and the scenarios in which digital interventions are made available. In addition, beliefs about the benefits and concerns surrounding digital interventions, knowledge, perceived views of others, and previous experience and confidence influenced these attitudes.ConclusionsFindings indicated that digital interventions would be acceptable if offered as part of the healthcare service rather than a standalone intervention. Key modifiable factors that could positively influence attitudes were identified and could be leveraged to increase the perceived acceptability of digital interventions.

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“…Despite beneficial effects of exercise, adherence to physical exercise guidelines in people living with cancer remains low. It is reported that 12.4%–22% of cancer survivors meet the recommended level of physical activity (Hawkes et al., 2013; Sanders et al., 2018). Altogether, people living with cancer face challenges in maintaining optimal physical and psychological functioning and are at greater risk for reduced health‐related quality of life.…”

Section: Introductionmentioning

confidence: 99%

Associations among marijuana use, health‐related quality of life, exercise, depression and sleep in cancer survivors

Gilmer

Starkweather

et al. 2021

Journal of Advanced Nursing

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Aims To assess associations among cannabis use, health‐related quality of life, exercise, depression and sleep among a nationally representative sample of US adults living with cancer. Design A cross‐sectional correlational study. Methods We used survey data from the 2016–2018 Behavioral Risk Factor Surveillance System. Analyses were considered for sample weights and the complex designs. Logistic regression was performed to assess associations among cannabis use (0, 1–19, vs. 20–30 [frequent] days), health‐related quality of life (0–13 vs. ≥14 mentally or physically unhealthy days in the past 30 days; 0–13 vs. ≥14 functionally limited days), exercise, depression, and sleep after accounting for covariates. Reason for cannabis use (medical vs. non‐medical) was also assessed. Results Frequent users had significantly more physically unhealthy days (adjusted odds ratio [OR]: 1.79, 95% CI: 1.28–2.51, p < .01) and reported ≥ 14 mentally unhealthy days (adjusted OR: 2.43, 95% CI: 1.78–3.32, p < .001) and depression (adjusted OR: 2.65, 95% CI: 1.97–3.57, p < .001) compared with non‐users. A positive relationship between frequency of cannabis use and depression existed only among non‐medical cannabis users. Conclusion Cancer survivors using cannabis frequently (20 days+ in the past month) had poorer mental health‐related quality of life. The reason for cannabis use as well as frequency of use may be important considerations in predicting depression. Impact This is the first study that evaluates the associations among cannabis use, the purpose of cannabis use, HRQoL, exercise, depression and sleep in a nationally representative sample of US adults living with cancer. Frequent cannabis users are likely vulnerable to poorer mental health‐related quality of life and depression, and non‐medical cannabis use in frequent users was associated with depression. Given expanding medical cannabis legalization, these findings warrant further attention so that this information can be used by people living with cancer in decision‐making for symptom self‐management.

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Physical Activity and Sedentary Behavior in Older Gastrointestinal Cancer Survivors: Need and Acceptability of Digital Health Interventions

Cited by 4 publications

References 29 publications

Needs and Requirements in the Designing of Mobile Interventions for Patients With Peripheral Arterial Disease: Questionnaire Study

Needs and Requirements in the Designing of Mobile Interventions for Patients With Peripheral Arterial Disease: Questionnaire Study

Will they or won't they? Understanding New Zealand adults' attitudes towards using digital interventions

Associations among marijuana use, health‐related quality of life, exercise, depression and sleep in cancer survivors

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