Sage Journals: Discover world-class research

Abstract

Introduction

This study was a randomized controlled trial that examined the effects of a web-based expert support self-management program (WEST) on metabolic syndrome risk factors and self-efficacy among Korean women with breast cancer.

Methods

Participants were 60 women with breast cancer (30 participants each in both the experimental and control groups) who also had metabolic risk factors. WEST is based on the self-efficacy theory and is a self-health management program consisting of a web-based program, DIETEX (which entails keeping a health diary, identifying a lifestyle type, inputting personal health information), and expert support. WEST was provided to the experimental group once a week for 24 weeks. Metabolic syndrome risk factors and self-efficacy of the experimental and control groups were examined pre-intervention and at 12 and 24 weeks after intervention.

Results

The decreases in body fat, body fat percentage, and waist circumference were greater in the experimental group than in the control group at 24 weeks (p = 0.019, p = 0.025, and p = 0.038, respectively).

Discussion

The present study can provide basic data for the development and application of interventions for women with breast cancer in the future. Additionally, we propose that WEST be included in the treatment process to complement the intervention of medical personnel for improving metabolic risk factors in women with breast cancer.

Keywords

Breast cancer self-efficacy Internet self-management metabolic syndrome

Get full access to this article

View all access options for this article.

References

Bray

Ferlay

Soerjomataram

, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018; 68: 394–424.

Won

Jung

, et al. The Community of Population Registries. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2013. Cancer Res Treat 2016; 48: 436–450.

Noh

Song

Park

, et al. Metabolic factors and breast cancer risk in Korean women. Cancer Causes Control 2013; 24: 1061–1068.

National Cancer Institute. Cancer stat facts: female breast cancer, https://seer.cancer.gov/statfacts/html/breast.html (2015, accessed 10 November 2018).

Khan

Mant

Carpenter

, et al. Long-term health outcomes in a British cohort of breast, colorectal and prostate cancer survivors: a database study. Br J Cancer 2011; 105: S29–S37.

Tabrizi

FM.

Health promoting behavior and influencing factors in Iranian breast cancer survivors.

Asian Pac J Cancer Prev 2015; 16: 1729–1736.

Van Londen

Lembersky

BC.

Metabolic effects of hormone deprivation therapy: weighing the evidence. Breast Cancer 2010, https://www.cancernetwork.com/breast-cancer/metabolic-effects-hormone-deprivation-therapy-weighing-evidence

Brunzell

Davidson

Furberg

, et al. Lipoprotein management in patients with cardiometabolic risk: consensus statement from the American Diabetes Association and the American College of Cardiology Foundation. J Am Coll Cardiology 2008; 51: 1512–1524.

Grundy

Cleeman

Daniels

, et al. American Heart Association; National Heart, Lung, and Blood Institute, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation 2005; 112: 2735–2752.

10.

Dieli-Conwright

Mortimer

Schroeder

, et al. Randomized controlled trial to evaluate the effects of combined progressive exercise on metabolic syndrome in breast cancer survivors: rationale, design, and methods. BMC Cancer 2014; 14: 238.

11.

Irwin

Smith

McTiernan

, et al. Influence of pre- and postdiagnosis physical activity on mortality in breast cancer survivors: the health, eating, activity, and lifestyle study. J Clin Oncol 2008; 26: 3958.

12.

Webb

Joseph

Yardley

, et al. Using the internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. J Med Internet Res 2010; 12: e4.

13.

Kim

SI.

The effect of health risks and severity factors on decisional balance and perceived risk in internet health information users. J Korean Phys Soc 2007; 46: 1157.

14.

Bandura

Self-efficacy: toward a unifying theory of behavioral change.

Psychol Rev 1977; 84: 191.

15.

Bandura

. Self-efficacy: the exercise of control. New York: W. H. Freeman, 1997.

16.

Rottmann

Dalton

Christensen

, et al. Self-efficacy, adjustment style and well-being in breast cancer patients: a longitudinal study. Qual Life Res 2010; 19: 827–836.

17.

Akin

Can

Durna

, et al. The quality of life and self-efficacy of Turkish breast cancer patients undergoing chemotherapy. Eur J Oncol Nurs 2008; 12: 449–456.

18.

National Cholesterol Education Program Expert Panel on Detection Evaluation and Treatment of High Blood Cholesterol in Adults. Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation 2002; 106: 3143–3421.

19.

World Health Organization. Regional Office for the Western Pacific. The Asia-Pacific perspective: redefining obesity and its treatment. Information products. Sydney: Health Communications Australia, 2000.

20.

Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Follow-up report on the diagnosis of diabetes mellitus Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 2003; 26: 3160–3167.

21.

Kim

HS.

Autonomy-supportive, Web-based lifestyle modification for cardiometabolic risk in postmenopausal women: Randomized trial.

Nurs Health Sci 2017; 19: 509−517.

22.

Kim

YL.

Effects of a Web-based self -management program on the behavior and blood glucose levels of women with gestational diabetes mellitus. Telemed E-Health. E-pub ahead of print 23 July 2018. DOI: 10.1089/tmj.2017.0332.

23.

Korean Society for the Study of Obesity. Obesity treatment guideline 2012. Seoul: Korean Society for the Study of Obesity, 2012.

24.

World Cancer Research Fund International. Diet, nutrition, physical activity and breast cancer survivors, http://www.wcrf.org/sites/default/files/Breast-Cancer-Survivors-2014-Report.pdf (2014, accessed 14 January 2015).

25.

Schwarzer

Renner

Health-specific self-efficacy scales, http://userpage.fu-berlin.de/∼health/healself.pdf (2018, accessed 14 March 2015).

26.

Mefferd

Nichols

Pakiz

, et al. A cognitive behavioral therapy intervention to promote weight loss improves body composition and blood lipid profiles among overweight breast cancer survivors. Breast Cancer Res Treat 2006; 104: 145–152.

27.

Spark

Fjeldsoe

Eakin

, et al. Efficacy of a text message-delivered extended contact intervention on maintenance of weight loss, physical activity, and dietary behavior change. JMIR Mhealth Uhealth 2015; 3: e88.

28.

Quintiliani

Mann

Puputti

, et al. Pilot and feasibility test of a mobile health-supported behavioral counseling intervention for weight management among breast cancer survivors. JMIR Cancer 2016; 2: e4.

29.

Thomas

Alvarez-Reeves

, et al. Effect of exercise on metabolic syndrome variables in breast cancer survivors. Int J Endocrinol 2013; 2013: 1–8.

30.

Redig

Munshi

HG.

Care of the cancer survivor: metabolic syndrome after hormone-modifying therapy. Am J Med 2010; 123: e1–e6.

31.

Bell

Nguyen

, et al. Comparison of changes in the lipid profile of postmenopausal women with early stage breast cancer treated with exemestane or letrozole. J Clin Pharmacol 2012; 52: 1852–1860.

32.

Min

Park

Lim

, et al. A study on behaviors for preventing recurrence and quality of life in breast cancer survivors. J Korean Acad Nurs 2008; 38: 187–194.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.08 MB