Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
, 9 (4), 660-82

Telephone, Print, and Web-based Interventions for Physical Activity, Diet, and Weight Control Among Cancer Survivors: A Systematic Review

Affiliations
Review

Telephone, Print, and Web-based Interventions for Physical Activity, Diet, and Weight Control Among Cancer Survivors: A Systematic Review

Ana D Goode et al. J Cancer Surviv.

Abstract

Purpose: Broad-reach (non-face-to-face) modalities offer an accessible and cost-effective means to provide behavior change programs in diverse and growing cancer survivor populations. The purpose of this systematic review is to evaluate the efficacy of physical activity, dietary, and/or weight control interventions for cancer survivors in which telephone, short-message service, print, and/or Web is the primary method of delivery.

Methods: A structured search of PubMed, Embase, Web of Science, CINAHL, and CENTRAL (May 2013) was conducted. Included studies focused and reported on physical activity (PA) and dietary change and/or weight control in adult cancer survivors, delivered at least 50% of intervention contacts by broad-reach modality and included a control group. Study design, intervention features, and behavioral/weight outcomes were extracted, tabulated, and summarized.

Results: Twenty-seven studies were included; 22 telephone, three Web, and two print. Sixteen studies targeted PA, two diet, and nine targeted multiple behaviors. Most studies (18/27) targeted a single survivor group, namely breast cancer (n = 12). Nineteen of 27 studies found evidence for initiation of behavior change, with only eight reporting on maintenance and one on cost-effectiveness.

Conclusions: This review provides support for broad-reach modalities, particularly the telephone, in the delivery of lifestyle interventions to cancer survivors. Future research should evaluate (1) newer technologies (i.e., SMS and mobile phone applications), (2) interventions for diverse cancer survivors and those targeting multiple behaviors, (3) long-term outcomes, and 4) cost-effectiveness.

Implications for cancer survivors: Broad-reach lifestyle interventions are effective, with further research needed to evaluate their generalizability and integration into cancer care.

Keywords: Broad-reach; Cancer survivors; Diet; Physical activity; Telephone; Weight loss.

Similar articles

See all similar articles

Cited by 41 PubMed Central articles

See all "Cited by" articles

References

    1. Acta Oncol. 2011 Feb;50(2):167-78 - PubMed
    1. Health Psychol. 2013 Jun;32(6):616-26 - PubMed
    1. BMJ. 2012 Jan 30;344:e70 - PubMed
    1. Support Care Cancer. 2008 Nov;16(11):1279-89 - PubMed
    1. Eur J Cancer Care (Engl). 2003 Dec;12(4):347-57 - PubMed

LinkOut - more resources

Feedback