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- Title
Feasibility of an exercise-nutrition-psychology integrated rehabilitation model based on mobile health and virtual reality for cancer patients: a single-center, single-arm, prospective phase II study.
- Authors
Qi, Yuan; Wang, Mengjie; Xue, Ya; Yue, Jingyan; Qi, Chunjian; Shang, Weihu; Meng, Weifen; Zhu, Wenyu; Pu, Xiaolin; Li, Dongqing; Jiang, Hua
- Abstract
Objective: Explore the feasibility of a mobile health(mHealth) and virtual reality (VR) based nutrition-exercise-psychology integrated rehabilitation model in Chinese cancer patients. Methods: We recruited cancer patients in the Oncology department of the Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University from October 2022 to April 2023. The rehabilitation program was provided by a team of medical oncologists, dietitians, psychotherapists, and oncology specialist nurses. Participants received standard anti-cancer therapy and integrated intervention including hospitalized group-based exercise classes, at-home physical activity prescription, behavior change education, oral nutrition supplements, and psychological counseling. An effective intervention course includes two consecutive hospitalization and two periods of home-based rehabilitation (8 weeks). Access the feasibility as well as changes in aspects of physical, nutritional, and psychological status. Results: At the cutoff date of April 2023, the recruitment rate was 75% (123/165). 11.4%patients were lost to follow-up, and 3.25% withdrew halfway. Respectively, the completion rate of nutrition, exercise, and psychology were 85%,55%, and 63%. Nutrition interventions show the highest compliance. The parameters in nutrition, psychology, muscle mass, and quality of life after the rehabilitation showed significant improvements (P <.05). There was no significant statistical difference (P >.05) in handgrip strength and 6-minute walking speed. Conclusion: It is feasible to conduct mHealth and VR-based nutrition-exercise-psychology integrated rehabilitation model in Chinese cancer patients. A larger multi-center trial is warranted in the future. Trial registration: ChiCTR2200065748 Registered 14 November 2022.
- Subjects
CHINA; EXERCISE physiology; PSYCHOTHERAPY; PATIENT compliance; MENTAL health; ACADEMIC medical centers; RESEARCH funding; CLINICAL trials; DESCRIPTIVE statistics; VIRTUAL reality; TELEMEDICINE; LONGITUDINAL method; QUALITY of life; CANCER patient psychology; COUNSELING; WALKING speed; NUTRITION; CANCER patient rehabilitation; INTEGRATED health care delivery
- Publication
BMC Palliative Care, 2024, Vol 23, Issue 1, p1
- ISSN
1472-684X
- Publication type
Article
- DOI
10.1186/s12904-024-01487-3