A randomized controlled trial of physical activity, dietary habit, and distress management with the Leadership and Coaching for Health (LEACH) program for disease-free cancer survivors

doi:10.1186/s12885-017-3290-9

Randomized Controlled Trial

. 2017 May 2;17(1):298.

doi: 10.1186/s12885-017-3290-9.

A randomized controlled trial of physical activity, dietary habit, and distress management with the Leadership and Coaching for Health (LEACH) program for disease-free cancer survivors

Young Ho Yun^{1

2}, Young Ae Kim³, Myung Kyung Lee⁴, Jin Ah Sim⁵, Byung-Ho Nam⁶, Sohee Kim⁶, Eun Sook Lee³, Dong-Young Noh⁷, Jae-Young Lim⁸, Sung Kim⁹, Si-Young Kim¹⁰, Chi-Heum Cho¹¹, Kyung Hae Jung¹², Mison Chun¹³, Soon Nam Lee¹⁴, Kyong Hwa Park¹⁵, Sohee Park¹⁶

Affiliations

¹ Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, South Korea. lawyun@snu.ac.kr.
² Cancer Research Institute, Seoul National University Hospital and College of Medicine, Seoul, South Korea. lawyun@snu.ac.kr.
³ Research Institute and Hospital, National Cancer Center, Goyang, South Korea.
⁴ College of Nursing, Kyungpook National University, Daegu, South Korea.
⁵ Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, South Korea.
⁶ Cancer Biostatistics Branch, Research Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, South Korea.
⁷ Cancer Research Institute, Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.
⁸ Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Bundang, South Korea.
⁹ Department of Surgery, Sungkyunkwan University School of Medicine, Seoul, South Korea.
¹⁰ Department of Internal Medicine, Kyung Hee University Hospital, Seoul, South Korea.
¹¹ Department of Obstetrics and Gynecology, Keimyung University School of Medicine, Daegu, South Korea.
¹² Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
¹³ Department of Radiation Oncology, Ajou University School of Medicine, Suwon, South Korea.
¹⁴ Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, South Korea.
¹⁵ Division of Medical Oncology, Department of Internal Medicine, Korea University College of Medicine, Seoul, South Korea.
¹⁶ Department of Epidemiology and Health Promotion, Yonsei University Graduate School of Public Health, Seoul, South Korea.

PMID: 28464804
PMCID: PMC5412037
DOI: 10.1186/s12885-017-3290-9

Randomized Controlled Trial

A randomized controlled trial of physical activity, dietary habit, and distress management with the Leadership and Coaching for Health (LEACH) program for disease-free cancer survivors

Young Ho Yun et al. BMC Cancer. 2017.

. 2017 May 2;17(1):298.

doi: 10.1186/s12885-017-3290-9.

Authors

Affiliations

¹ Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, South Korea. lawyun@snu.ac.kr.
² Cancer Research Institute, Seoul National University Hospital and College of Medicine, Seoul, South Korea. lawyun@snu.ac.kr.
³ Research Institute and Hospital, National Cancer Center, Goyang, South Korea.
⁴ College of Nursing, Kyungpook National University, Daegu, South Korea.
⁵ Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, South Korea.
⁶ Cancer Biostatistics Branch, Research Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, South Korea.
⁷ Cancer Research Institute, Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.
⁸ Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Bundang, South Korea.
⁹ Department of Surgery, Sungkyunkwan University School of Medicine, Seoul, South Korea.
¹⁰ Department of Internal Medicine, Kyung Hee University Hospital, Seoul, South Korea.
¹¹ Department of Obstetrics and Gynecology, Keimyung University School of Medicine, Daegu, South Korea.
¹² Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
¹³ Department of Radiation Oncology, Ajou University School of Medicine, Suwon, South Korea.
¹⁴ Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, South Korea.
¹⁵ Division of Medical Oncology, Department of Internal Medicine, Korea University College of Medicine, Seoul, South Korea.
¹⁶ Department of Epidemiology and Health Promotion, Yonsei University Graduate School of Public Health, Seoul, South Korea.

PMID: 28464804
PMCID: PMC5412037
DOI: 10.1186/s12885-017-3290-9

Abstract

Background: We aimed to evaluate the potential benefits of the Leadership and Coaching for Health (LEACH) program on physical activity (PA), dietary habits, and distress management in cancer survivors.

Methods: We randomly assigned 248 cancer survivors with an allocation ratio of two-to-one to the LEACH program (LP) group, coached by long-term survivors, or the usual care (UC) group. At baseline, 3, 6, and 12 months, we used PA scores, the intake of vegetables and fruits (VF), and the Post Traumatic Growth Inventory (PTGI) as primary outcomes and, for secondary outcomes, the Ten Rules for Highly Effective Health Behavior adhered to and quality of life (QOL), the Hospital Anxiety and Depression Scale (HADS), and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30).

Results: For primary outcomes, the two groups did not significantly differ in PA scores or VF intake but differed marginally in PTGI. For secondary outcomes, the LP group showed a significantly greater improvement in the HADS anxiety score, the social functioning score, and the appetite loss and financial difficulties scores of the EORTC QLQ-C30 scales from baseline to 3 months. From baseline to 12 months, the LP group showed a significantly greater decrease in the EORTC QLQ-C30 fatigue score and a significantly greater increase in the number of the Ten Rules for Highly Effective Health Behavior.

Conclusion: Our findings indicate that the LEACH program, coached by long-term survivors, can provide effective management of the QOL of cancer survivors but not of their PA or dietary habits.

Trial registration: Clinical trial information can be found for the following: NCT01527409 (the date when the trial was registered: February 2012).

Keywords: Balanced diet; Health coaching; Health partnership; Positive thinking; Regular exercise.

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Figures

**Fig. 1**
Flow diagram of participants: recruitment and eligibility screening, randomization, follow-up, and analyses

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References

1. Duk Hyoung Lee KP, Hyung Kook Y, Young Ae K, Eun Joo N. National Cancer Center: Ministry of Health and Welfare. 1st 2014. Cancer facts and figures 2014 in the Republic of Korea.
1. Parry C, Kent EE, Mariotto AB, Alfano CM, Rowland JH. Cancer survivors: a booming population. Cancer Epidemiol Biomarkers Prev. 2011;20(10):1996–2005. doi: 10.1158/1055-9965.EPI-11-0729. - DOI - PMC - PubMed
1. Yun YH, Sim JA, Jung JY, Noh DY, Lee ES, Kim YW, Oh JH, Ro JS, Park SY, Park SJ, et al. The association of self-leadership, health behaviors, and posttraumatic growth with health-related quality of life in patients with cancer. Psychooncology. 2014; - PubMed
1. Derogatis LR, Morrow GR, Fetting J, Penman D, Piasetsky S, Schmale AM, Henrichs M, Carnicke CL. The prevalence of psychiatric disorders among cancer patients. JAMA. 1983;249(6):751–757. doi: 10.1001/jama.1983.03330300035030. - DOI - PubMed
1. Pierce JP, Stefanick ML, Flatt SW, Natarajan L, Sternfeld B, Madlensky L, Al-Delaimy WK, Thomson CA, Kealey S, Hajek R. Greater survival after breast cancer in physically active women with high vegetable-fruit intake regardless of obesity. J Clin Oncol. 2007;25(17):2345–2351. doi: 10.1200/JCO.2006.08.6819. - DOI - PMC - PubMed

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[1] Duk Hyoung Lee KP, Hyung Kook Y, Young Ae K, Eun Joo N. National Cancer Center: Ministry of Health and Welfare. 1st 2014. Cancer facts and figures 2014 in the Republic of Korea.

[2] Duk Hyoung Lee KP, Hyung Kook Y, Young Ae K, Eun Joo N. National Cancer Center: Ministry of Health and Welfare. 1st 2014. Cancer facts and figures 2014 in the Republic of Korea.

[3] Parry C, Kent EE, Mariotto AB, Alfano CM, Rowland JH. Cancer survivors: a booming population. Cancer Epidemiol Biomarkers Prev. 2011;20(10):1996–2005. doi: 10.1158/1055-9965.EPI-11-0729. - DOI - PMC - PubMed

[4] Parry C, Kent EE, Mariotto AB, Alfano CM, Rowland JH. Cancer survivors: a booming population. Cancer Epidemiol Biomarkers Prev. 2011;20(10):1996–2005. doi: 10.1158/1055-9965.EPI-11-0729. - DOI - PMC - PubMed

[5] Yun YH, Sim JA, Jung JY, Noh DY, Lee ES, Kim YW, Oh JH, Ro JS, Park SY, Park SJ, et al. The association of self-leadership, health behaviors, and posttraumatic growth with health-related quality of life in patients with cancer. Psychooncology. 2014; - PubMed

[6] Yun YH, Sim JA, Jung JY, Noh DY, Lee ES, Kim YW, Oh JH, Ro JS, Park SY, Park SJ, et al. The association of self-leadership, health behaviors, and posttraumatic growth with health-related quality of life in patients with cancer. Psychooncology. 2014; - PubMed

[7] Derogatis LR, Morrow GR, Fetting J, Penman D, Piasetsky S, Schmale AM, Henrichs M, Carnicke CL. The prevalence of psychiatric disorders among cancer patients. JAMA. 1983;249(6):751–757. doi: 10.1001/jama.1983.03330300035030. - DOI - PubMed

[8] Derogatis LR, Morrow GR, Fetting J, Penman D, Piasetsky S, Schmale AM, Henrichs M, Carnicke CL. The prevalence of psychiatric disorders among cancer patients. JAMA. 1983;249(6):751–757. doi: 10.1001/jama.1983.03330300035030. - DOI - PubMed

[9] Pierce JP, Stefanick ML, Flatt SW, Natarajan L, Sternfeld B, Madlensky L, Al-Delaimy WK, Thomson CA, Kealey S, Hajek R. Greater survival after breast cancer in physically active women with high vegetable-fruit intake regardless of obesity. J Clin Oncol. 2007;25(17):2345–2351. doi: 10.1200/JCO.2006.08.6819. - DOI - PMC - PubMed

[10] Pierce JP, Stefanick ML, Flatt SW, Natarajan L, Sternfeld B, Madlensky L, Al-Delaimy WK, Thomson CA, Kealey S, Hajek R. Greater survival after breast cancer in physically active women with high vegetable-fruit intake regardless of obesity. J Clin Oncol. 2007;25(17):2345–2351. doi: 10.1200/JCO.2006.08.6819. - DOI - PMC - PubMed

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A randomized controlled trial of physical activity, dietary habit, and distress management with the Leadership and Coaching for Health (LEACH) program for disease-free cancer survivors

Affiliations

A randomized controlled trial of physical activity, dietary habit, and distress management with the Leadership and Coaching for Health (LEACH) program for disease-free cancer survivors

Authors

Affiliations

Abstract

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