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Review
. 2023 Jun 26:9:20552076231182805.
doi: 10.1177/20552076231182805. eCollection 2023 Jan-Dec.

Using the TIDieR checklist to describe development and integration of a web-based intervention promoting healthy eating and regular exercise among older cancer survivors

Laura Q Rogers  1   2 , Dori Pekmezi  2   3 , Yu-Mei Schoenberger-Godwin  1   2 , Kevin R Fontaine  2   3 , Nataliya V Ivankova  4 , Amber W Kinsey  1 , Teri Hoenemeyer  5 , Michelle Y Martin  6 , Maria Pisu  1   2 , David Farrell  7 , Jonathan Wall  7 , Kaitlyn Waugaman  1 , Robert A Oster  1   2 , Kelly Kenzik  8 , Kerri Winters-Stone  9 , Wendy Demark-Wahnefried  2   5
Affiliations
Review

Using the TIDieR checklist to describe development and integration of a web-based intervention promoting healthy eating and regular exercise among older cancer survivors

Laura Q Rogers et al. Digit Health. .

Abstract

Objective: To facilitate replication and future intervention design of web-based multibehavior lifestyle interventions, we describe the rationale, development, and content of the AiM, Plan, and act on LIFestYles (AMPLIFY) Survivor Health intervention which provides healthy eating and exercise behavior change support for older cancer survivors. The intervention promotes weight loss, improvements in diet quality, and meeting exercise recommendations.

Methods: The Template for Intervention Description and Replication (TIDieR) checklist was used to provide a comprehensive description of the AMPLIFY intervention, consistent with CONSORT recommendations.

Results: A social cognitive theory web-based intervention founded on the core components of efficacious print and in-person interventions was conceptualized and developed through an iterative collaboration involving cancer survivors, web design experts, and a multidisciplinary investigative team. The intervention includes the AMPLIFY website, text and/or email messaging, and a private Facebook group. The website consists of: (1) Sessions (weekly interactive e-learning tutorials); (2) My Progress (logging current behavior, receiving feedback, setting goals); (3) Tools (additional information and resources); (4) Support (social support resources, frequently asked questions); and (5) Home page. Algorithms were used to generate fresh content daily and weekly, tailor information, and personalize goal recommendations. An a priori rubric was used to facilitate intervention delivery as healthy eating only (24 weeks), exercise only (24 weeks), or both behaviors concurrently over 48 weeks.

Conclusions: Our TIDieR-guided AMPLIFY description provides pragmatic information helpful for researchers designing multibehavior web-based interventions and enhances potential opportunities to improve such interventions.

Keywords: Physical activity; behavior change; eHealth; neoplasm; nutrition; oncology; survivorship; technology.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Schematic representation of the AMPLIFY website describing contents of each website section; dashed arrows indicate section connections that improve website navigation; solid arrows indicate data connections that tailor (or individualize) information seen by the participant (e.g. profile information used to tailor Home page cancer survivor story to cancer coping type, My Progress red meat and alcohol recommendations tailored to gender, and Tools to cancer type and side effects; My Progress information is used to tailor e-learning tutorial messaging to tracking behavior; Sessions section is used to tailor My Progress options (e.g. hide request to track red meat if a vegetarian) and Tools to most appropriate weekly session); email/SMS reminder messages and Facebook groups are nonwebsite elements that coordinate and track with intervention progress (e.g. messages are consistent with the weekly session topic).
Figure 2.
Figure 2.
My Progress tracking screen for the AMPLIFY diet module.
Figure 3.
Figure 3.
My Progress tracking screen for the AMPLIFY exercise module.
Figure 4.
Figure 4.
Home page for the AMPLIFY diet module.
Figure 5.
Figure 5.
Home page for the AMPLIFY exercise module.
Figure 6.
Figure 6.
Participant flow from shipping of intervention materials to accessing session 1 of the AMPLIFY intervention (process begins after randomization).
See this image and copyright information in PMC

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References

    1. Miller KD, Nogueira L, Mariotto AB, et al.Cancer treatment and survivorship statistics, 2019. CA Cancer J Clin 2019; 69: 363–385. - PubMed
    1. Jeong SM, Park SM. Care for breast cancer survivors. Adv Exp Med Biol 2021; 1187: 511–524. - PubMed
    1. Muhandiramge J, Orchard S, Haydon A, et al.The acceleration of ageing in older patients with cancer. J Geriatr Oncol 2021; 12: 343–351. - PubMed
    1. Demark-Wahnefried W, Morey MC, Sloane R, et al.Promoting healthy lifestyles in older cancer survivors to improve health and preserve function. J Am Geriatr Soc 2009; 57: S262–S264. - PMC - PubMed
    1. Demark-Wahnefried W, Rogers LQ, Alfano CM, et al.Practical clinical interventions for diet, physical activity, and weight control in cancer survivors. CA Cancer J Clin 2015; 65: 167–189. - PubMed

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