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The Effects of Utilizing Smartphone Application Peer Support on Health Behavior and Body Mass Index among Breast Cancer Survivors
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Gaeun Park, Haejung Lee, Hyun Yul Kim
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J Korean Acad Nurs 2019;49(5):550-561. Published online January 15, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.5.550
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 Abstract
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- Abstract
Purpose
This study aimed to identify the effects of utilizing Smartphone Application Peer Support (SAPS) on health behavior and body mass index (BMI) among overweight or obese breast cancer survivors (BCS).
Methods
A nonequivalent control group with a non-synchronized design was utilized and 36 participants (experimental group 14, control group 22) were recruited from August 2017 to September 2018. Participants were 40~65 years old, overweight or obese, had completed primary cancer treatment within the 12 months prior to the study, and had not done regular exercise during the last 6 months. The 3-month SAPS consisted of exercise and diet education (once p/2 weeks), peer support (once p/week), and self-monitoring using smartphone applications (5 times p/week). All participants underwent assessments at baseline, right after SAPS, and at 3 months after SAPS. Data were analyzed using repeated measures ANOVA.
Results
At the completion of SAPS significant differences were found between groups in motivation for exercise (t=-3.24, p=.005), physical activity (t=-4.15, p<.001), total calorie intake (t=3.42, p=.002), calories from fat (t=-3.01, p=.005), intake of vegetables (t=-2.83, p=.008), and BMI (t=5.21, p<.001). Significant differences in BMI (t=4.13, p<.001) remained up to 3 months after SAPS completion. No significant differences was shown between groups in self-efficacy for exercise, either immediately after or 3 months after SAPS.
Conclusion
The SAPS has the potential to improve motivation for exercise, health behavior, and BMI of BCS. However, special efforts are required to encourage participants to complete the intervention and maintain long-term effects for future trials.
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Citations
Citations to this article as recorded by  - Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial
Suyoun Maeng, Jungok Yu
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Gustavo Adolfo Pimentel-Parra, M. Nelia Soto-Ruiz, Leticia San Martín-Rodríguez, Paula Escalada-Hernández, Cristina García-Vivar
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Jae Woo Oh, Ji Eun Kim
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Bok Yae Chung, Sung Jung Hong
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 95. CrossRef - The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
Su-Jin Seo, Ju-Hee Nho, Youngsam Park
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Siew Lim, Wai Kit Lee, Andy Tan, Mingling Chen, Chau Thien Tay, Surbhi Sood, Stephanie Pirotta, Lisa J. Moran, Meena Daivadanam, Ljoudmila Busija, Helen Skouteris, Mamaru A. Awoke, Briony Hill
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Ji Hee Choi, Seon-Joo Park, Hee Kwon, Hae-Jeung Lee
Journal of Nutrition and Health.2020; 53(1): 83. CrossRef
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