1. 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.
- Author
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Qi, Yuan, Wang, Mengjie, Xue, Ya, Yue, Jingyan, Qi, Chunjian, Shang, Weihu, Meng, Weifen, Zhu, Wenyu, Pu, Xiaolin, Li, Dongqing, and Jiang, Hua
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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 - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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