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Lundi : 8h-18h30
Mardi : 8h-17h30
Mercredi 9h-16h30
Jeudi : 8h-18h30
Vendredi : 8h30-12h30 et 13h-14h30
Attention,
Votre centre de documentation sera fermé ce lundi 26 août.
Également, ce mercredi 28 août il sera fermé de 12 à 13h.
Enfin, ce jeudi 29 août il ouvrira à 14h45.
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Détail de l'auteur
Auteur Manuel Arroyo-Morales |
Documents disponibles écrits par cet auteur
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Mobile health and supervised rehabilitation versus mobile health alone in breast cancer survivors : Randomized controlled trial / Mario Lozano-Lozano in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)
[article]
Titre : Mobile health and supervised rehabilitation versus mobile health alone in breast cancer survivors : Randomized controlled trial Type de document : texte imprimé Auteurs : Mario Lozano-Lozano ; Lydia Martin-Martin ; Noelia Galiano-Castillo ; Carolina Fernandez-Lao ; Irene Cantarero-Villanueva ; Isabel B. Lopez-Barajas ; Manuel Arroyo-Morales Année de publication : 2020 Article en page(s) : p. 316-324 Note générale : doi.org/10.1016/j.rehab.2019.07.007 Langues : Anglais (eng) Mots-clés : Breast cancer Integral strategy Rehabilitation mHealth Occupational therapy Résumé : Background
Survival rates in cancer are increasing exponentially, with a corresponding increase/influence in disability-adjusted life-years. Efforts should be made to explore the optimal balance between unsupervised/distance-based and supervised/onsite approaches to cancer care.
Objective
This study aimed to compare the clinical efficacy of the BENECA mobile Health (mHealth) lifestyle application combined with a supervised rehabilitation program (BENECA and supervised rehabilitation) versus the BENECA mHealth lifestyle application alone on quality of life (QoL) and functional outcomes of breast cancer survivors.
Methods
This randomized controlled trial included 80 survivors of breast cancer diagnosed at stage I–IIIA, who completed adjuvant therapy and were overweight or obese at diagnosis. Participants were randomly allocated (ratio 1:1, 3 waves) to BENECA mHealth and rehabilitation for 2 months (n = 40) or BENECA mHealth and usual care (BENECA mHealth alone; n = 40). Participants completed a questionnaire at baseline (T1), 8-weeks post-intervention (T2) and 6-month follow-up (T3). The primary outcome was QoL assessed with the EORT QLQ-C30. Secondary outcomes included upper-limb functionality and body composition. Statistical (between-group analyses of covariance) and clinical effects were analyzed by intention to treat.
Results
Both groups showed improved outcomes, but global QoL was significantly better with BENECA mHealth and rehabilitation than BENECA mHealth alone (mean difference, 12.76; 95% confidence interval 4.85; 20.67; P = 0.004), with a moderate-to-large effect size (d = 72). The proportion of participants reporting reliable clinical improvement on global QoL at T2 was higher with BENECA mHealth and rehabilitation than BENECA mHealth alone (57.5% vs 26.3%, P = 0.008). Improvement in subjective and objective upper-limb functionality was also higher with BENECA mHealth and rehabilitation.
Conclusions
The BENECA mHealth lifestyle application with a supervised rehabilitation program had a statistically and clinically significant effect on QoL and upper-limb functionality in breast cancer survivors and is a unique and important promising new approach.Permalink : ./index.php?lvl=notice_display&id=90877
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 316-324[article] Mobile health and supervised rehabilitation versus mobile health alone in breast cancer survivors : Randomized controlled trial [texte imprimé] / Mario Lozano-Lozano ; Lydia Martin-Martin ; Noelia Galiano-Castillo ; Carolina Fernandez-Lao ; Irene Cantarero-Villanueva ; Isabel B. Lopez-Barajas ; Manuel Arroyo-Morales . - 2020 . - p. 316-324.
doi.org/10.1016/j.rehab.2019.07.007
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 316-324
Mots-clés : Breast cancer Integral strategy Rehabilitation mHealth Occupational therapy Résumé : Background
Survival rates in cancer are increasing exponentially, with a corresponding increase/influence in disability-adjusted life-years. Efforts should be made to explore the optimal balance between unsupervised/distance-based and supervised/onsite approaches to cancer care.
Objective
This study aimed to compare the clinical efficacy of the BENECA mobile Health (mHealth) lifestyle application combined with a supervised rehabilitation program (BENECA and supervised rehabilitation) versus the BENECA mHealth lifestyle application alone on quality of life (QoL) and functional outcomes of breast cancer survivors.
Methods
This randomized controlled trial included 80 survivors of breast cancer diagnosed at stage I–IIIA, who completed adjuvant therapy and were overweight or obese at diagnosis. Participants were randomly allocated (ratio 1:1, 3 waves) to BENECA mHealth and rehabilitation for 2 months (n = 40) or BENECA mHealth and usual care (BENECA mHealth alone; n = 40). Participants completed a questionnaire at baseline (T1), 8-weeks post-intervention (T2) and 6-month follow-up (T3). The primary outcome was QoL assessed with the EORT QLQ-C30. Secondary outcomes included upper-limb functionality and body composition. Statistical (between-group analyses of covariance) and clinical effects were analyzed by intention to treat.
Results
Both groups showed improved outcomes, but global QoL was significantly better with BENECA mHealth and rehabilitation than BENECA mHealth alone (mean difference, 12.76; 95% confidence interval 4.85; 20.67; P = 0.004), with a moderate-to-large effect size (d = 72). The proportion of participants reporting reliable clinical improvement on global QoL at T2 was higher with BENECA mHealth and rehabilitation than BENECA mHealth alone (57.5% vs 26.3%, P = 0.008). Improvement in subjective and objective upper-limb functionality was also higher with BENECA mHealth and rehabilitation.
Conclusions
The BENECA mHealth lifestyle application with a supervised rehabilitation program had a statistically and clinically significant effect on QoL and upper-limb functionality in breast cancer survivors and is a unique and important promising new approach.Permalink : ./index.php?lvl=notice_display&id=90877 Exemplaires (1)
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