Purpose: Evidence that lifestyle factors are associated with better outcomes in colorectal cancer (CRC)\nsurvivors highlights the need for behaviour change interventions. This study examined feasibility and\nacceptability, and provided an indication of behavioural impact, of a telephone-based, multimodal health\nbehaviour intervention for CRC survivors.\nMethod: Participants were recruited from five London hospitals. Patients (n �¼ 29) who had recently\ncompleted treatment for CRC participated in a 12 week intervention. Behavioural goals were to increase\nphysical activity (PA) and fruit and vegetable (F&V) intake, and reduce consumption of red/processed\nmeat and alcohol. Self-report measures of PA and diet were completed in all patients, supplemented by\nobjective measures in a sub-set.\nResults: Uptake of the study when patients were approached by a researcher was high (72%), compared\nwith 27% contacted by letter. Methods for identifying eligible patients were not optimal. Study\ncompletion rate was high (79%), and completers evaluated the intervention favourably. Significant improvements\nwere observed in objectively-measured activity (�¾70 min/week; p �¼ .004). Gains were seen\nin diet: �¾3 F&V portions a day (p < .001), 147 g of red meat a week (p �¼ .013), 0.83 portions of\nprocessed meat a week (p �¼ .002). Changes in serum vitamin levels were not statistically significant, but\nthe small sample size provides limited power. Clinically meaningful improvement in quality of life\n(p < .001) was observed.\nConclusion: An intervention combining print materials and telephone consultations was feasible and\nacceptable, and associated with improvements in PA, diet and quality of life.
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