Development of a multigenerational digital lifestyle intervention for women cancer survivors and their families

• DOI: 10.1002/pon.5236
• Publication Date: 2019-10-10T20:54:55Z
• Authors: Sara M. St. George; Blanca Noriega Es...; Yaray Agosto; Marissa Kobayashi; Rafael Leite; Dario Vanegas; Alejandra T. Perez; Carmen Calfa; Matthew Schlumbrecht; Joyce Slingerland; Frank J. Penedo
• Keywords: Weight management

Abstract Objectives This paper presents the results of a study developed to inform design multigenerational digital lifestyle intervention for overweight/obese women cancer survivors and their families. We followed first six phases Integrate, Design, Assess, Share (IDEAS) framework. Methods Grandmothers with breast, endometrial, or ovarian cancers (n = 46; 66.1 ± 0.9 years old; 34% Hispanic, 33% non‐Hispanic black, white) self‐reported behaviors, family structure, mobile device use, interest in family‐based intervention. A randomly selected subset 21 participants subsequently completed qualitative interviews understand relationships, weight‐related challenges, feedback on prototypes. Results Participants reported low fruit intake (0.9 0.1 servings/day), moderate vegetable (3.0 0.2 high levels physical activity (990 234 MET‐minutes/week). The majority owned smartphone (93%) expressed programs (80%) that focused weight management (91%). Qualitative data were collapsed into seven considerations, including: capitalizing existing familial support, involving local who need change, tapping survivors' internal strengths, validating prior loss, overcoming barriers sustained providing information risk, motivating families through reinforcing activities. Conclusions Following IDEAS framework, our next steps are develop fully‐functioning prototype conduct randomized pilot trial test feasibility effects empowers racially/ethnically diverse improve dietary lose by encouraging healthy behaviors children grandchildren.