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Rationale, development, and design of the Altering Intake, Managing Symptoms (AIMS) dietary intervention for bowel dysfunction in rectal cancer survivors
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Final Accepted Manuscript
Author
Sun, VirginiaCrane, Tracy E.
Slack, Samantha D.
Yung, Angela
Wright, Sarah
Sentovich, Stephen
Melstrom, Kurt
Fakih, Marwan
Krouse, Robert S.
Thomson, Cynthia A.
Affiliation
Univ Arizona, Coll NursingUniv Arizona, Canc Ctr
Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth
Issue Date
2018-05Keywords
Rectal cancerSurvivorship
Diet
Bowel dysfunction
Telephone behavior counseling
Symptom management
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ELSEVIER SCIENCE INCCitation
Sun, V., Crane, T. E., Slack, S. D., Yung, A., Wright, S., Sentovich, S., ... & Thomson, C. A. (2018). Rationale, development, and design of the Altering Intake, Managing Symptoms (AIMS) dietary intervention for bowel dysfunction in rectal cancer survivors. Contemporary clinical trials, 68, 61-66.Journal
CONTEMPORARY CLINICAL TRIALSRights
© 2018 Elsevier Inc. All rights reserved.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Purpose: Bowel dysfunction is a common, persistent long-term effect of treatment for rectal cancer survivors. Survivors often use dietary modifications to maintain bowel control. There are few evidence-based interventions to guide survivors on appropriate diet modifications for bowel symptom management. The purpose of this paper is to describe the development and design of the Altering Intake, Managing Symptoms (AIMS) intervention to support bowel dysfunction management in rectal cancer survivors. Methods: The AIMS intervention is a ten-session, telephone-based diet behavior change intervention delivered by trained health coaches. It uses dietary recall, participant-completed food and symptom diaries, and health coaching guided by motivational interviewing to promote bowel symptom management and improved diet quality. Based on the Chronic Care Self-Management Model (CCM), the AIMS Intervention is designed to improve self-efficacy and self-management of bowel symptoms by coaching survivors to appropriately modify their diets through goal setting, self-monitoring, and problem-solving. The intervention targets survivors with stage I-III rectosigmoid colon/rectum cancer who are 6 months post-treatment, 21 years and older, and English-speaking. Conclusions: The design and development process described in this paper provides an overview and underscores the potential of the AIMS intervention to positively impact the quality of long-term survivorship for rectal cancer survivors. An ongoing pilot study will inform the design and development of future multi-site Phase II and III randomized trials.Note
12 month embargo; published online: 19 March 2018ISSN
15517144PubMed ID
29567283Version
Final accepted manuscriptSponsors
Hope Foundation SEED Funds for SWOG Early Exploration and Development; National Cancer Institute (NCI) of the National Institutes of Health (NIH) [P30CA33572, P30CA023074]Additional Links
http://linkinghub.elsevier.com/retrieve/pii/S1551714417306845ae974a485f413a2113503eed53cd6c53
10.1016/j.cct.2018.03.010
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