Rationale, development, and design of the Altering Intake, Managing Symptoms (AIMS) dietary intervention for bowel dysfunction in rectal cancer survivors
Final Accepted Manuscript
Crane, Tracy E.
Slack, Samantha D.
Krouse, Robert S.
Thomson, Cynthia A.
AffiliationUniv Arizona, Coll Nursing
Univ Arizona, Canc Ctr
Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth
Telephone behavior counseling
MetadataShow full item record
PublisherELSEVIER SCIENCE INC
CitationSun, 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.
JournalCONTEMPORARY CLINICAL TRIALS
Rights© 2018 Elsevier Inc. All rights reserved.
Collection InformationThis 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 firstname.lastname@example.org.
AbstractPurpose: 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.
Note12 month embargo; published online: 19 March 2018
VersionFinal accepted manuscript
SponsorsHope Foundation SEED Funds for SWOG Early Exploration and Development; National Cancer Institute (NCI) of the National Institutes of Health (NIH) [P30CA33572, P30CA023074]
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