Adaptation and study protocol for harvest for health together Arizona: A mentored community garden intervention for survivors of cancer

IF 1.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Contemporary Clinical Trials Communications Pub Date : 2024-03-28 DOI:10.1016/j.conctc.2024.101290
Meghan B. Skiba , Dylan Miller , Delaney B. Stratton , Caitlyn A. Hall , Sharon McKenna , Cindy K. Blair , Wendy Demark-Wahnefried
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Abstract

Background

Current health behavior recommendations for skin cancer prevention, treatment, and survivorship are the same for survivors of other cancers; they include eating a healthy diet, being physically active, maintaining a healthy weight, and minimizing ultraviolet (U.V.) exposure. Few interventions exist to support health behaviors beyond U.V. exposure. We adapted Harvest for Health, a home-based mentored gardening intervention for cancer survivors, for implementation in Arizona as a community-based intervention.

Methods

Stakeholder-informed adaptations for Harvest for Health Together Arizona (H4H2-AZ) included updating intervention materials to be relevant to the arid desert environment, emphasizing the importance of sun safety in cancer survivorship, and shifting from a home-based to a community-based delivery model. Participants will be enrolled in cohorts aligned with growing seasons (e.g., spring, monsoon, fall) and matched to an individual 30 ft2 community garden plot for two growing seasons (6 months). Original intervention components retained are: 1) Master Gardeners deliver the intervention providing one-to-one mentorship and 2) gardening materials and supplies provided. This pilot six-month single-arm intervention will determine feasibility, acceptability, and appropriateness of an evidence-based adapted mentored community gardening intervention for survivors of skin cancer as primary outcomes. Secondary outcomes are to explore the effects on cancer preventive health behaviors and health-related quality of life.

Discussion

This pilot single-arm intervention will determine feasibility, acceptability, and appropriateness of an evidence-based adapted mentored community gardening intervention for survivors of skin cancer. If successful, the intervention could be widely implemented throughout existing Master Gardener programs and community garden networks for survivors of other cancers.

Trial registration

ClinicalTrials.gov identifier: NCT05648604. Trial registered on December 13, 2022.

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亚利桑那州 "共同收获健康 "的调整和研究方案:针对癌症幸存者的指导性社区花园干预措施
背景目前针对皮肤癌预防、治疗和幸存者的健康行为建议与其他癌症幸存者相同,包括健康饮食、积极锻炼、保持健康体重以及尽量减少紫外线(U.V. )照射。除紫外线照射外,很少有干预措施来支持健康行为。我们对 "健康收获"(Harvest for Health)这一针对癌症幸存者的家庭指导性园艺干预措施进行了改编,以便在亚利桑那州以社区为基础实施干预措施。参与者将根据生长季节(如春季、季风季节、秋季)分批注册,并在两个生长季节(6 个月)内与一个 30 平方英尺的社区花园小区相匹配。保留的原始干预内容包括1) 园艺大师提供一对一指导;2) 提供园艺材料和用品。这项为期 6 个月的试验性单臂干预措施将确定以证据为基础的、针对皮肤癌幸存者的、经过指导的社区园艺干预措施的可行性、可接受性和适宜性,并将此作为主要结果。次要结果是探讨对癌症预防健康行为和与健康相关的生活质量的影响。讨论这项试验性单臂干预措施将确定为皮肤癌幸存者提供的基于证据的适应性指导社区园艺干预措施的可行性、可接受性和适宜性。如果成功,该干预措施可在现有的园丁大师计划和社区园艺网络中广泛实施,用于其他癌症的幸存者。试验注册ClinicalTrials.gov identifier:NCT05648604。试验注册日期:2022 年 12 月 13 日。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Contemporary Clinical Trials Communications
Contemporary Clinical Trials Communications Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
2.70
自引率
6.70%
发文量
146
审稿时长
20 weeks
期刊介绍: Contemporary Clinical Trials Communications is an international peer reviewed open access journal that publishes articles pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from a wide range of disciplines including medicine, life science, pharmaceutical science, biostatistics, epidemiology, computer science, management science, behavioral science, and bioethics. Contemporary Clinical Trials Communications is unique in that it is outside the confines of disease specifications, and it strives to increase the transparency of medical research and reduce publication bias by publishing scientifically valid original research findings irrespective of their perceived importance, significance or impact. Both randomized and non-randomized trials are within the scope of the Journal. Some common topics include trial design rationale and methods, operational methodologies and challenges, and positive and negative trial results. In addition to original research, the Journal also welcomes other types of communications including, but are not limited to, methodology reviews, perspectives and discussions. Through timely dissemination of advances in clinical trials, the goal of Contemporary Clinical Trials Communications is to serve as a platform to enhance the communication and collaboration within the global clinical trials community that ultimately advances this field of research for the benefit of patients.
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