The SMILE scale: a wellness behavioral tool for patients with cancer.

IF 3.3 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES Quality of Life Research Pub Date : 2024-12-01 Epub Date: 2024-09-04 DOI:10.1007/s11136-024-03781-2

Laura B Vater, Ali Ajrouch, Patrick O Monahan, Laura Jennewein, Yan Han, Ahmad Karkash, Nasser H Hanna

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Abstract

Purpose: As cancer survivorship increases, there is a need for simple tools to measure and promote healthy behaviors. We created a wellness behavioral tool (the SMILE Scale) to encourage self-monitoring of wellness behaviors. This study aimed to determine the feasibility of collecting daily self-reported SMILE Scale data and weekly quality of life data among patients with cancer. We also aimed to measure the association between SMILE Scale responses and validated health-related quality of life (HRQOL) tools (PROMIS-29 + 2 and SymTrak-8) as a pilot test of the hypothesis that increased wellness behaviors may impact quality of life.

Methods: We surveyed 100 patients with cancer at the Indiana University Simon Comprehensive Cancer Center. Participants were asked to complete daily SMILE Scale assessments over a two-week period, as well as weekly PROMIS-29 + 2 and SymTrak-8 surveys. The primary endpoint was the SMILE Scale completion rate. Secondary endpoints in this single-arm pilot study included correlations between the SMILE Scale and other HRQOL tools.

Results: Daily completion rate of the SMILE Scale ranged from 57% to 65% of participants over a 14-day period. Among the 61% of participants who completed SMILE on day 1, 87% completed SMILE on 10 of 14 days. By end of study, participants who self-reported more wellness behaviors (i.e., higher daily SMILE scores) demonstrated significantly higher PROMIS physical health (p = 0.003), higher PROMIS mental health (p = 0.008), and lower (better) SymTrak total symptom burden (p = 0.006). Further, among those who completed at least 1 of 14 daily SMILE assessments, quality of life significantly improved over the two-week period for PROMIS mental health (p = 0.018) and SymTrak total symptom burden (p = 0.014).

Conclusion: The SMILE Scale completion rate did not satisfy our pre-planned ≥70% threshold for feasibility; however, the rate for completing SMILE at least once during the 14 days (77%) met this threshold. Participants with higher average daily SMILE scores had significantly better scores across other validated HRQOL tools. While these results may be correlative and not causative, this suggests a potential physical and mental health benefit for delivering the SMILE Scale in clinical practice to help encourage healthy behaviors and warrants testing the SMILE Scale's impact in future studies.

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SMILE 量表：癌症患者的健康行为工具。

目的：随着癌症幸存者人数的增加，需要一些简单的工具来衡量和促进健康行为。我们创建了一种健康行为工具（SMILE 量表），以鼓励自我监测健康行为。本研究旨在确定收集癌症患者每日自我报告的 SMILE 量表数据和每周生活质量数据的可行性。我们还旨在测量SMILE量表反应与已验证的健康相关生活质量（HRQOL）工具（PROMIS-29 + 2和SymTrak-8）之间的关联，作为对增加健康行为可能影响生活质量这一假设的试点测试：我们对印第安纳大学西蒙综合癌症中心的 100 名癌症患者进行了调查。要求参与者在两周内完成每日SMILE量表评估，以及每周PROMIS-29 + 2和SymTrak-8调查。主要终点是SMILE量表完成率。这项单臂试验研究的次要终点包括SMILE量表与其他HRQOL工具之间的相关性：14天内，SMILE量表的每日完成率从57%到65%不等。在第 1 天完成 SMILE 的 61% 的参与者中，87% 的参与者在 14 天中的 10 天完成了 SMILE。研究结束时，自我报告健康行为较多（即每日 SMILE 分数较高）的参与者的 PROMIS 身体健康状况（p = 0.003）、PROMIS 心理健康状况（p = 0.008）和 SymTrak 总症状负担（p = 0.006）均显著提高。此外，在 14 项每日 SMILE 评估中至少完成一项评估的患者中，PROMIS 心理健康（p = 0.018）和 SymTrak 总症状负担（p = 0.014）的生活质量在两周内显著改善：SMILE量表的完成率没有达到我们预先计划的≥70%的可行性阈值；但是，在14天内至少完成一次SMILE的比率（77%）达到了这一阈值。每日 SMILE 平均得分较高的参与者在其他已验证的 HRQOL 工具中的得分明显较高。虽然这些结果可能是相关的，而不是因果关系，但这表明在临床实践中提供SMILE量表有助于鼓励健康行为，对身心健康有潜在的益处，因此有必要在未来的研究中测试SMILE量表的影响。

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

Quality of Life Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

8.60%

发文量

224

审稿时长

3-8 weeks

期刊介绍： Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.