Development of tele-lifestyle-based multidisciplinary survivorship program for gynecologic oncology practice.

IF 4.2 2区医学 Q1 ONCOLOGY Oncologist Pub Date : 2025-03-10 DOI:10.1093/oncolo/oyaf033

Nathalie D McKenzie, Nnamdi I Gwacham, Julie W Pepe, Sarfraz Ahmad, James E Kendrick, Robert W Holloway

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Abstract

We assessed the recruitment and retention of a short 8-week telemedicine-based group peri-habilitation program for gynecologic cancer survivors. Multidisciplinary team included: a gynecologic oncologist with additional board certification by the American College of Lifestyle Medicine, cancer-specific nutritionist, culinary medicine chef, physical therapist, exercise physiologists, mental health counselor, body image aesthetician, pelvic floor therapist, and sex therapist. Pre- and post-self-administered questionnaires assessed conformity to lifestyle medicine pillars and a general medical symptom questionnaire (MSQ). Recruitment was suboptimal (11.7%). Neither provider referrals nor flyers sufficiently directed patients to the program, but those that completed the program expressed meaningful impact on lifestyle behavioral change and improved quality-of-life across multiple parameters including MSQ (40.0 vs 20.75) and 85% participants reported compliance with recommendations. This pilot program suggests that a multidisciplinary tele-lifestyle-based survivorship program beyond just diet and exercise to improve quality-of-life in gynecologic cancer survivors, though novel and well received, needs physician buy-in and enhanced marketing strategies.

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基于远程生活方式的妇科肿瘤学多学科生存计划的发展。

我们评估了一个针对妇科癌症幸存者的为期8周的基于远程医疗的小组围康复项目的招募和保留情况。多学科团队包括：一位获得美国生活方式医学学院额外认证的妇科肿瘤学家、癌症特定营养学家、烹饪医学厨师、物理治疗师、运动生理学家、心理健康顾问、身体形象美学家、盆底治疗师和性治疗师。自我管理前和自我管理后的问卷评估了生活方式医学支柱和一般医学症状问卷（MSQ）的符合性。招聘不理想（11.7%）。医生推荐和传单都不能充分引导患者参与该计划，但那些完成该计划的患者在生活方式行为改变和生活质量改善方面表现出有意义的影响，包括MSQ (40.0 vs 20.75)， 85%的参与者报告了建议的依从性。这个试点项目表明，一个基于多学科远程生活方式的幸存者项目，不仅仅是饮食和锻炼，以提高妇科癌症幸存者的生活质量，尽管新颖且广受欢迎，但需要医生的支持和加强的营销策略。

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来源期刊

Oncologist 医学-肿瘤学

CiteScore

10.40

自引率

3.40%

发文量

309

审稿时长

3-8 weeks

期刊介绍： The Oncologist® is dedicated to translating the latest research developments into the best multidimensional care for cancer patients. Thus, The Oncologist is committed to helping physicians excel in this ever-expanding environment through the publication of timely reviews, original studies, and commentaries on important developments. We believe that the practice of oncology requires both an understanding of a range of disciplines encompassing basic science related to cancer, translational research, and clinical practice, but also the socioeconomic and psychosocial factors that determine access to care and quality of life and function following cancer treatment.