TY - JOUR
T1 - Multidisciplinary lifestyle modification program (IM-FIT) for cancer survivors
T2 - implementation of a reimbursable model in a cancer hospital
AU - Christie, Aimee J.
AU - Powers-James, Catherine
AU - Narayanan, Santhosshi
AU - Chen, Minxing
AU - Eddy, Carol
AU - Gomez, Telma
AU - Crawford, Karla
AU - Cohen, Lorenzo
AU - Lopez, Gabriel
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2021/12
Y1 - 2021/12
N2 - Purpose: We examined the initial effects of a real-world application of a multimodal, reimbursable program to improve lifestyle and promote healthy weight loss in cancer survivors as part of their care. Methods: The lifestyle program (Integrative Medicine Fitness Program; IM-FIT) focusing on increasing physical activity and strength training, improving nutrition, and facilitating stress management and behavior change was delivered in a group format over 12 weeks. Patients met weekly with a physical therapist, dietitian, and psychologist. Body composition and behavioral data were collected at the start and end of 12 weeks, as well as fitness, nutrition, and psychological data. The first cohort started in September 2017, and the last cohort ended in August 2019. Results: Twenty-six patients (92% female; mean age = 62.7, SD = 9) completed the program, which was pre-approved and covered as in-network by their health insurance. Patients lost an average of 3.9% of their body weight (SD = − 2.2). There was a significant reduction in white bread and desserts and increase in legumes and non-dairy milk. Time spent in vigorous exercise (p <.001), strength training (p <.001), and total exercise (p <.001) significantly increased. Patients reported reduction in depression (7.76 to 4.29; p =.01), anxiety (6.14 to 3.29; p <.01), and overall distress (4.70 to 3.40; p <.01). Conclusion: We demonstrated that a multi-disciplinary weight loss program can be tailored to cancer survivors leading to weight reduction and improvements in lifestyle factors and mental health. This program showed successful real-world implementation with insurance reimbursement.
AB - Purpose: We examined the initial effects of a real-world application of a multimodal, reimbursable program to improve lifestyle and promote healthy weight loss in cancer survivors as part of their care. Methods: The lifestyle program (Integrative Medicine Fitness Program; IM-FIT) focusing on increasing physical activity and strength training, improving nutrition, and facilitating stress management and behavior change was delivered in a group format over 12 weeks. Patients met weekly with a physical therapist, dietitian, and psychologist. Body composition and behavioral data were collected at the start and end of 12 weeks, as well as fitness, nutrition, and psychological data. The first cohort started in September 2017, and the last cohort ended in August 2019. Results: Twenty-six patients (92% female; mean age = 62.7, SD = 9) completed the program, which was pre-approved and covered as in-network by their health insurance. Patients lost an average of 3.9% of their body weight (SD = − 2.2). There was a significant reduction in white bread and desserts and increase in legumes and non-dairy milk. Time spent in vigorous exercise (p <.001), strength training (p <.001), and total exercise (p <.001) significantly increased. Patients reported reduction in depression (7.76 to 4.29; p =.01), anxiety (6.14 to 3.29; p <.01), and overall distress (4.70 to 3.40; p <.01). Conclusion: We demonstrated that a multi-disciplinary weight loss program can be tailored to cancer survivors leading to weight reduction and improvements in lifestyle factors and mental health. This program showed successful real-world implementation with insurance reimbursement.
KW - Cancer
KW - Exercise in cancer
KW - Integrative oncology
KW - Lifestyle
KW - Weight loss
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U2 - 10.1007/s00520-021-06305-7
DO - 10.1007/s00520-021-06305-7
M3 - Article
C2 - 34050398
AN - SCOPUS:85106688680
SN - 0941-4355
VL - 29
SP - 7365
EP - 7375
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
IS - 12
ER -