Smartphone-Based Cancer and Obesity Prevention Education Program for Chinese Women (SCOPE): A Pilot RCT

Jyu-Lin Chen, Jia Guo (), Qinyi Zhong, Yuanyuan Jiang, Honghui Zhang, Ping Mao, Qinyuan Huang, Chen-Xi Lin and Thomas J. Hoffmann
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Jyu-Lin Chen: School of Nursing, University of California, San Francisco, CA 94143, USA
Jia Guo: School of Nursing, Central South University, Changsha 410017, China
Qinyi Zhong: School of Nursing, Central South University, Changsha 410017, China
Yuanyuan Jiang: School of Nursing, Central South University, Changsha 410017, China
Honghui Zhang: Hunan Provincial People’s Hospital, The First-Affiliated Hospital of Hunan Normal University, Changsha 410081, China
Ping Mao: Nursing Department, The Third Xiangya Hospital, Central South University, Changsha 410013, China
Qinyuan Huang: School of Nursing, Central South University, Changsha 410017, China
Chen-Xi Lin: School of Nursing, University of California, San Francisco, CA 94143, USA
Thomas J. Hoffmann: Department of Biostatistics and Epidemiology, University of California, San Francisco, CA 94143, USA

IJERPH, 2023, vol. 20, issue 10, 1-15

Abstract: Breast cancer prevalence has increased globally, with 12.2% of breast cancer cases identified in China. Obesity and unhealthy lifestyles are major risk factors for breast cancer. We conducted a randomized control trial to assess the feasibility and evaluate the preliminary effect of the Smartphone-Based Cancer and Obesity Prevention Education (SCOPE) program among adult biological women with a waist circumference greater than 80 cm. The SCOPE program includes tailored and culturally appropriate educational information for obesity and breast cancer prevention delivered by the research team via WeChat. The control group received non-tailored general health information via WeChat. A total of 102 women (52 intervention, 50 control) participated, and 87 (85%) completed 6-month follow-up assessments. For the primary study outcome at 6 months, women using SCOPE significantly reduced waist circumference (Cohen’s d = ?0.39, p < 0.001). For secondary outcomes at 6 months, women using SCOPE significantly reduced BMI (d = ?0.18, p = 0.001) and increased breast cancer-related knowledge (d = 0.48, p = 0.001) and attitude (d = 1.39, p < 0.01). No significant findings were found regarding diet self-efficacy, physical self-efficacy, or breast cancer screening barriers. The results suggest the intervention has great potential to promote the health and wellness of women.

Keywords: smartphone-based; cancer prevention; obesity prevention; breast cancer; education program (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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