{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T20:46:12Z","timestamp":1780346772413,"version":"3.54.1"},"reference-count":32,"publisher":"BMJ","issue":"10","funder":[{"name":"St. Bartholomew\u2019s Hospital Nurses League"},{"DOI":"10.13039\/501100012317","name":"NIHR University College London Hospitals Biomedical Research Centre","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012317","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000765","name":"University College London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000765","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,8,3]]},"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Healthy eating and physical activity may help endometrial cancer survivors (ECS) improve their quality of life. However, most ECS do not meet the relevant guidelines. This pilot trial aimed to test the study feasibility procedures for a definitive trial of a behavioural lifestyle programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and setting<\/jats:title>\n                    <jats:p>This 24-week parallel two-arm randomised pilot trial took place in two hospitals in London, UK (April 2015\u2013June 2016).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Sixty disease-free ECS within 3 years of diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Participants were randomised using minimisation to receive the intervention or care as usual. The \u2018Shape-Up following cancer treatment\u2019 programme used self-monitoring, goal-setting, self-incentives, problem-solving and group social support for 12\u2009hours over 8 weeks to help survivors improve their eating and physical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>The main outcome measures were recruitment, adherence, and retention rates. Further outcomes included barriers to participation and feedback on programme satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 296 potentially eligible ECS, 20% (n=60) were randomly allocated to the active intervention (n=29) or control group (n=31). Three participants in each arm were deemed ineligible after randomisation and excluded from analysis. Twenty participants (77%; 95%\u2009CI 61% to 93%) adhered to the intervention and provided generally favourable feedback. At 24 weeks, 25\/26 (96%; 95%\u2009CI 89% to 100%) intervention and 24\/28 (86%; 95%\u2009CI 73% to 99%) control participants completed their assessment. No intervention-related adverse events were reported. Among eligible survivors who declined study participation (n=83), inconvenience (78%; 95%\u2009CI 69% to 87%) was the most common barrier.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The trial was feasible to deliver based on the a priori feasibility criteria. Enhancing recruitment and adherence in a definitive trial will require designs that promote convenience and consider ECS-reported barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>NCT02433080; Pre-results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial funding<\/jats:title>\n                    <jats:p>University College London, St. Bartholomew\u2019s Hospital Nurses League, and NIHR University College London Hospitals Biomedical Research Centre.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-018015","type":"journal-article","created":{"date-parts":[[2017,10,9]],"date-time":"2017-10-09T20:10:14Z","timestamp":1507579814000},"page":"e018015","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":35,"title":["Recruitment, adherence, and retention of endometrial cancer survivors in a behavioural lifestyle programme: the Diet and Exercise in Uterine Cancer Survivors (DEUS) parallel randomised pilot trial"],"prefix":"10.1136","volume":"7","author":[{"given":"Dimitrios A","family":"Koutoukidis","sequence":"first","affiliation":[{"name":"Department of Women\u2019s Cancer, EGA Institute for Women\u2019s Health, University College London, London, UK"},{"name":"Department of Behavioural Science and Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca J","family":"Beeken","sequence":"additional","affiliation":[{"name":"Department of Behavioural Science and Health, University College London, London, UK"},{"name":"Leeds Institute of Health Sciences, University of Leeds, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjit","family":"Manchanda","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s Cancer, EGA Institute for Women\u2019s Health, University College London, London, UK"},{"name":"Department of Gynaecological Oncology, Barts Health NHS Trust, Royal London Hospital, London, UK"},{"name":"Barts Cancer Institute, Queen Mary University of London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moscho","family":"Michalopoulou","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s Cancer, EGA Institute for Women\u2019s Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Burnell","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s Cancer, EGA Institute for Women\u2019s Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M Tish","family":"Knobf","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s Cancer, EGA Institute for Women\u2019s Health, University College London, London, UK"},{"name":"Acute Care\/Health Systems Division, Yale University School of Nursing, West Haven, Connecticut, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Lanceley","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s Cancer, EGA Institute for Women\u2019s Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,10,8]]},"reference":[{"key":"2025121511033842000_7.10.e018015.1","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1001\/jamaoncol.2016.5688","article-title":"Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-years for 32 Cancer Groups, 1990 to 2015: A Systematic Analysis for the Global Burden of Disease Study","volume":"3","author":"Fitzmaurice","year":"2017","journal-title":"JAMA Oncol"},{"key":"2025121511033842000_7.10.e018015.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61396-9"},{"key":"2025121511033842000_7.10.e018015.3","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s11764-014-0403-1","article-title":"The complex health profile of long-term cancer survivors: prevalence and predictors of comorbid conditions","volume":"9","author":"Leach","year":"2015","journal-title":"J Cancer Surviv"},{"key":"2025121511033842000_7.10.e018015.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2012.04.013"},{"key":"2025121511033842000_7.10.e018015.5","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuu063"},{"key":"2025121511033842000_7.10.e018015.6","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31820205b3"},{"key":"2025121511033842000_7.10.e018015.7","doi-asserted-by":"crossref","unstructured":"Koutoukidis DA , Beeken RJ , Lopes S , et al . 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