The application of just-in-time adaptive intervention in the full cycle care of elderly prostate cancer patients undergoing radiotherapy

YANG Jie; HUANG Dingfeng; LIU Tiantian; ZHANG Ling; LEI Li

doi:10.12104/j.issn.1674-4748.2025.18.007

Abstract：Objective:To explore the implementation effect of just-in-time adaptive intervention in elderly patients with prostate cancer undergoing radiotherapy.Methods:By using the convenience sampling method,41 elderly patients with prostate cancer who received radiotherapy in the abdominal radiotherapy department of the hospital from January to December 2023 were selected as the control group,and 43 elderly patients with prostate cancer who received radiotherapy from January to December 2024 were selected as the intervention group.The control group received conventional radiotherapy specialized care,while the intervention group implemented an just-in-time adaptive intervention plan on this basis.Compare the quality of life of the two groups[Functional Assessment of Cancer Therapy-Prostate[FACT-P)],health literacy level[Health Literacy Management Scale(HLMS)],self-management efficacy[Strategies Used by People to Promote Health(SUPPH)in Chinese version].Results:The FACT-P score of the intervention group[(108.67±2.65)points]was higher than that of the control group[(101.71±5.19)points],and the difference was statistically significant(P<0.05);the HLMS score[(111.05±2.37)points]was significantly higher than that of the control group[(106.34±3.54)points],and the difference was statistically significant(P<0.05);the SUPPH score of the intervention group[(98.12±1.80)points]was higher than that of the control group[(95.15±2.24)points],and the difference was statistically significant(P<0.05).Conclusion:Just-in-time adaptive intervention can effectively improve the quality of life,health literacy level and self-management efficacy of elderly patients with prostate cancer undergoing radiotherapy.