Building a physical activity intervention into clinical care for breast and colorectal cancer survivors in Wisconsin : a randomized controlled pilot trial
BACKGROUND: Cancer survivorship care plans ("care plans") often recommend an active lifestyle yet are rarely accompanied by programs to help patients enact the prescribed behavior change. As a step towards bridging this gap, this trial tested the feasibility of augmenting care planning with a multi-level physical activity intervention.
METHODS: Breast and colorectal cancer survivors were enrolled alongside a self-selected support partner (e.g., spouse, friend). Survivors received a care plan alone (comparison group) versus one augmented with a 12-week physical activity module (intervention group). For the intervention group dyads, both members received a multi-component program including Fitbit trackers, with the survivor's Fitbit linked to his/her electronic health record (EHR). Treating clinicians received periodic updates regarding the survivors' physical activity. The primary outcome was ActiGraph-measured physical activity, analyzed using mixed models. Feedback questionnaires were administered to participants and clinicians at 12 weeks.
RESULTS: Survivors (n = 50) were 54.4 ± 11.2 years of age and 2.0 ± 1.5 years post-diagnosis. Survivors in the intervention group increased moderate-to-vigorous-intensity physical activity (MVPA) by 69 ± 84 min/week vs. a 20 ± 71 min/week decrease in the comparison group (p = .001). Likewise, daily steps increased by 1470 ± 1881 vs. a 398 ± 1751 decrease (P = .002). Among responding clinicians, 100% looked at survivors' activity data within the EHR at least once and 80% said it provided insight into their patients' lifestyles.
CONCLUSIONS: Augmenting a standard care plan with a multi-level, technology-based intervention increased physical activity among cancer survivors.
IMPLICATIONS FOR CANCER SURVIVORS: Technology-based approaches, including activity trackers, can be used by individuals to work towards an active lifestyle after cancer.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:13 |
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| Enthalten in: |
Journal of cancer survivorship : research and practice - 13(2019), 4 vom: 01. Aug., Seite 593-602 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Cadmus-Bertram, Lisa [VerfasserIn] |
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| Links: |
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| Themen: |
Cancer survivorship |
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| Anmerkungen: |
Date Completed 04.06.2020 Date Revised 01.08.2020 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s11764-019-00778-6 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM298778963 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Cancer survivorship care plans ("care plans") often recommend an active lifestyle yet are rarely accompanied by programs to help patients enact the prescribed behavior change. As a step towards bridging this gap, this trial tested the feasibility of augmenting care planning with a multi-level physical activity intervention | ||
| 520 | |a METHODS: Breast and colorectal cancer survivors were enrolled alongside a self-selected support partner (e.g., spouse, friend). Survivors received a care plan alone (comparison group) versus one augmented with a 12-week physical activity module (intervention group). For the intervention group dyads, both members received a multi-component program including Fitbit trackers, with the survivor's Fitbit linked to his/her electronic health record (EHR). Treating clinicians received periodic updates regarding the survivors' physical activity. The primary outcome was ActiGraph-measured physical activity, analyzed using mixed models. Feedback questionnaires were administered to participants and clinicians at 12 weeks | ||
| 520 | |a RESULTS: Survivors (n = 50) were 54.4 ± 11.2 years of age and 2.0 ± 1.5 years post-diagnosis. Survivors in the intervention group increased moderate-to-vigorous-intensity physical activity (MVPA) by 69 ± 84 min/week vs. a 20 ± 71 min/week decrease in the comparison group (p = .001). Likewise, daily steps increased by 1470 ± 1881 vs. a 398 ± 1751 decrease (P = .002). Among responding clinicians, 100% looked at survivors' activity data within the EHR at least once and 80% said it provided insight into their patients' lifestyles | ||
| 520 | |a CONCLUSIONS: Augmenting a standard care plan with a multi-level, technology-based intervention increased physical activity among cancer survivors | ||
| 520 | |a IMPLICATIONS FOR CANCER SURVIVORS: Technology-based approaches, including activity trackers, can be used by individuals to work towards an active lifestyle after cancer | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Cancer survivorship | |
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| 650 | 4 | |a Intervention | |
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| 700 | 1 | |a Van Remortel, Brittany |e verfasserin |4 aut | |
| 700 | 1 | |a Date, Preshita |e verfasserin |4 aut | |
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