None listed
Conditions
Brief summary
The primary purpose of this trial is to evaluate whether motivational interviewing, when added to a standard cancer rehabilitation program, improves physical activity levels and other health and well-being related outcomes. Who is it for? You may be eligible to enrol in this trial if you are aged 18 or over, have been diagnosed with any cancer for which you are currently undergoing treatment or have completed adjuvant therapy in the last 12 months, and have been referred for rehabilitation at Eastern Health. Study details All participants will receive the standard oncology rehabilitation program, which lasts 7 weeks and involves weekly group exercise and education sessions as well as a home exercise program and exercise diary. Participants will be randomly allocated (by chance) to receive this rehabilitation program alone, or to receive motivational interviewing from a physiotherapist via telephone in addition to the rehabilitation program. Participants allocated to this motivational interviewing group will receive 7 weekly telephone calls from a physiotherapist, of approximately 30 minutes in duration, to encourage participants to complete more physical activity. Participants will be asked to wear an activity tracking device and complete a number of questionnaires and physical function tests at the end of the 7 weeks, and some participants will also complete interviews with researchers to provide feedback on the program. It is hoped that this trial will provide evidence about the use of motivational interviewing during an oncology rehabilitation program to inform therapists and managers whether this is an effective intervention to facilitate positive physical activity behaviour.
Interventions
Motivational Interviewing + Oncology Rehabilitation Program
The motivational interviewing group will receive weekly half hour telephone calls for 7 weeks in addition to their rehabilitation program. These calls will be aimed at promoting physical activity using a motivational interviewing style whereby the therapist guides the patient to come up with their own reasons for changing physical activity behaviour. Telephone calls will be individually tailored to each patient. The motivational intervi
Motivational Interviewing + Oncology Rehabilitation Program The motivational interviewing group will receive weekly half hour telephone calls for 7 weeks in addition to their rehabilitation program. These calls will be aimed at promoting physical activity using a motivational interviewing style whereby the therapist guides the patient to come up with their own reasons for changing physical activity behaviour. Telephone calls will be individually tailored to each patient. The motivational interviewing will be conducted by a physiotherapist who has completed a 2 day group workshop in motivational interviewing run by a psychologist. They also will receive a minimum of 6, 1 hour individual coaching sessions by a motivational interviewing specialist. The proficiency of the physiotherapist in delivering motivational interviewing will be assessed on two occasions based on a role play by an independent assessor using the validated Motivational Interviewing Treatment Integrity Scale version 4.1: once prior to the commencement of the intervention and once during the mid-point of the intervention. Adherence to telephone calls will be monitored through call log records of duration and topics covered by the therapist within each session. All participants will receive 1 hour of exercise and 1 hour of education as part of their usual rehabilitation program which will run twice weekly for 7 weeks. They will also receive a home exercise program and diary as per the control group.
Sponsors
La Trobe University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Participants referred to rehabilitation who are aged 18 years and over; have a diagnosis of cancer; can speak conversational English; are undergoing treatment or have completed adjuvant therapy in the last 12 months (except for long term oral hormonal therapies); and are able to give written informed consent. Cognition will be screened prior to assessment using the Short Portable Mental Status Questionnaire.
Exclusion criteria
Participants will be excluded if they have a medical condition that contraindicates participation in an exercise based rehabilitation program as assessed by a medical practitioner prior to commencement of the rehabilitation program; are more than 12 months post cessation of treatment; are receiving end of life care (estimated <3 months to live); have high levels of psychological distress on screening assessment as measured by the Kessler 10 questionnaire (K10) with a score of >29; are already meeting physical activity guidelines (achieving 150 minutes of moderate intensity activity, accumulated in at least 10 minute bouts, per week).
Outcome results
None listed