None listed
Conditions
Brief summary
The purpose of this study is to assess the effectiveness of wearable technology and telephone health coaching on physical activity in cancer survivors. Who is it for? You may be eligible for this study if you are aged between 18 and 80, and are a survivor of breast, colorectal, gynaecological or prostate cancer. Study details Participants will be randomised (by chance) into two groups. One group (the comparator group) will receive a booklet with physical activity information and motivational tools to support behaviour change including action planning, goal setting, self-monitoring, confidence building and coping planning. The other group (the intervention group) will receive the same treatment as the comparator group as well as a wearable fitness tracker and 4-6 telephone coaching sessions. All participants will undertake physical activity according to their personal preferences and will complete questionnaires about their attitudes, intentions, confidence, action planning and quality of life. It is hoped this research will reduce sedentary behaviours and increase physical activity in cancer survivors living outside of major cities in Australia.
Interventions
The intervention will include (I) providing a wearable tracker; (ii) up to six individual telephone or social media based sessions of health coaching. and (iii) a booklet with physical activity information and motivational tools to support behaviour change. The wearable tracker will be a wrist worn Fitbit Charge 2. Participants will be encouraged to wear the Fitbit during all waking hours, except for showering or swimming. However, it is not mandatory to wear the Fitbit during all waking hours.
The intervention will include (I) providing a wearable tracker; (ii) up to six individual telephone or social media based sessions of health coaching. and (iii) a booklet with physical activity information and motivational tools to support behaviour change. The wearable tracker will be a wrist worn Fitbit Charge 2. Participants will be encouraged to wear the Fitbit during all waking hours, except for showering or swimming. However, it is not mandatory to wear the Fitbit during all waking hours. Participants will choose mode of delivery according to their preferences from a choice of telephone, Skype, zoom, or messenger etc. This is a distance-based intervention. Therefore the wearable tracker will be mailed to participants. Four sessions of health coaching are fixed (at wk 1, 2, 4 and 8) for all participants and will last up to 45 minutes each. However, the intervention includes a patient-centred and stepped-care approach by providing additional health coaching sessions (i.e., at wk 6, and 10) to those who may need them in order to achieve meaningful sustained physical activity change. A Health coach will be employed to deliver the intervention and will be required to have a background in Psychology or allied health discipline (at least to degree level), and previous experience of interviewing or working with patients. There is no specific exercise prescription but participants will be encouraged to meet the physical activity guidelines for cancer survivors, which is at least 150 minutes of moderate-intensity physical activity per week. They will also be informed that 3-5 hours of moderate-intensity physical activity will bring maximum benefits and will be encouraged to reach this goal once achieve the minimum guidelines of 150-minutes per week. The purpose of the health coaching is to motivate and support increased physical activity through supporting self-efficacy, action planning, and coping planning. The first session will cover technical issues and features of the Fitbit and physical activity recommendations. It will also foster positive outcome expectancies and confidence towards physical activity and guide the participant to create physical activity action plans. The purpose of the three-five follow-up sessions will be to provide support, problem solving, and help the participant to update goals and action plans as they progress.
Sponsors
The Tonkinson Colorectal CancerResearch Fund
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
Participants will be recruited on the basis that they are 1) survivors of breast, colorectal, gynaecological or prostate cancer; and 2) reside in either a regional or remote area of Australia. Eligible participants must also be 1) insufficiently physically active (i.e., engaging in less than 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity physical activity per week) (Department of Health, 2014; Rock et al., 2012); 2) aged between 18 and 80 years; 3) proficient in English-reading and speaking; 4) have no known presence of cancer at the time of recruitment; 5) have internet access at home.
Exclusion criteria
Exclusion criteria include individuals who 1) are still undergoing treatment for cancer except for maintenance therapy such as tamoxifen; 2) have known cardiac abnormalities including unstable angina or recent myocardial infarction; 3) have any severe disability that may affect physical function including severe arthritis; 4) have a current diagnosis of a severe psychiatric illness (those with minor psychiatric diagnoses will be eligible if they are well enough to participate; 5) are currently enrolled in a health behaviour trial or program.
Outcome results
None listed