None listed
Conditions
Brief summary
The HoPS intervention programme is developed to improve NCSM’s cancer survivor’s self-efficacy, behavioural capability, outcome expectations and reinforcements which subsequently facilitates and influences the cancer survivor to increase their physical activity level as well as their quality of life.
Interventions
The intervention arm is named HoPS, an acronym of Home-based Physical Activity for Survivors.
HoPS intervention programme aims to improve physical activity level among cancer survivors, in particular breast and colorectal cancer by employing Social Cognitive Theory (SCT) in the development of the programme. It combines of psychoeducation and social media approach to behavioural intervention. Participants of the HoPS will be provided with a non-tailored printed material and gradual tapering down
The intervention arm is named HoPS, an acronym of Home-based Physical Activity for Survivors. HoPS intervention programme aims to improve physical activity level among cancer survivors, in particular breast and colorectal cancer by employing Social Cognitive Theory (SCT) in the development of the programme. It combines of psychoeducation and social media approach to behavioural intervention. Participants of the HoPS will be provided with a non-tailored printed material and gradual tapering down of face-to-face group meetings to improve knowledge and skills of physical activity. While WhatsApp is used as a structured direct remote feedback strategy to allow for supervised home-based physical activity. 1. Face-to-face group meetings There will be 2 meet up sessions for all participants in the HoPS group. The sessions provide a standardized lectures deliver by the researcher using power point slides. The first session of lecture (1-hour duration) will cover the areas of a brief introduction of HoPS programme, physical activity knowledge and goal setting. The second session of lecture (15-minutes duration) will cover for barriers to physical activity and following that a sharing session (15-minutes duration) by a role model (a cancer survivor) to share her experience in engaging in physical activity. In each of the sessions, after the lectures, an exercise session will be conducted by a certified exercise instructor with at least 3 years experienced in coaching for exercise. The duration of this exercise session will be 2 hours and the focus is train the participants on how to perform a proper and correct exercise for cancer survivors. This will involved aerobic exercises and resistance exercises as described below: -First session Aerobic exercise: Upper (eg. push up, wide push up, tricep dip and bicep curl) and lower (eg.squat, squat cross jump, front lunges, reverse lunges and side lunges) body workout. Resistance exercise: heel step down, leg adduction, plank and short arc squats -Second session Aerobic exercise: Core/Abs workout (eg. plank, rotation plank, bicycle crunch, hang and flutters kick) and total body workout (eg. inchworm, body builder, mountain cross and mountain climbers). Resistance exercise: heel step down, leg adduction, plank and short arc squats 2. Booklet A non-tailored printed materials will also be given to HoPS participants which served as a handout from the lectures given in face-to-face group meetings and inclusive of their personal physical activity dairy. The booklet is designed specifically for this study and it is customized to Malay language. It is a standardized booklet and participants will be taught on how to set goals, make schedule for their physical activity and to track their physical activity. 3. WhatsApp messages A structured direct remote contact feedback strategy via WhatsApp is used to allow supervised feedback to the HoPS participants. Every week (from week 2 to week 8) participants will be asked to complete short IPAQ (International Physical Activity Questionnaire) to assess their physical activity level. The results will be analysed using excel for analysis of daily pattern activity and weekly moderate intensity of physical activity.Participants will receive WhatsApp messages each week as described below: -Week 2-4 (Frequency 1): Visual graphic presentation of individual progress of physical activity will be sent through WhatsApp. -Week 5 (Frequency 1): Visual graphic presentation of individual progress of physical activity will be sent through WhatsApp and subsequently a standardized messages of physical activity knowledge will follow. -Week 6 (Frequency 1): Visual graphic presentation of individual progress of physical activity will be sent through WhatsApp and subsequently a standardized messages of physical activity barriers will follow. -Week 7 (Frequency 1): Visual graphic presentation of individual progress of physical activity will be sent through WhatsApp and subsequently a standardized messages of physical activity goal setting will follow. -Week 8 (Frequency 1): Visual graphic presentation of individual progress of physical activity will be sent through WhatsApp and subsequently a standardized messages on motivation from the exercise model's advice will follow. The HoPS intervention programme will be a two-month intervention programme, which is planned to be delivered in two phases; a training phase (four weeks) and a booster phase (four weeks). In the training phase, the face-to-face group meetings will be held on week 1 and 3, while the structured remote feedback strategy will be delivered weekly during the training phase. In the booster phase from week 5 to 8, weekly standardized WhatsApp messages will be sent to the participants which cover the lectures given during the face-to-face group meetings. Similar to training phase, structured remote feedback strategy continues until week 8. For adherence to HoPS intervention programme, participants will be assessed from the attendance to the two sessions of the face-to-face group discussion and for the intervention of direct remote contact for feedback strategy, the adherence is according to reply or filling up the IPAQ online.
Sponsors
UNIVERSITI PUTRA MALAYSIA
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
i.Malaysian citizen breast or colorectal cancer patient between the age of 18 years old and 65 years old who are registered with National Cancer Society Malaysia (NCSM) and are actively involved with 3 branches of NCSM at Kuala Lumpur, Negeri Sembilan and Melaka ii. Stage I to III (or IIIA for breast cancer) who are not currently receiving (and do not plan to receive during the duration of study enrollment) chemotherapy or radiation therapy iii.More than 8 weeks post-surgical procedure iv. Post-treatment three months v.Obtained medical clearance from physician vi. Grade 0 or 1 for ECOG Performance Status
Exclusion criteria
i. Participating, on average, 30 to 60 min per day (greater than or equal to 150 min per week) of moderate intensity for at least 5 days per week or 20 to 30 min per day (greater than or equal to 75min per week) of vigorous intensity for at least 5 days per week or an equivalent combination of the two ii. Medical or psychological condition that would interfere with the ability to fully participate during the study enrollment (e.g., psychosis, schizophrenia, etc.) iii. Recurrent disease, iv. Elective surgery planned during the duration of the intervention that would interfere with intervention participation (e.g., breast reconstructive surgery), and v. Planned travel that interferes with the scheduled study sessions (i.e., no travel in the first 4 weeks and no travel in the last week of the intervention).
Outcome results
None listed