Colorectal Cancer
Conditions
Brief summary
Long-term maintenance of physical activity behaviour change post-intervention remains challenging. This study is investigating the feasibility of a behaviour change intervention based on Self-Determination Theory in people recovering from colorectal cancer and its effects on behaviour change 6 months post-intervention.
Detailed description
This study was a randomized controlled feasibility trial consisting of a 3-months active lifestyle intervention and a 3-months follow-up period. Participants were allocated to an active lifestyle programme (ALP) or the standard (SC) care group. ALP was offered 12 supervised exercise sessions over 3 months and six supportive behaviour change workshops. SC was encouraged to continue with their usual lifestyle. The intervention was informed by Self-Determination Theory. The supervised exercise sessions took place in small groups of maximum 7 participants and lasted approximately 1 hour. Exercise included aerobic and resistance exercises. The behaviour change workshops were delivered in a motivational interviewing style, also in small groups of maximum 7 participants. Participants were followed-up at 6 months. There was no contact with participants during the post-intervention and follow-up period.
Interventions
BEHAVIORALActive lifestyle programme
The intervention is an activity lifestyle programme to increase physical activity behaviour post-intervention and to facilitate behaviour change maintenance at 3 months post-intervention.
Sponsors
University of East Anglia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* a histologically confirmed diagnosis of colorectal cancer with Dukes stages A-C * completed cancer treatment within the last 24 months, * be able to understand spoken and written English * score of 80 or more on the Karnofsky Performance Status Scale
Exclusion criteria
* already meeting general PA guidelines of 150 min of moderate PA or 75 min of vigorous intensity PA per week, * recent myocardial infarction * uncontrolled hypertension * a pacemaker * or unstable angina.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in minutes spent in moderate and vigorous intensity physical activity measure with the International Physical Activity Questionnaire long version | 0, 3, 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in psychological needs satisfaction measured with the psychological needs satisfaction in exercise scale | 0, 3, 6 months | — |
| Change in quality of life measure with the Functional Assessment of Cancer Therapy general | 0, 3, 6 months | — |
| Change in quality of life measure with the Functional Assessment of Cancer Therapy-colorectal | 0, 3, 6 months | — |
| Change in fatigue with the Functional Assessment of Cancer Therapy - fatigue | 0, 3, 6 months | — |
| Change in intention to exercise | 0, 3, 6 months | assessed with Intention to exercise scale |
| Change in barriers to exercise | 0, 3, 6 months | assessed with Barriers to Exercise scale |
| Change in physical fitness | 0, 3, and 6 months | assessed with the modified Bruce treadmill test |
| Change in behavioural regulation measure with the Behavioural Regulation in Exercise Questionnaire version 2 | 0, 3, 6 months | — |
| Change in upper body strength-upper arm strength | 0, 3, 6 months | Assessed with biceps curl test |
| Change in lower body strength | 0, 3, 6 months | Assessed with 30 sec sit-to-stand test |
| Changes in body composition (% body fat) assessed with bioelectrical impedance analysis | 0, 3, 6 months | — |
| Change in antropometric measures (waist circumference, hip circumference | 0, 3, 6 months | Waist and hip circumference will be used to calculate the waist-to-hip ratio |
| Changes in anthropometric measures (height, weight, BMI) | 0, 3, 6 months | Body weight and body height will be used to calculate BMI |
| Change in minutes spent in moderate and vigorous intensity physical activity with accelerometry | 0, 3, 6 months | — |
| Change in upper body strength-grip strength | 0, 3, 6 months | Assessed with grip dynanometer |
Outcome results
None listed