Anxiety Disorder, Hematopoietic and Lymphoid Cell Neoplasm, Malignant Solid Neoplasm
Conditions
Brief summary
This study adapts and assesses the effect of a multicomponent physical activity intervention in reducing psychosocial distress in cancer patients. This study aims to develop a program to help increase physical activity and reduce stress in cancer survivors who live in rural areas.
Detailed description
PRIMARY OBJECTIVES: I. To adapt a multicomponent intervention (HH+AIM) that assesses the perspective of health care provider and cancer survivors about: Ia. Needs related to psychosocial distress and health behaviors in rural patients with cancer. Ib. Needs related to implementing interventions within the treatment setting. Ic. Barriers to intervention delivery/participate. Id. Preferred means/methods for referring participants and receiving information related to the intervention. SECONDARY OBJECTIVES: I. To assess time spent sitting in prolonged bouts of 20 consecutive minutes or more (minutes/day). II. To assess daily number of steps (collected using the activPAL over 7 days at week 8, data will be averaging over 7 days to get minutes per day). III. To assess psychosocial distress measured using the National Comprehensive Cancer Network (NCCN) Distress Thermometer scores. IV. To assess health-related quality of life measured using the SF-36 short form. OUTLINE: PART I: Patients and providers complete a questionnaire and attend an interview over 1 hour. PART II: Patients are randomized to 1 of 2 groups. GROUP I: Patients attend face-to-face mind-body sessions focused on stretching, breathing, and relaxation twice a week and receive targeted text messages daily on their smartphone for 8 weeks. GROUP II: Patients receive usual care.
Interventions
BEHAVIORALBehavioral Intervention
Attend face-to-face mind-body sessions
OTHERBest Practice
Receive usual care
OTHERInformational Intervention
Receive targeted text messages
OTHERQuality-of-Life Assessment
Ancillary studies
OTHERQuestionnaire Administration
Ancillary studies
Sponsors
National Cancer Institute (NCI)
Kawut, Steven, MD
M.D. Anderson Cancer Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* PROVIDERS: Work with cancer survivors (e.g., radiation and medical oncologists, oncology nurses, oncology patient navigators, and clinical research coordinators) * PROVIDERS: Place of engagement falls within a rural county in Texas * PROVIDERS: Able to read, speak, and write in English * PROVIDERS: At least 18 years old * PROVIDERS: Have access to a smartphone, tablet, or computer with internet access and willing to attend virtual sessions * INTERVIEW SURVIVORS: Men and women \>= 18 years of age * INTERVIEW SURVIVORS: History of cancer * INTERVIEW SURVIVORS: Currently receiving treatment or have recently completed treatment but are still attending appointments at UTHealth North Campus Tyler (=\< 1 year) * INTERVIEW SURVIVORS: Able to read, speak, and write in English * INTERVIEW SURVIVORS: Have access to a smartphone, tablet, or computer with internet access and willing to attend virtual sessions * INTERVENTION SURVIVORS: Men and women \>= 18 years of age * INTERVENTION SURVIVORS: Received a solid tumor cancer diagnosis stage I-III * INTERVENTION SURVIVORS: Receiving radiation therapy or planning to receive radiation therapy for a solid tumor diagnosis for at least 4 weeks * INTERVENTION SURVIVORS: Able to engage in moderate intensity physical activity as determined by the Physical Activity Readiness Questionnaire (PAR-Q) or by physicians clearance (letter from physician or nurse practitioner) * INTERVENTION SURVIVORS: Physician clearance to participate in the study * INTERVENTION SURVIVORS: Physically inactive (=\< 60 minutes of moderate or greater physical activity \[PA\] per week during the past 6 months) * INTERVENTION SURVIVORS: Live within MD Anderson's rural catchment area * INTERVENTION SURVIVORS: Have a home address where information can be mailed and a working telephone * INTERVENTION SURVIVORS: Have access to a smartphone, tablet, or computer with internet access and willing to attend virtual sessions * INTERVENTION SURVIVORS: Able to read, speak, and write in English * INTERVENTION SURVIVORS: Able to receive text messages on their smartphone (via cellular data or wireless internet)
Exclusion criteria
* PROVIDERS: Does not work with cancer survivors * PROVIDERS: Place of work or engagement falls within an urban/metropolitan county in Texas * PROVIDERS: Does not read, speak, or write in English * PROVIDERS: Below the age of 18 years * INTERVIEW SURVIVORS: No history of cancer * INTERVIEW SURVIVORS: Does not read, speak, or write in English * INTERVIEW SURVIVORS: Below the age of 18 * INTERVENTION SURVIVORS: No history of cancer * INTERVENTION SURVIVORS: Have absolute contraindications to unassisted physical activity (e.g., acute myocardial infarction, severe orthopedic or musculoskeletal limitations) * INTERVENTION SURVIVORS: Currently participating in another intervention to increase physical activity or reduce sedentary behavior * INTERVENTION SURVIVORS: Self-report meeting physical activity recommendations (\>= 60 minutes of moderate or greater PA per week during the past 6 months) * INTERVENTION SURVIVORS: Physical limitations that might be aggravated by participation in moderate-intensity physical activity as measured using the Physical Activity Readiness Questionnaire (PAR-Q), and any physical limitation that prevents engaging in moderate intensity exercise * INTERVENTION SURVIVORS: Primary address falls within an urban/metropolitan county in Texas * INTERVENTION SURVIVORS: Plan to move from the area or discontinue their treatment at UTHealth North Campus Tyler during the 14-week study period * INTERVETION SURVIVORS: Does not read, speak, or write in English * INTERVENTION SURVIVORS: Below the age of 18 * INTERVENTION SURVIVORS: Pregnant or planning to become pregnant during the 14 week study period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To establish a multicomponent intervention that assesses the perspective of health care provider | Through study completion, an average of 1 year |
| To establish a multicomponent intervention that assesses the perspective of cancer survivors | Through study completion, an average of 1 year |
Countries
United States
Outcome results
None listed