Basal Cell Carcinoma, Cancer Survivorship, Melanoma, Melanoma (Skin), Skin Cancer, Squamous Cell Carcinoma
Conditions
Keywords
Nutrition, UV, Physical Activity, Gardening
Brief summary
The investigators will conduct a single-arm pilot feasibility trial of mentored community gardening for melanoma survivors integrating dosimeters and accelerometers. Harvest for Health Together Arizona (H4H2-AZ) is an evidence-based program adapted for arid desert gardening that also addresses sun safety through group workshops and peer education. The primary aim is to evaluate adherence to the intervention.
Detailed description
In collaboration with Banner Health, University of Arizona Cancer Center, Community Gardens of Tucson, and UArizona Pima County Cooperative Extension Master Gardeners, the investigators will conduct a pilot feasibility study of community gardening in melanoma survivors integrating UV sensors. Harvest for Health Together Arizona (H4H2-AZ) is an evidence-based program adapted for arid desert gardening that also addresses sun safety through experiential workshops and education. The investigators propose to evaluate adherence to and acceptability of the intervention. The investigators aim to see if H4H2-AZ may improve cancer preventive health behaviors (including diet, physical activity, energy balance, and UV protection) and quality of life among melanoma survivors.
Interventions
BEHAVIORALMentored Community Gardening
This arm will consist of gardening at least once per week, meeting with a master gardening mentor twice monthly, and attending a gardening informational workshop once monthly.
Sponsors
Banner University Medical Center
University of Arizona
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 18 years of age or older at their last birthday & in good general health. * Clinical diagnosis of skin cancer (including in situ). * Has access to a phone or tablet with a camera and internet. * Currently living in Pima County Arizona. * Ability to understand and speak English. * Ability to provide written informed consent document. * Ability to physically participate in gardening activities (including kneeling, sitting, bending, and carrying up to 10 pounds) with or without the use of mobility assistive devices.
Exclusion criteria
* Currently immunosuppressed by virtue of medication or disease. * Has a diagnosed and uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean number of scheduled sessions a participant attends during intervention | 6 months | Adherence will be measured by attendance to the number of sessions (including weekly gardening, meetings with mentors, and group workshops) a participant attends. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| UV Exposure | 6 months | Dosimeter (Scienterra) measured cumulative UV exposure \[Units: Watts per square meter (W/m\^2), UV Index (UVI), Standard Erythema Dose (SED), or Minimal Erythema Dose (MED)\] |
| Fruit and Vegetable Servings | 6 months | Dietary fruit and vegetable intake (average total servings/day) assessed by 24-hour dietary recall |
| Total sedentary time | 6 months | Sedentary time (inactive minutes/day) measured by accelerometer (Actigraph Link GT9X) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Health Related Quality of Life (HR-QOL) | 6 months | Functional Assessment of Cancer Therapy - Melanoma (FACT-M) is a melanoma specific questionnaire which will measure HR-QOL in participants. Items are measured on a 0-4 Likert scale.The FACT-M consists of 51 items with a total score ranging from 0-204. A higher score indicates better HR-QOL. |
| Average acceptability of intervention | 6 months | Acceptability of intervention and sensors will be assessed using the Acceptability of Intervention Measure which includes 12 items on a 1-5 scale and summed. Scores range 12-60; higher scores reflect greater acceptability. |
Countries
United States
Outcome results
None listed