Cancer, Metastatic Cancer, Primary Cancer
Conditions
Keywords
Primary Cancer, Metastatic Cancer, Cancer, 25-090, Memorial Sloan Kettering Cancer Center
Brief summary
The purpose of this study is to find out whether an 8-week digital health promotion program called COBRA is a safe and practical (feasible) option for older adults with cancer/OAC.
Interventions
BEHAVIORALCancer, Older adults, Balance and Resistance Activities
The COBRA intervention is delivered as a web-based application through an iPad configured to allow access only to the study application and Zoom videoconferencing icons during the trial.
Sponsors
Memorial Sloan Kettering Cancer Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Older Adult Patients with Cancer \- Are within 1 year of completion of primary therapy for cancer OR have a diagnosis of metastatic cancer; 1. For the purpose of this study, primary therapy is defined as treatment of curative intent, first-line or later, from which the individual is advancing to active surveillance or follow-up with or without maintenance therapy. 2. Individuals with metastatic cancer may be included provided they have stable disease or better per most recent restaging exam at time of enrollment. i. Patients with stable metastatic bony disease at most recent restaging exam and a score of 0-2 on the Functional Pain Scale (FPS69; Appendix 18) are eligible. The PI will consult with the Rehab Med co-PI for FPS scores of 3 or greater, by patient request or PI discretion. ii. Patients with symptomatic visceral metastases will be evaluated on a case-by-case basis at time of enrollment. * Are aged 65 years and older, with no upper age limit; * ECOG PS 0-3 or Karnofsky PS greater than or equal to 40; * Can read and speak English; * Self-report access to internet connection sufficient to support videoconferencing. Clinicians * Licensed clinician (MD, RN, APP) with an interest in the care of older adults with cancer.
Exclusion criteria
Older Adult Patients with Cancer * Have any cognitive impairment, neurologic, musculoskeletal, or other comorbid condition (as assessed by their provider) that would prevent the individual from engaging with the digital health coaching program or complete study assessments or engage in progressive intensity levels of physical activity * Have a neurologic, musculoskeletal, or other comorbid condition that would impede their ability to safely engage in progressive intensity levels of physical activity (as assessed by their provider). Patients with metastatic disease and suspected interim progression since last restaging exam will be referred back to their primary oncology care team for evaluation prior to enrollment. * Have activity restrictions post-surgery at the time of enrollment Clinicians No expected exclusions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of retention and adherence to the COBRA/Cancer, Older Adults, Balance and Resistance Activities intervention | 8 weeks | Rate of retention and adherence to the 8-week intervention to define intervention feasibility |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORKristen Fessele, PhD, RN
Memorial Sloan Kettering Cancer Center
Outcome results
None listed