Behavior Change Interventions, Gaming, Physical Activity, Symptom Management, Young Adult Cancer
Conditions
Keywords
cancer, symptom, young adult cancer, physical activity, gaming, behavior change intervention
Brief summary
The purpose of the study is to pilot test of PAfitME™ among (1) young adults (YA) cancer patients of color (POC) (Analytic Sample \[N=36\] after attrition of 30%) and (2) YA cancer patients of White (POW) (Analytic Sample \[N=36\] after attrition of 30%). Aim 1: Evaluate Exergame Grading Scheme (EGS) validity when EGS is tested in relationship to standard lab tests (Bruce Treadmill Protocol and isometric/isokinetic dynamometry) and field fitness tests (6-minute walk test, handgrip, and Chair Stand Test). Aim 2a: Evaluate the feasibility (enrollment rate \[% of eligible patients\], attrition rate \[% in either intervention or control group\], adherence rate \[% of completed prescribed exergame minutes\]), safety (numbers of adverse events), and acceptability (satisfaction score & exit qualitative interviews) of PAfitME™. Aim 2b: Evaluate the preliminary effect of 12-week PAfitME™ on cardiorespiratory fitness (6-minute walk test) and muscle strength (handgrip \[upper body\] and Chair Stand Test \[lower body\]) when compared with a usual care condition among YA cancer POC. Aim 2c: Evaluate the preliminary effect of 12-week PAfitME™ on cardiorespiratory fitness (6-minute walk test) and muscle strength (handgrip \[upper body\] and Chair Stand Test \[lower body\]) when compared with a usual care condition among YA cancer POW.
Interventions
BEHAVIORALPAfitME™
PAfitME™, a personalized Physical Activity intervention with fitness graded Motion Exergames, is a telehealth program built on Social Cognitive Theory and the exercise principle of adaptation (cardiorespiratory and skeletal muscle functional adaptation and remodeling in response to frequent physical activity stimuli). PAfitME™ is personalized to the patient's PA barriers: (1) fitness capacities, (2) PA health beliefs (self-efficacy and enjoyment), and (3) fatigue/pain levels. PAfitME™, delivered via FaceTime/Zoom calls, uses commercially available exergaming platforms (Nintendo). Innovative features of PAfitME™ include personalizing the exergame platform to deliver (1) a home-based telehealth intervention to overcome PA barriers in order to improve PA self-efficacy, PA enjoyment, and subsequent PA behavior; (2) a technological approach with dynamic visual feedback to assure PA accuracy and competence; and (3) a real-time assessment of individual exergame performanance.
Sponsors
University of Alabama at Birmingham
Oncology Nursing Society
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 39 Years
Healthy volunteers
No
Inclusion criteria
1. post-cancer treatment 2. age of 18-39 years old 3. ability to read and speak English 4. medical clearance of stress test (Bruce treadmill protocol) 5. no participation in an exercise program 6. complaint of functional decline after cancer diagnoses 7. complaint of fatigue or/and pain symptoms after cancer treatment.
Exclusion criteria
1. no cancer diagnosis 2. no participation of exercise programs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change 6-minute walk test | Baseline and Week 12 | 6-minute walk. The distance (in meters) walked in 6 minutes is measured. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORHsiao-Lan Wang, PhD, RN, FAAN
University of Alabama at Birmingham
Outcome results
None listed