Building a physical activity intervention into clinical care for breast and colorectal cancer survivors in Wisconsin: a randomized controlled pilot trial.
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ABSTRACT: BACKGROUND:Cancer survivorship care plans ("care plans") often recommend an active lifestyle yet are rarely accompanied by programs to help patients enact the prescribed behavior change. As a step towards bridging this gap, this trial tested the feasibility of augmenting care planning with a multi-level physical activity intervention. METHODS:Breast and colorectal cancer survivors were enrolled alongside a self-selected support partner (e.g., spouse, friend). Survivors received a care plan alone (comparison group) versus one augmented with a 12-week physical activity module (intervention group). For the intervention group dyads, both members received a multi-component program including Fitbit trackers, with the survivor's Fitbit linked to his/her electronic health record (EHR). Treating clinicians received periodic updates regarding the survivors' physical activity. The primary outcome was ActiGraph-measured physical activity, analyzed using mixed models. Feedback questionnaires were administered to participants and clinicians at 12 weeks. RESULTS:Survivors (n?=?50) were 54.4?±?11.2 years of age and 2.0?±?1.5 years post-diagnosis. Survivors in the intervention group increased moderate-to-vigorous-intensity physical activity (MVPA) by 69?±?84 min/week vs. a 20?±?71 min/week decrease in the comparison group (p?=?.001). Likewise, daily steps increased by 1470?±?1881 vs. a 398?±?1751 decrease (P?=?.002). Among responding clinicians, 100% looked at survivors' activity data within the EHR at least once and 80% said it provided insight into their patients' lifestyles. CONCLUSIONS:Augmenting a standard care plan with a multi-level, technology-based intervention increased physical activity among cancer survivors. IMPLICATIONS FOR CANCER SURVIVORS:Technology-based approaches, including activity trackers, can be used by individuals to work towards an active lifestyle after cancer.
SUBMITTER: Cadmus-Bertram L
PROVIDER: S-EPMC6960011 | biostudies-literature | 2019 Aug
REPOSITORIES: biostudies-literature
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