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ABSTRACT: Objectives
This pilot trial tested the effect of adding a multi-level, technology-based physical activity intervention module to a standard survivorship care plan for breast and colorectal cancer survivors. The objective of this analysis was to determine whether the physical activity module improved health-related quality of life, sleep, and factors key to lasting behavior change (eg, social support, self-efficacy).Methods
Breast and colorectal cancer survivors (n = 50) were enrolled alongside a support partner. Survivors were assigned to receive a standard survivorship care plan either alone or augmented by a 12-week multi-component physical activity module. The module included a Fitbit tracker (with the physical activity data integrated into the electronic health record for clinician review) and customized email feedback. Physical activity was measured using the ActiGraph GT3X+. Psychosocial outcomes included the SF-36, FACT, ISEL, PROMIS sleep measures, and physical activity beliefs. Data were analyzed using linear mixed modeling.Results
Cancer survivors were aged 54.4?±?11.2?years and were 2.0?±?1.5?years from diagnosis. Relative to comparison, the intervention was associated with moderate-to-large improvements in physical health (effect size: d = 0.39, 95% CI = 0.0, 0.78), mental health (d = 0.59, 95% CI = 0.19, 0.99), sleep impairment (d = 0.62, 95% CI = -1.02, -0.22), and exercise self-efficacy (d = 0.60, 95% CI = 0.20, 1.0).Conclusions
The intervention delivered meaningful improvements in survivors' quality of life, social support, and sleep impairment. If replicated in a larger sample, adding a technology-supported physical activity module to survivorship care plans may be a practical strategy for supporting healthy survivorship.Trial registration
ClinicalTrials.gov#: NCT02677389.
SUBMITTER: Rastogi S
PROVIDER: S-EPMC7815326 | biostudies-literature | 2020 Nov
REPOSITORIES: biostudies-literature
Rastogi Somya S Tevaarwerk Amye J AJ Sesto Mary M Van Remortel Brittany B Date Preshita P Gangnon Ronald R Thraen-Borowski Keith K Cadmus-Bertram Lisa L
Psycho-oncology 20201004 11
<h4>Objectives</h4>This pilot trial tested the effect of adding a multi-level, technology-based physical activity intervention module to a standard survivorship care plan for breast and colorectal cancer survivors. The objective of this analysis was to determine whether the physical activity module improved health-related quality of life, sleep, and factors key to lasting behavior change (eg, social support, self-efficacy).<h4>Methods</h4>Breast and colorectal cancer survivors (n = 50) were enro ...[more]