SurvivorCHESS to increase physical activity in colon cancer survivors: can we get them moving?

  • Deborah K. Mayer
  • Gina Landucci
  • Lola Awoyinka
  • Amy K. Atwood
  • Cindy L. Carmack
  • Wendy Demark-Wahnefried
  • Fiona McTavish
  • David H. Gustafson
Article

Abstract

Purpose

This randomized controlled trial evaluated the impact of SurvivorCHESS, an eHealth intervention, on physical activity in colon cancer survivors and to explore the impact of SurvivorCHESS on quality of life and distress.

Methods

This was a two-arm single-blinded multi-site randomized controlled trial comparing a control group to an intervention group receiving a smartphone with the SurvivorCHESS program.

Results

Participants using SurvivorCHESS (n = 144) increased their moderate to vigorous physical activities from 19.4 min at baseline to 50 min compared to the control group (n = 140) increasing from 15.5 to 40.3 min at 6 months (p = .083) but was not sustained 3 months after the study ended. No significant differences were found between groups over time for quality of life or distress items. Reports of physical symptoms were greater than other categories for distress items. Patients who had a higher body mass index and number of comorbid conditions were less likely to increase their physical activity. Self-determination theory including autonomous motivation and relatedness was not associated with the outcomes.

Conclusions

Physical activity did increase over time in both groups and was not significantly different with the use of the eHealth intervention, SurvivorCHESS, compared to the control group. The amount of SurvivorCHESS use was not associated with physical activity.

Implications for cancer survivors

Increasing physical activity in colon cancer survivors has the potential to improve quality of life and reduce recurrences. Using smartphone-tracking devices may be useful in helping to change this health behavior.

Keywords

Colon cancer Physical activity Cancer survivorship Surveillance Survivorship care Plans eHealth 

Notes

Acknowledgements

We would like to thank all participants and staff involved in this study. We would also like to thank Ming-Yuan Chih, PhD, University of Kentucky, College of Health Sciences, for his assistance with additional statistical analyses. This paper is based on a presentation at the NCI Centers of Excellence in Cancer Communication Research (CECCR) 2013 Grantee Meeting, Ann Arbor, MI.

Compliance with ethical standards

This study was approved by the relevant institutional review boards at all the centers. Participants provided written informed consent before starting the study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institution.

Conflict of interest

Deborah K. Mayer, Stock Holder for CareVive. The other authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Deborah K. Mayer
    • 1
  • Gina Landucci
    • 2
  • Lola Awoyinka
    • 2
  • Amy K. Atwood
    • 3
  • Cindy L. Carmack
    • 4
  • Wendy Demark-Wahnefried
    • 5
  • Fiona McTavish
    • 2
  • David H. Gustafson
    • 2
  1. 1.UNC Lineberger Cancer CenterUniversity of North CarolinaChapel HillUSA
  2. 2.Center for Health Enhancement Systems StudiesUniversity of Wisconsin-MadisonMadisonUSA
  3. 3.T-Mobile Workforce Analysis and InsightsBellevueUSA
  4. 4.Department of Behavior ScienceM.D. Anderson Cancer CenterHoustonUSA
  5. 5.UAB Comprehensive Cancer CenterUniversity of AlabamaBirminghamUSA

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