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Efficacy, feasibility, and acceptability of a novel technology-based intervention to support physical activity in cancer survivors

Supportive Care in Cancer volume 25, pages 1291–1300 (2017)Cite this article

Abstract

Purpose

Physical activity is known to minimize the long-term side effects of cancer treatment. Yet, rates of physical activity participation by cancer survivors are significantly lower compared to the general population. The purpose of this pilot study was to examine the efficacy, feasibility, and acceptability of a technology-based intervention to promote maintenance of physical activity after completing an exercise-based oncology rehabilitation program.

Methods

The pre-post 4-week intervention included support delivered through tailored text messages, Fitbit® self-monitoring, and brief health coaching sessions. The primary outcome measure was accelerometer-assessed physical activity levels. Self-efficacy, self-regulation, social support, fatigue, sleep disturbance, depression, and Fitbit® step counts were assessed as secondary outcomes.

Results

Twenty-four participants (20 females; mean age = 57.9 years ± 10.4) completed the intervention. Mean daily step counts and weekly minutes of moderate-to-vigorous intensity physical activity were maintained after the intervention, as compared to baseline levels achieved at the end of 12 weeks of exercise-based oncology rehabilitation. Both self-regulation (goal setting, relapse prevention) and fatigue severity increased significantly post intervention as compared to baseline (p = 0.05 and p = 0.02, respectively). Qualitative responses demonstrated overall satisfaction with intervention components.

Conclusions

Results demonstrate efficacy of the intervention for maintenance of physical activity levels achieved during exercise-based oncology rehabilitation. Low attrition and high satisfaction provide evidence for both the acceptability and feasibility of the intervention components. Exercise interventions post oncology treatment provide multiple benefits for cancer survivors, yet continued maintenance after program completion is challenging. Technological options offer low-cost, accessible modes to deliver continued monitoring and support beyond traditional facility-based programs.

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Acknowledgements

This study was supported by The University of Vermont REACH Award.

Author information

Affiliations

  1. Department of Rehabilitation and Movement Science, University of Vermont, 106 Carrigan Dr., Burlington, VT, 05405, USA

    Nancy M. Gell, Morgan Humble & Michelle Sexton

  2. University of Vermont, Burlington, VT, 05405, USA

    Kristin W. Grover

  3. University of Vermont Cancer Center, The Courtyard at Given 4th Floor North 89 Beaumont Avenue, Burlington, VT, 05405, USA

    Kim Dittus

  4. Department of Medicine, The University of Vermont Medical Center, 111 Colchester Avenue, Fletcher 311, Burlington, VT, 05401, USA

    Kim Dittus

Authors
  1. Nancy M. Gell
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  2. Kristin W. Grover
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  3. Morgan Humble
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  4. Michelle Sexton
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  5. Kim Dittus
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Corresponding author

Correspondence to Nancy M. Gell.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Cite this article

Gell, N.M., Grover, K.W., Humble, M. et al. Efficacy, feasibility, and acceptability of a novel technology-based intervention to support physical activity in cancer survivors. Support Care Cancer 25, 1291–1300 (2017). https://doi.org/10.1007/s00520-016-3523-5

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  • DOI: https://doi.org/10.1007/s00520-016-3523-5

Keywords

  • Text message
  • Physical activity
  • Health coach
  • Fitbit®