A randomized controlled trial of Promoting Physical Activity in Regional and Remote Cancer Survivors (PPARCS).

Behavior change Exercise Health disparities Oncology Wearable technology

Journal

Journal of sport and health science
ISSN: 2213-2961
Titre abrégé: J Sport Health Sci
Pays: China
ID NLM: 101606001

Informations de publication

Date de publication:
03 Feb 2023
Historique:
received: 20 09 2022
revised: 09 11 2022
accepted: 13 12 2022
pubmed: 4 2 2023
medline: 4 2 2023
entrez: 3 2 2023
Statut: aheadofprint

Résumé

Physical activity (PA) is important for cancer survivors. Trials of remotely delivered interventions are needed to assist in reaching under-served non-metropolitan cancer survivors. The objective of this study was to ascertain whether wearable technology, coupled with health coaching was effective in increasing PA in breast and colorectal cancer survivors living in regional and remote areas in Australia. Cancer survivors from 5 states were randomized to intervention and control arms. Intervention participants were given a Fitbit Charge 2 Eighty-seven participants were recruited (age = 63 ± 11 years; 74 (85%) female). There was a significant net improvement in MVPA of 49.8 min/week, favoring the intervention group (95% confidence interval (95%CI): 13.6-86.1, p = 0.007). There was also a net increase in MVPA bouts of 39.5 min/week (95%CI: 11.9-67.1, p = 0.005), favoring the intervention group. Both groups improved light PA and sedentary behavior, but there were no between-group differences. This is the first study to demonstrate that, when compared to standard practice (i.e., PA education), a wearable technology intervention coupled with distance-based health coaching, improves MVPA in non-metropolitan cancer survivors. The results display promise for the use of scalable interventions using smart wearable technology in conjunction with phone-based health coaching to foster increased PA in geographically disadvantaged cancer survivors.

Sections du résumé

BACKGROUND BACKGROUND
Physical activity (PA) is important for cancer survivors. Trials of remotely delivered interventions are needed to assist in reaching under-served non-metropolitan cancer survivors. The objective of this study was to ascertain whether wearable technology, coupled with health coaching was effective in increasing PA in breast and colorectal cancer survivors living in regional and remote areas in Australia.
METHODS METHODS
Cancer survivors from 5 states were randomized to intervention and control arms. Intervention participants were given a Fitbit Charge 2
RESULTS RESULTS
Eighty-seven participants were recruited (age = 63 ± 11 years; 74 (85%) female). There was a significant net improvement in MVPA of 49.8 min/week, favoring the intervention group (95% confidence interval (95%CI): 13.6-86.1, p = 0.007). There was also a net increase in MVPA bouts of 39.5 min/week (95%CI: 11.9-67.1, p = 0.005), favoring the intervention group. Both groups improved light PA and sedentary behavior, but there were no between-group differences.
CONCLUSION CONCLUSIONS
This is the first study to demonstrate that, when compared to standard practice (i.e., PA education), a wearable technology intervention coupled with distance-based health coaching, improves MVPA in non-metropolitan cancer survivors. The results display promise for the use of scalable interventions using smart wearable technology in conjunction with phone-based health coaching to foster increased PA in geographically disadvantaged cancer survivors.

Identifiants

pubmed: 36736725
pii: S2095-2546(23)00004-2
doi: 10.1016/j.jshs.2023.01.003
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023. Production and hosting by Elsevier B.V.

Auteurs

Sarah J Hardcastle (SJ)

Sport and Physical Activity Research Centre, Sheffield Hallam University, Sheffield, S10 2BP, UK; Institute for Health Research, The University of Notre Dame, Fremantle, WA 6959, Australia; Curtin School of Population Health, Curtin University, Perth, WA 6845, Australia. Electronic address: Sarah.Hardcastle@shu.ac.uk.

Chloe Maxwell-Smith (C)

Curtin School of Population Health, Curtin University, Perth, WA 6845, Australia.

Vinicius Cavalheri (V)

Curtin School of Allied Health, Curtin University, Perth, WA 6845, Australia; Allied Health, South Metropolitan Health Service, Murdoch, WA 6150, Australia.

Terry Boyle (T)

Australian Centre for Precision Health, University of South Australia, Adelaide, SA 5001, Australia.

Marta Leyton Román (ML)

Department of Didactics of Musical, Plastic and Body Expression, University of Extremadura, Caceres, 10071, Spain.

Cameron Platell (C)

St. John of God Subiaco Hospital, Perth, WA 6008, Australia.

Michael Levitt (M)

St. John of God Subiaco Hospital, Perth, WA 6008, Australia.

Christobel Saunders (C)

St. John of God Subiaco Hospital, Perth, WA 6008, Australia; Department of Surgery, University of Melbourne, Melbourne, VIC 3010, Australia.

Frank Sardelic (F)

Tamara Private Hospital, Tamworth, NSW 2340, Australia.

Sophie Nightingale (S)

Tamara Private Hospital, Tamworth, NSW 2340, Australia.

Jacob McCormick (J)

Peter MacCallum Cancer Centre, Melbourne, VIC 3000, Australia.

Craig Lynch (C)

College of Health and Medicine, Australian National University, Canberra, ACT 2600, Australia.

Paul A Cohen (PA)

Institute for Health Research, The University of Notre Dame, Fremantle, WA 6959, Australia; St. John of God Subiaco Hospital, Perth, WA 6008, Australia; Division of Obstetrics and Gynaecology, Medical School, University of Western Australia, Perth, WA 6009, Australia.

Max Bulsara (M)

Institute for Health Research, The University of Notre Dame, Fremantle, WA 6959, Australia.

Dana Hince (D)

Institute for Health Research, The University of Notre Dame, Fremantle, WA 6959, Australia.

Classifications MeSH