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

Autor: Sarah J. Hardcastle, Chloe Maxwell-Smith, Vinicius Cavalheri, Terry Boyle, Marta Leyton Román, Cameron Platell, Michael Levitt, Christobel Saunders, Frank Sardelic, Sophie Nightingale, Jacob McCormick, Craig Lynch, Paul A. Cohen, Max Bulsara, Dana Hince
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Sport and Health Science, Vol 13, Iss 1, Pp 81-89 (2024)
Druh dokumentu: article
ISSN: 2095-2546
DOI: 10.1016/j.jshs.2023.01.003
Popis: 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: Cancer survivors from 5 states were randomized to intervention and control arms. Intervention participants were given a Fitbit Charge 2TM and received up to 6 telephone health coaching sessions. Control participants received PA print materials. Accelerometer assessments at baseline and 12 weeks measured moderate-to-vigorous PA (MVPA), light PA, and sedentary behavior. 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: 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.
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