Pantea Amin Javaheri1, Cheryl Nekolaichuk2, Robert Haennel3, Matthew B Parliament4, Margaret L McNeely5. 1. Department of Physical Therapy, Faculty of Rehabilitation Medicine. 2. Department of Oncology, Faculty of Medicine and Dentistry. 3. Faculty of Rehabilitation Medicine, University of Alberta. 4. Department of Oncology, Faculty of Medicine and Dentistry ; Department of Radiation Oncology, Cross Cancer Institute, Edmonton. 5. Department of Physical Therapy, Faculty of Rehabilitation Medicine ; Department of Oncology, Faculty of Medicine and Dentistry ; Department of Radiation Oncology, Cross Cancer Institute, Edmonton.
Abstract
PURPOSE: This pilot study assessed the feasibility and acceptability of a pedometer-based walking program for people with breast cancer and head and neck cancer (HNC) undergoing radiation therapy treatment. METHODS: Participants were given a pedometer and prescribed a home-based walking program that included an individualized weekly step-count goal during the 3- to 5-week course of radiation therapy. Feasibility was determined by calculating recruitment rate, completion rate, and rate of adherence. Secondary outcomes included 6-minute walk test (6MWT) distance, step count, physical activity level, and psychological outcomes of depression, happiness, self-esteem, and sleep quality. RESULTS: A total of 21 participants were recruited. All participants completed the study; adherence to prescribed step counts was 91% at follow-up. Analysis found a significant improvement in happiness, as measured by the Oxford Happiness Questionnaire (mean difference 0.3, p=0.003), and a borderline significant improvement in 6MWT distance (mean difference 35 m, p=0.008). CONCLUSION: This pilot study demonstrated the feasibility of a pedometer-based walking program for survivors of breast cancer and HNC undergoing radiation therapy.
PURPOSE: This pilot study assessed the feasibility and acceptability of a pedometer-based walking program for people with breast cancer and head and neck cancer (HNC) undergoing radiation therapy treatment. METHODS:Participants were given a pedometer and prescribed a home-based walking program that included an individualized weekly step-count goal during the 3- to 5-week course of radiation therapy. Feasibility was determined by calculating recruitment rate, completion rate, and rate of adherence. Secondary outcomes included 6-minute walk test (6MWT) distance, step count, physical activity level, and psychological outcomes of depression, happiness, self-esteem, and sleep quality. RESULTS: A total of 21 participants were recruited. All participants completed the study; adherence to prescribed step counts was 91% at follow-up. Analysis found a significant improvement in happiness, as measured by the Oxford Happiness Questionnaire (mean difference 0.3, p=0.003), and a borderline significant improvement in 6MWT distance (mean difference 35 m, p=0.008). CONCLUSION: This pilot study demonstrated the feasibility of a pedometer-based walking program for survivors of breast cancer and HNC undergoing radiation therapy.
Entities:
Keywords:
breast cancer; head and neck cancer; physical activity; radiation therapy; walking
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