Deborah K Mayer1, Gina Landucci2, Lola Awoyinka2, Amy K Atwood3, Cindy L Carmack4, Wendy Demark-Wahnefried5, Fiona McTavish2, David H Gustafson2. 1. UNC Lineberger Cancer Center, University of North Carolina, Chapel Hill, NC, USA. dmayer@unc.edu. 2. Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, Wisconsin, USA. 3. T-Mobile Workforce Analysis and Insights, Bellevue, WA, USA. 4. Department of Behavior Science, M.D. Anderson Cancer Center, Houston, Texas, USA. 5. UAB Comprehensive Cancer Center, University of Alabama, Birmingham, AL, USA.
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.
RCT Entities:
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.
Authors: Cheryl L Rock; Colleen Doyle; Wendy Demark-Wahnefried; Jeffrey Meyerhardt; Kerry S Courneya; Anna L Schwartz; Elisa V Bandera; Kathryn K Hamilton; Barbara Grant; Marji McCullough; Tim Byers; Ted Gansler Journal: CA Cancer J Clin Date: 2012-04-26 Impact factor: 508.702
Authors: Hannah Arem; Ruth M Pfeiffer; Eric A Engels; Catherine M Alfano; Albert Hollenbeck; Yikyung Park; Charles E Matthews Journal: J Clin Oncol Date: 2014-12-08 Impact factor: 44.544
Authors: Barry G Saver; David Gustafson; Thomas R Taylor; Robert P Hawkins; Nancy F Woods; Susan Dinauer; Susan Casey; Aileen MacLaren-Loranger Journal: Patient Educ Couns Date: 2007-02-20
Authors: Wendy Demark-Wahnefried; Elizabeth C Clipp; Miriam C Morey; Carl F Pieper; Richard Sloane; Denise Clutter Snyder; Harvey J Cohen Journal: J Clin Oncol Date: 2006-07-20 Impact factor: 44.544
Authors: Daniel Y T Fong; Judy W C Ho; Bryant P H Hui; Antoinette M Lee; Duncan J Macfarlane; Sharron S K Leung; Ester Cerin; Wynnie Y Y Chan; Ivy P F Leung; Sharon H S Lam; Aliki J Taylor; Kar-keung Cheng Journal: BMJ Date: 2012-01-30
Authors: David Gustafson; Meg Wise; Abhik Bhattacharya; Alice Pulvermacher; Kathleen Shanovich; Brenda Phillips; Erik Lehman; Vernon Chinchilli; Robert Hawkins; Jee-Seon Kim Journal: J Med Internet Res Date: 2012-07-26 Impact factor: 5.428
Authors: Kate Furness; Mitchell N Sarkies; Catherine E Huggins; Daniel Croagh; Terry P Haines Journal: J Med Internet Res Date: 2020-06-23 Impact factor: 5.428
Authors: Chloe Grimmett; Teresa Corbett; Jennifer Brunet; Jonathan Shepherd; Bernardine M Pinto; Carl R May; Claire Foster Journal: Int J Behav Nutr Phys Act Date: 2019-04-27 Impact factor: 6.457
Authors: Nicole Kiss; Brenton James Baguley; Kylie Ball; Robin M Daly; Steve F Fraser; Catherine L Granger; Anna Ugalde Journal: JMIR Mhealth Uhealth Date: 2019-02-12 Impact factor: 4.773
Authors: Selina Khoo; Najihah Mohbin; Payam Ansari; Mahfoodha Al-Kitani; Andre Matthias Müller Journal: Int J Environ Res Public Health Date: 2021-05-28 Impact factor: 3.390
Authors: Laura Pradal-Cano; Carolina Lozano-Ruiz; José Juan Pereyra-Rodríguez; Francesc Saigí-Rubió; Anna Bach-Faig; Laura Esquius; F Xavier Medina; Alicia Aguilar-Martínez Journal: Int J Environ Res Public Health Date: 2020-11-07 Impact factor: 3.390