Brigid M Lynch1, Nga H Nguyen2, Marina M Reeves3, Melissa M Moore4, Dori E Rosenberg5, Michael J Wheeler6, Terry Boyle7, Jeff K Vallance8, Christine M Friedenreich9, Dallas R English10. 1. Cancer Epidemiology and Intelligence Division, Cancer Council Victoria, Melbourne, Australia; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Australia; Physical Activity Laboratory, Baker Heart and Diabetes Institute, Melbourne, Australia. Electronic address: brigid.lynch@cancervic.org.au. 2. Cancer Epidemiology and Intelligence Division, Cancer Council Victoria, Melbourne, Australia. 3. Cancer Prevention Research Centre, School of Public Health, The University of Queensland, Brisbane, Australia. 4. Medical Oncology, St Vincent's Hospital, Melbourne, Australia. 5. Group Health Research Institute, Seattle, USA; School of Public Health, The University of Washington, Seattle, USA. 6. Physical Activity Laboratory, Baker Heart and Diabetes Institute, Melbourne, Australia; School of Human Sciences, The University of Western Australia, Perth, Western Australia, Australia. 7. School of Public Health, Curtin University, Perth, Australia. 8. Faculty of Health Disciplines, Athabasca University, Athabasca, Canada. 9. Department of Cancer Epidemiology and Prevention Research, Health Services, Alberta, Calgary, Canada; Departments of Oncology and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada. 10. Cancer Epidemiology and Intelligence Division, Cancer Council Victoria, Melbourne, Australia; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Australia.
Abstract
BACKGROUND: Physical activity is positively associated with survival and quality of life among breast cancer survivors. Despite these benefits, the majority of breast cancer survivors are insufficiently active. The potential health benefits of reducing sedentary behaviour (sitting time) in this population have not been extensively investigated. The ACTIVATE Trial will evaluate the efficacy of an intervention that combines wearable technology (the Garmin Vivofit2®) with traditional behavioural change approaches to increase physical activity and reduce sedentary behaviour performed by breast cancer survivors. METHODS/ DESIGN: This randomised controlled trial includes inactive, postmenopausal women diagnosed with stageI-III breast cancer who have completed their primary treatment. Participants are randomly assigned to the primary intervention group (Garmin Vivofit2®; behavioural feedback and goal setting session; and, five telephone-delivered health coaching sessions) or to the wait-list control group. The primary intervention is delivered over a 12-week period. The second 12-week period comprises a maintenance phase for the primary intervention group, and an abridged intervention (Garmin Vivofit2® only) for the wait-list control group. Moderate- to vigorous-intensity physical activity (MVPA) and sedentary behaviour are assessed by accelerometry at baseline (T1), end of intervention (T2), and end of maintenance phase (T3). DISCUSSION: The ACTIVATE Trial is one of the first studies to incorporate wearable technology into an intervention for cancer survivors. If the use of wearable technology (in combination with behaviour change strategies, or alone) proves efficacious, it may become an inexpensive and sustainable addition to the health promotion strategies available to health care providers in the cancer survivorship context. TRIAL REGISTRATION: ACTRN12616000175471.
RCT Entities:
BACKGROUND: Physical activity is positively associated with survival and quality of life among breast cancer survivors. Despite these benefits, the majority of breast cancer survivors are insufficiently active. The potential health benefits of reducing sedentary behaviour (sitting time) in this population have not been extensively investigated. The ACTIVATE Trial will evaluate the efficacy of an intervention that combines wearable technology (the Garmin Vivofit2®) with traditional behavioural change approaches to increase physical activity and reduce sedentary behaviour performed by breast cancer survivors. METHODS/ DESIGN: This randomised controlled trial includes inactive, postmenopausal women diagnosed with stage I-III breast cancer who have completed their primary treatment. Participants are randomly assigned to the primary intervention group (Garmin Vivofit2®; behavioural feedback and goal setting session; and, five telephone-delivered health coaching sessions) or to the wait-list control group. The primary intervention is delivered over a 12-week period. The second 12-week period comprises a maintenance phase for the primary intervention group, and an abridged intervention (Garmin Vivofit2® only) for the wait-list control group. Moderate- to vigorous-intensity physical activity (MVPA) and sedentary behaviour are assessed by accelerometry at baseline (T1), end of intervention (T2), and end of maintenance phase (T3). DISCUSSION: The ACTIVATE Trial is one of the first studies to incorporate wearable technology into an intervention for cancer survivors. If the use of wearable technology (in combination with behaviour change strategies, or alone) proves efficacious, it may become an inexpensive and sustainable addition to the health promotion strategies available to health care providers in the cancer survivorship context. TRIAL REGISTRATION: ACTRN12616000175471.
Authors: Kara L Gavin; Whitney A Welch; David E Conroy; Sarah Kozey-Keadle; Christine Pellegrini; Alison Cottrell; Anne Nielsen; Payton Solk; Juned Siddique; Siobhan M Phillips Journal: Cancer Causes Control Date: 2019-03-27 Impact factor: 2.506
Authors: Siobhan M Phillips; Kerry S Courneya; Whitney A Welch; Kara L Gavin; Alison Cottrell; Anne Nielsen; Payton Solk; Danielle Blanch-Hartigan; David Cella; Ronald T Ackermann; Bonnie Spring; Frank Penedo Journal: J Cancer Surviv Date: 2019-03-26 Impact factor: 4.442