David J Finley1,2, Kayla A Fay3,4, John A Batsis5,6,7,8,9, Courtney J Stevens10,11, Olivia A Sacks12, Christian Darabos13, Summer B Cook14, Kathleen Doyle Lyons2,15,16. 1. Department of Surgery, Thoracic Surgery Section, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. 2. Geisel School of Medicine at Dartmouth, Hanover, NH, USA. 3. Section of Gastroenterology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. 4. Section of Thoracic Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. 5. Section of General Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. 6. Geisel School of Medicine at Dartmouth and The Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth Centers for Health and Aging, Dartmouth College, Hanover, NH, USA. 7. Health Promotion Research Center at Dartmouth, Lebanon, NH, USA. 8. Dartmouth Weight & Wellness Center, Lebanon, NH, USA. 9. Center for Technology and Behavioral Health, Dartmouth College, Hanover, NH, USA. 10. Dartmouth Centers for Health & Aging, Geisel School of Medicine, Hanover, NH, USA. 11. Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. 12. Geisel School of Medicine at Dartmouth and The Dartmouth Institute for Health Policy & Clinical Practice, Hanover, NH, USA. 13. Research Information, Technology and Consulting, Dartmouth College, Hanover, NH, USA. 14. Department of Kinesiology, University of New Hampshire, Durham, NH, USA. 15. Psychiatry Research, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. 16. Cancer Population Sciences Program, Norris Cotton Cancer Center, Lebanon, NH, USA.
Abstract
OBJECTIVE: The purpose of this study was to explore the feasibility, acceptability and perceived utility of the provision of a wearable fitness device and an exercise prescription from a surgeon, prior to surgery for lung cancer. METHODS: A single-arm, pre-post feasibility study was conducted with 30 participants scheduled for surgery to treat stage I, II or III lung cancer. Participants were given a Garmin Vivoactive HR device and a prescription for 150 min of moderately to vigorous exercise per week. Participants completed assessments on four occasions and completed a semi-structured interview on two occasions. Descriptive statistics were used to assess the feasibility and acceptability of study procedures, including synchronising the Garmin device and engaging in study assessments. RESULTS: Seventy-nine per cent of enrolled participants completed the pre-operative study activities. Seventy-one per cent of enrolled participants successfully synchronised their device during the pre-operative period. Data were transmitted from the device to the study team for an average of 70% of the pre-operative days. CONCLUSION: This pilot study demonstrated the feasibility and acceptability of a pre-operative exercise program for patients scheduled to undergo surgery for lung cancer. TRIAL REGISTRATION: The study protocol was registered with ClinicalTrials.gov prior to the initiation of participant recruitment (NCT03162718).
OBJECTIVE: The purpose of this study was to explore the feasibility, acceptability and perceived utility of the provision of a wearable fitness device and an exercise prescription from a surgeon, prior to surgery for lung cancer. METHODS: A single-arm, pre-post feasibility study was conducted with 30 participants scheduled for surgery to treat stage I, II or III lung cancer. Participants were given a Garmin Vivoactive HR device and a prescription for 150 min of moderately to vigorous exercise per week. Participants completed assessments on four occasions and completed a semi-structured interview on two occasions. Descriptive statistics were used to assess the feasibility and acceptability of study procedures, including synchronising the Garmin device and engaging in study assessments. RESULTS: Seventy-nine per cent of enrolled participants completed the pre-operative study activities. Seventy-one per cent of enrolled participants successfully synchronised their device during the pre-operative period. Data were transmitted from the device to the study team for an average of 70% of the pre-operative days. CONCLUSION: This pilot study demonstrated the feasibility and acceptability of a pre-operative exercise program for patients scheduled to undergo surgery for lung cancer. TRIAL REGISTRATION: The study protocol was registered with ClinicalTrials.gov prior to the initiation of participant recruitment (NCT03162718).
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