Community Volunteers Promoting Physical Activity Among Cancer Survivors

社区志愿者促进癌症幸存者的身体活动

• 批准号: 7998200
• 负责人: Bernardine M. Pinto
• 金额: $ 18.62万
• 依托单位: MIRIAM HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-01 至 2013-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7998200
• 关键词: Adoption; Adverse effects; American Cancer Society; Cancer Patient; Cancer Survivor; Communities; Counseling; Data; Documentation; Evaluation; Fatigue; Goals; Health; Hospitals; Injury; Intervention; Malignant Neoplasms; Measures; Modeling; Moods; Muscle; New England; Outcome; Participant; Patients; Physical Function; Physical activity; Pilot Projects; Quality of life; Randomized Controlled Trials; Recovery; Reporting; Research; Research Personnel; Resources; Services; Sprain; Survivors; Telephone; Time; Training; Translating; Woman; base; behavior change; community setting; comparison group; cost; design; dissemination trial; experience; improved; intervention effect; malignant breast neoplasm; primary outcome; programs; randomized trial; skills; social cognitive theory; volunteer

DESCRIPTION (provided by applicant): Studies in research settings have demonstrated that physical activity adoption among cancer survivors can improve their physical functioning, quality of life, mood and fatigue. As a first step towards translating these efforts into a community-setting, we conducted a pilot study to examine the feasibility and preliminary effects of a telephone-based physical activity program offered by community volunteers (specifically, Reach to Recovery [RTR] volunteers of the local office of the American Cancer Society [ACS]) to 25 breast cancer survivors. This was a single group repeated measures design. The program based on the Transtheoretical Model of Behavior Change and Social Cognitive Theory was offered over 12 weeks; and outcomes were assessed at 12 and 24 weeks. Participants' reported significant increases in physical activity, reductions in fatigue and improvement in quality of life at 12 and 24 weeks compared to baseline. The proposed study, a randomized controlled trial, represents the next step in our efforts to extend the research on physical activity to the community setting; community volunteers will deliver the intervention, thereby making physical activity interventions much more accessible to survivors. In partnership with the National ACS office (Atlanta, GA) and the New England ACS Division, researchers at the Miriam Hospital will share their skills, experience and resources to examine the effects of training RTR volunteers to deliver brief physical activity counseling to breast cancer survivors. Fifteen to twenty RTR volunteers will be trained to offer a 12-week telephone-based PA program as a supplement to 12- week RTR services (RTR Plus) vs. delivering the standard 12-week RTR services (RTR) to 108 breast cancer survivors. Assessments of physical activity, fatigue and other outcomes will be completed at baseline, 12 weeks and 24 weeks. Data on side-effects of the intervention and costs of intervention delivery will be tracked. If the proposed randomized trial demonstrates positive effects, the results will be used to design and support a dissemination trial of the effects of physical activity promotion to enhance cancer recovery in a community setting. PUBLIC HEALTH RELEVANCE: Physical activity programs, when offered in research settings, have been shown to improve quality of life and reduce fatigue among breast cancer survivors. We plan to train Reach to Recovery volunteers at the American Cancer Society (New England Division) to provide a 12-week telephone-based physical activity program (RTR Plus) for breast cancer patients. The comparison group of patients will receive Reach to Recovery services (RTR). Physical activity, fatigue and other outcomes will be examined among 108 breast cancer patients at the start of the program, at 12 weeks and 24 weeks. If the physical activity program is found to be effective, there is a potential for dissemination among the 13,000 Reach to Recovery volunteers across the U.S.

描述（由申请人提供）：研究环境中的研究表明，癌症幸存者的体育活动可以改善其身体功能，生活质量，情绪和疲劳。作为将这些努力转化为社区设定的第一步，我们进行了一项试点研究，以研究社区志愿者提供的基于电话的体育活动计划（尤其是恢复范围[RTR]美国癌症协会当地办公室[ACS] [ACS]当地志愿者[ACS] [ACS]）的第一步。这是一组重复的措施设计。该计划基于行为变化和社会认知理论的跨理论模型，在12周内提供了该计划。并在12和24周评估结果。与基线相比，参与者的体育活动减少，疲劳减少以及生活质量的改善显着增加。拟议的研究是一项随机对照试验，代表了我们将有关体育活动研究扩展到社区环境的下一步；社区志愿者将提供干预，从而使幸存者更容易获得体育锻炼的干预措施。与国家ACS办公室（佐治亚州亚特兰大）和新英格兰ACS部门合作，Miriam医院的研究人员将分享他们的技能，经验和资源，以研究培训RTR志愿者为乳腺癌幸存者提供简短的体育活动咨询的影响。将对15至20名RTR志愿者进行培训，以提供为12周的基于电话的PA计划，以补充12周RTR服务（RTR Plus）与将标准的12周RTR服务（RTR）提供给108个乳腺癌幸存者。对体育锻炼，疲劳和其他结果的评估将在基线，12周零24周完成。将跟踪有关干预的副作用的数据和干预交付成本。如果拟议的随机试验表现出积极的影响，则结果将用于设计和支持对体育活动促进的影响以增强社区环境中癌症恢复的作用的传播试验。公共卫生相关性：在研究环境中提供的体育活动计划已被证明可以改善生活质量并减轻乳腺癌幸存者之间的疲劳。我们计划在美国癌症协会（新英格兰分部）的恢复志愿者培训范围内，为乳腺癌患者提供为期12周的基于电话的体育活动计划（RTR Plus）。比较患者将获得恢复服务（RTR）的范围。该计划开始时，将在108名乳腺癌患者中检查体育锻炼，疲劳和其他结局，在12周零24周时。如果发现体育锻炼计划有效，则有可能在美国恢复志愿者的13,000范围内传播