Peers Promoting Exercise Adoption and Maintenance among Cancer Survivors

同行促进癌症幸存者采取和维持运动

基本信息

批准号：
9272381
负责人：
Bernardine M. Pinto
金额：
$ 46.32万
依托单位：
UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-04-03 至 2021-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9272381
关键词：
Address Adoption Adverse effects Age American American Cancer Society Attenuated Behavior Therapy Breast Cancer Patient Breast Cancer survivor Cancer Patient Cancer Survivor Cancer Survivorship Communities Cost Effectiveness Analysis Counseling Data Educational Intervention Electronic Mail Enrollment Exercise Fatigue Feedback Funding Future Home environment Injury Intervention Maintenance Mediator of activation protein Moods Motivation Muscle Outcome Participant Patients Phonation Physical Function Quality of life Randomized Controlled Trials Readiness Recommendation Recovery Reporting Research Self Efficacy Social support Sports Medicine Sprain Sum Supervision Survivors Telephone Testing Text Time Training Translating Translations United States National Institutes of Health arm base cancer care cancer recurrence cancer risk college community setting cost cost effectiveness design dissemination trial efficacy trial evidence base exercise intervention exercise program improved intervention effect malignant breast neoplasm moderate-to-vigorous physical activity peer peer coaching post intervention primary outcome programs psychosocial public health relevance scale up theories therapy development volunteer

项目摘要

DESCRIPTION (provided by applicant): Peers Promoting Exercise Adoption and Maintenance among Cancer Survivors ABSTRACT Studies in research settings have demonstrated that exercise adoption among cancer survivors can improve their quality of life, mood and fatigue. Little has been done to translate these efforts into a community-setting. Such dissemination is essential to extend the reach of efficacious interventions to improve the recovery and well-being of cancer survivors. We have tested the effects of a 3-month telephone-based exercise program offered by community peer volunteers (specifically, Reach to Recovery [RTR] volunteers of the American Cancer Society [ACS]) to breast cancer survivors. This theory-based intervention was successfully delivered and was found to significantly increase exercise at 3 months (post-intervention) and at 6 months compared to a contact control condition. Intervention effects were significant but attenuated at 6 months. Exercise maintenance is important to sustain psychosocial benefits and may reduce risk for cancer recurrence. Maintenance of outcomes is also fundamental to informing the translation of evidence-based behavioral interventions into practice. Hence, prior to implementation in community-based organizations, we propose to enhance this intervention to support not only the adoption of exercise (3 months) but also its maintenance at 12 months by comparing three evidence-based maintenance interventions that can be implemented by community-based organizations. In this randomized controlled trial, after the 3-month telephone-based exercise program from RTR peer volunteers/coaches, we will compare three groups: 1) Reach Plus (exercise logs and feedback reports but no additional contact with coaches via phone or messages), 2) Reach Plus Phone (monthly counseling calls from coaches, exercise logs and feedback reports), and 3) Reach Plus Messages (monthly email/text messages, exercise logs and feedback reports). In sum, during Months 4-9, participants in the three groups will be asked to keep exercise logs and will be provided feedback reports; extended support will be offered via monthly telephone calls from the coaches (Reach Plus Phone) or email/text messages (Reach Plus Messages). We will enroll 150 patients and assess exercise (primary outcome), fatigue, QOL and mood at baseline, 3, 6, 9 and 12 months. We will also conduct cost-effectiveness analyses to inform dissemination efforts. If the proposed trial demonstrates positive effects, we will design a dissemination trial f a peer mentored approach for exercise adoption and maintenance among breast cancer survivors in a community setting. Partnering with cancer care organizations that offer peer mentoring can expand the reach ("scale up") of efforts to enhance survivors' recovery.

描述（由申请人提供）：同行促进癌症幸存者进行锻炼并维持锻炼摘要研究环境中的研究表明，癌症幸存者进行锻炼可以改善他们的生活质量、情绪和疲劳。几乎没有采取任何措施将这些努力转化为社区环境。这种传播对于扩大有效干预措施的范围以改善癌症幸存者的康复和福祉至关重要。我们测试了社区同伴志愿者（特别是美国癌症协会 [ACS] 的康复 [RTR] 志愿者）提供的为期 3 个月的电话锻炼计划对乳腺癌幸存者的影响。这种基于理论的干预措施已成功实施，并被发现与接触控制条件相比，在 3 个月（干预后）和 6 个月时显着增加了运动量。干预效果显着，但在 6 个月时减弱。维持运动对于维持社会心理益处很重要，并可能降低癌症复发的风险。维持结果对于将循证行为干预转化为实践也至关重要。因此，在社区组织实施之前，我们建议通过比较社区可以实施的三种基于证据的维持干预措施，加强这种干预措施，不仅支持锻炼的采用（3个月），而且支持12个月的维持为基础的组织。在这项随机对照试验中，在 RTR 同伴志愿者/教练进行为期 3 个月的电话锻炼计划后，我们将比较三组：1) Reach Plus（锻炼日志和反馈报告，但不通过电话或消息与教练进行额外联系） , 2) Reach Plus 电话（每月来自教练的咨询电话、锻炼日志和反馈报告），以及 3) Reach Plus 消息（每月电子邮件/短信、锻炼日志和反馈报告）。总之，在第4-9个月期间，三组的参与者将被要求保留锻炼日志并提供反馈报告；教练每月会通过电话（Reach Plus Phone）或电子邮件/短信（Reach Plus Messages）提供扩展支持。我们将招募 150 名患者，并在基线、3、6、9 和 12 个月时评估运动（主要结果）、疲劳、生活质量和情绪。我们还将进行成本效益分析，为传播工作提供信息。如果拟议的试验显示出积极的效果，我们将设计一项传播试验，采用同行指导的方法，以便在社区环境中乳腺癌幸存者中采用和维持锻炼。与提供同伴指导的癌症护理组织合作可以扩大努力的范围（“扩大规模”），以促进幸存者的康复。