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: 7754693
• 负责人: Bernardine M. Pinto
• 金额: $ 40.33万
• 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 2012-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7754693
• 关键词: Adoption; Adverse effects; American Cancer Society; Cancer Patient; Cancer Survivor; Communities; Counseling; Data; Documentation; Evaluation; Fatigue; Goals; 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; public health relevance; 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，癌症幸存者采取体育活动可以改善他们的身体机能、生活质量、情绪和疲劳。作为将这些努力转化为社区环境的第一步，我们进行了一项试点研究，以检验社区志愿者（具体来说，Reach to Recovery [RTR] 志愿者）提供的基于电话的体育活动计划的可行性和初步效果。美国癌症协会 [ACS] 当地办事处）对 25 名乳腺癌幸存者进行了调查。这是单组重复测量设计。该课程基于行为改变跨理论模型和社会认知理论，为期 12 周；并在 12 周和 24 周时评估结果。参与者表示，与基线相比，第 12 周和第 24 周时，体力活动显着增加，疲劳减轻，生活质量显着改善。拟议的研究是一项随机对照试验，代表了我们将体育活动研究扩展到社区环境的下一步努力；社区志愿者将提供干预措施，从而使幸存者更容易获得体育活动干预措施。 Miriam 医院的研究人员将与国家 ACS 办公室（佐治亚州亚特兰大）和新英格兰 ACS 分部合作，分享他们的技能、经验和资源，以检验培训 RTR 志愿者为乳腺癌幸存者提供简短身体活动咨询的效果。 15 至 20 名 RTR 志愿者将接受培训，以提供为期 12 周的基于电话的 PA 计划，作为 12 周 RTR 服务 (RTR Plus) 的补充，而不是向 108 名乳腺癌幸存者提供标准的 12 周 RTR 服务 (RTR) 。身体活动、疲劳和其他结果的评估将在基线、12 周和 24 周时完成。将跟踪干预副作用和干预实施成本的数据。如果拟议的随机试验显示出积极的效果，则结果将用于设计和支持一项关于促进身体活动对促进社区环境中癌症康复的效果的传播试验。公共卫生相关性：研究表明，体育活动计划可以改善乳腺癌幸存者的生活质量并减少疲劳。我们计划在美国癌症协会（新英格兰分部）培训 Reach to Recovery 志愿者，为乳腺癌患者提供为期 12 周的基于电话的身体活动计划 (RTR Plus)。对照组患者将接受 Reach to Recovery 服务 (RTR)。项目开始时、第 12 周和第 24 周时，将检查 108 名乳腺癌患者的体力活动、疲劳和其他结果。如果发现体育活动计划有效，则有可能在全美 13,000 名 Reach to Recovery 志愿者中推广。