Self-monitoring and reminder text messages to increase physical activity in colorectal cancer survivors (Smart Pace): a pilot randomized controlled trial

被引:62
作者
Van Blarigan, Erin L. [1 ,2 ]
Chan, Hilary [3 ]
Van Loon, Katherine [4 ,5 ]
Kenfield, Stacey A. [2 ]
Chan, June M. [1 ,2 ]
Mitchell, Emily [4 ]
Zhang, Li [1 ,4 ,5 ]
Paciorek, Alan [1 ,5 ]
Joseph, Galen [6 ]
Laffan, Angela [5 ]
Atreya, Chloe E. [4 ,5 ]
Fukuoka, Yoshimi [7 ]
Miaskowski, Christine [5 ,7 ]
Meyerhardt, Jeffrey A. [8 ]
Venook, Alan P. [4 ,5 ]
机构
[1] Univ Calif San Francisco, Dept Epidemiol & Biostat, UCSF Box 0560,550 16th St,2nd Floor, San Francisco, CA 94158 USA
[2] Univ Calif San Francisco, Dept Urol, San Francisco, CA 94143 USA
[3] Univ Calif San Francisco, Sch Med, San Francisco, CA 94143 USA
[4] Univ Calif San Francisco, Div Hematol Oncol, Dept Med, San Francisco, CA 94143 USA
[5] Univ Calif San Francisco, Helen Diller Family Comprehens Canc Ctr, San Francisco, CA 94143 USA
[6] Univ Calif San Francisco, Dept Anthropol Hist & Social Med, San Francisco, CA 94143 USA
[7] Univ Calif San Francisco, Dept Physiol Nursing, San Francisco, CA 94143 USA
[8] Dana Farber Partners Canc Care, Boston, MA USA
关键词
Fitbit; Digital health; Exercise; Accelerometer; Lifestyle; Intervention; Cancer survivor; Colorectal cancer; COLON-CANCER; INTERVENTION; WEIGHT; HEALTH; TECHNOLOGY; BEHAVIORS; IMPACT; OLDER;
D O I
10.1186/s12885-019-5427-5
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BackgroundOver 1.3 million people live with colorectal cancer in the United States. Physical activity is associated with lower risk of colorectal cancer recurrence and mortality. Interventions are needed to increase physical activity in colorectal cancer survivors.MethodsWe conducted a 2-arm non-blinded pilot randomized controlled trial at the University of California, San Francisco among 42 individuals who had completed curative-intent treatment for colorectal cancer to determine the feasibility and acceptability of a 12-week (84days) physical activity intervention using a Fitbit Flex and daily text messages. Participants were randomized 1:1 to receive the intervention with print educational materials or print educational materials alone. We explored the impact of the intervention versus usual care on physical activity using ActiGraph GT3X+ accelerometers pre-/post-intervention.ResultsWe screened 406 individuals and randomized 42 to intervention (n=21) or control (n=21) groups. During the 12-week study, the intervention arm wore their Fitbits a median of 74days [88% of days in study period, interquartile range: 23-83days] and responded to a median of 34 (out of 46) text messages that asked for a reply (interquartile range: 13-38 text messages). Among the 16 intervention participants who completed the feedback survey, the majority (88%) reported that the intervention motivated them to exercise and that they were satisfied with their experience. No statistically significant difference in change in moderate-to-vigorous physical activity was found from baseline to 12weeks between arms.ConclusionA 12-week physical activity intervention with a Fitbit and text messages was feasible and acceptable among colorectal cancer patients after curative treatment. Larger studies are needed to determine whether the intervention increases physical activity.Trial registrationClinicaltrials.gov Identifier NCT02966054. Registered 17 November 2016, retrospectively registered.
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页数:9
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