A randomized controlled trial of Wearable Activity Technology And Action-Planning (WATAAP) to promote physical activity in colorectal and endometrial cancer survivors

Chloé Maxwell-Smith; Dana Hince; Paul A Cohen; Max K Bulsara; Terry Boyle; Cameron Platell; Patrick Tan; Michael Levitt; Paul Salama; Jason Tan; Stuart Salfinger; Gregory Makin; Ganendra Raj Kader Ali Mohan; Ruth Jiménez-Castuera; Sarah J Hardcastle

doi:10.1002/pon.5090

A randomized controlled trial of Wearable Activity Technology And Action-Planning (WATAAP) to promote physical activity in colorectal and endometrial cancer survivors

Chloé Maxwell-Smith, Dana Hince, Paul A Cohen, Max K Bulsara, Terry Boyle, Cameron Platell, Patrick Tan, Michael Levitt, Paul Salama, Jason Tan, Stuart Salfinger, Gregory Makin, Ganendra Raj Kader Ali Mohan, Ruth Jiménez-Castuera, Sarah J Hardcastle

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Abstract

OBJECTIVE: The objective of this study was to ascertain whether wearable technology, coupled with action-planning was effective in increasing physical activity (PA) in colorectal and endometrial cancer survivors at cardiovascular risk.

METHODS: Sixty-eight survivors who had cardiovascular risk factors and were insufficiently active were randomized to intervention and control arms. Intervention participants were given a wearable tracker for 12-weeks, two group sessions, and a support phone-call. Participants in the control arm received print materials describing PA guidelines. Assessments at baseline and 12-weeks measured triaxial and uniaxial estimates of moderate-vigorous physical activity (MVPA), sedentary behavior, blood pressure and BMI.

RESULTS: The intervention group significantly increased MVPA by 45-minutes/week compared to a reduction of 21-minutes/week in the control group. Group by time interactions were significant for minutes of MVPA (F(1,126)=5.14, p =.025). For those with diastolic hypertension, there was a significant group by time interaction (F(1,66)=4.89, p =.031) with a net reduction of 9.89mmHg in the intervention group.

CONCLUSIONS: Significant improvements in MVPA were observed following the intervention. The results display promise for the use of pragmatic, low-intensity interventions using wearable technology.

Original language	English
Pages (from-to)	1420-1429
Number of pages	10
Journal	Psycho-Oncology
Volume	28
Issue number	7
DOIs	https://doi.org/10.1002/pon.5090
Publication status	Published - Jul 2019

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Maxwell-Smith et al., 2019 A randomized control trial of WATAAPAccepted author manuscript, 638 KBLicence: CC BY-NC

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Maxwell-Smith, C., Hince, D., Cohen, P. A., Bulsara, M. K., Boyle, T., Platell, C., Tan, P., Levitt, M., Salama, P., Tan, J., Salfinger, S., Makin, G., Mohan, G. R. K. A., Jiménez-Castuera, R., & Hardcastle, S. J. (2019). A randomized controlled trial of Wearable Activity Technology And Action-Planning (WATAAP) to promote physical activity in colorectal and endometrial cancer survivors. Psycho-Oncology, 28(7), 1420-1429. https://doi.org/10.1002/pon.5090

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title = "A randomized controlled trial of Wearable Activity Technology And Action-Planning (WATAAP) to promote physical activity in colorectal and endometrial cancer survivors",

abstract = "OBJECTIVE: The objective of this study was to ascertain whether wearable technology, coupled with action-planning was effective in increasing physical activity (PA) in colorectal and endometrial cancer survivors at cardiovascular risk.METHODS: Sixty-eight survivors who had cardiovascular risk factors and were insufficiently active were randomized to intervention and control arms. Intervention participants were given a wearable tracker for 12-weeks, two group sessions, and a support phone-call. Participants in the control arm received print materials describing PA guidelines. Assessments at baseline and 12-weeks measured triaxial and uniaxial estimates of moderate-vigorous physical activity (MVPA), sedentary behavior, blood pressure and BMI.RESULTS: The intervention group significantly increased MVPA by 45-minutes/week compared to a reduction of 21-minutes/week in the control group. Group by time interactions were significant for minutes of MVPA (F(1,126)=5.14, p =.025). For those with diastolic hypertension, there was a significant group by time interaction (F(1,66)=4.89, p =.031) with a net reduction of 9.89mmHg in the intervention group.CONCLUSIONS: Significant improvements in MVPA were observed following the intervention. The results display promise for the use of pragmatic, low-intensity interventions using wearable technology.",

author = "Chlo{\'e} Maxwell-Smith and Dana Hince and Cohen, {Paul A} and Bulsara, {Max K} and Terry Boyle and Cameron Platell and Patrick Tan and Michael Levitt and Paul Salama and Jason Tan and Stuart Salfinger and Gregory Makin and Mohan, {Ganendra Raj Kader Ali} and Ruth Jim{\'e}nez-Castuera and Hardcastle, {Sarah J}",

year = "2019",

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Maxwell-Smith, C, Hince, D, Cohen, PA , Bulsara, MK, Boyle, T, Platell, C, Tan, P, Levitt, M, Salama, P, Tan, J, Salfinger, S, Makin, G, Mohan, GRKA, Jiménez-Castuera, R & Hardcastle, SJ 2019, 'A randomized controlled trial of Wearable Activity Technology And Action-Planning (WATAAP) to promote physical activity in colorectal and endometrial cancer survivors', Psycho-Oncology, vol. 28, no. 7, pp. 1420-1429. https://doi.org/10.1002/pon.5090

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AU - Maxwell-Smith, Chloé

AU - Hince, Dana

AU - Cohen, Paul A

AU - Bulsara, Max K

AU - Boyle, Terry

AU - Platell, Cameron

AU - Tan, Patrick

AU - Levitt, Michael

AU - Salama, Paul

AU - Tan, Jason

AU - Salfinger, Stuart

AU - Makin, Gregory

AU - Mohan, Ganendra Raj Kader Ali

AU - Jiménez-Castuera, Ruth

AU - Hardcastle, Sarah J

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A randomized controlled trial of Wearable Activity Technology And Action-Planning (WATAAP) to promote physical activity in colorectal and endometrial cancer survivors

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