Increasing physical activity in cancer survivors at cardiovascular risk using Fitbits: Randomized controlled trial

Chloe Marie Maxwell-Smith, Paul Andrew Cohen, Cameron Platell, Patrick Tan, Jason Tan, Paul Salama, Michael Levitt, Gregory Bryan Makin, Stuart Salfinger, Ganendra Raj Kader Ali Mohan, Robert Kane, Dana Hince, Sarah Jane Hardcastle

Research output: Contribution to journalAbstract/Meeting Abstract

Abstract

93Background: Efforts to increase physical activity in cancer survivors have typically been facility-based, and results have generally not been durable. Home-based interventions provide a more feasible option, and are likely to produce longer-lasting benefits. Wearable trackers present a novel opportunity for monitoring physical activity in a practical way. The Health Action Process Approach model suggests that strategies such as action-planning and overcoming barriers may be effective for transitioning individuals from intention to behavioural change. This trial aims to increase physical activity in cancer survivors at cardiovascular risk, by implementing a 24-week self-monitoring and action-planning intervention using Fitbits. Methods: Sixty-eight cancer survivors were recruited to participate in the trial. Eligibility criteria included: insufficiently physically active, presence of cardiovascular risk factors, and completion of active cancer treatment in the five years prior to recruitment. Trial assessments are performed at baseline, 12-weeks, and 24-weeks, and measure physical activity (using 7-day accelerometer data), BMI, blood pressure, physical activity attitudes, barriers and perceived outcomes. Participants were randomly allocated to treatment and control groups, following the baseline assessment. Each participant in the treatment group was given a Fitbit Alta to monitor activity for the 24-week trial, attended two 2-hour group sessions involving goal-setting and action-planning activities, and a follow-up phone call to ensure program adherence. Results: Data collection is currently underway. Data analysis will use the Group x Time interaction from a General Linear Mixed Model analysis. Conclusions: As the population of cancer survivors is largely inactive and at cardiovascular risk, interventions are warranted. Specifically, physical activity interventions that are feasible, have robust theoretical underpinnings, and suit the preferences of cancer survivors post-treatment, show promise as a long-term solution. Clinical trial information: 2617000131358.
Original languageEnglish
Pages (from-to)93
Number of pages1
JournalJournal of Clinical Oncology
Volume36
Issue number7
DOIs
Publication statusPublished - 1 Mar 2018

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Randomized Controlled Trials
Neoplasms
Linear Models
Clinical Trials
Blood Pressure
Control Groups
Health
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Maxwell-Smith, Chloe Marie ; Cohen, Paul Andrew ; Platell, Cameron ; Tan, Patrick ; Tan, Jason ; Salama, Paul ; Levitt, Michael ; Makin, Gregory Bryan ; Salfinger, Stuart ; Kader Ali Mohan, Ganendra Raj ; Kane, Robert ; Hince, Dana ; Hardcastle, Sarah Jane. / Increasing physical activity in cancer survivors at cardiovascular risk using Fitbits: Randomized controlled trial. In: Journal of Clinical Oncology. 2018 ; Vol. 36, No. 7. pp. 93.
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title = "Increasing physical activity in cancer survivors at cardiovascular risk using Fitbits: Randomized controlled trial",
abstract = "93Background: Efforts to increase physical activity in cancer survivors have typically been facility-based, and results have generally not been durable. Home-based interventions provide a more feasible option, and are likely to produce longer-lasting benefits. Wearable trackers present a novel opportunity for monitoring physical activity in a practical way. The Health Action Process Approach model suggests that strategies such as action-planning and overcoming barriers may be effective for transitioning individuals from intention to behavioural change. This trial aims to increase physical activity in cancer survivors at cardiovascular risk, by implementing a 24-week self-monitoring and action-planning intervention using Fitbits. Methods: Sixty-eight cancer survivors were recruited to participate in the trial. Eligibility criteria included: insufficiently physically active, presence of cardiovascular risk factors, and completion of active cancer treatment in the five years prior to recruitment. Trial assessments are performed at baseline, 12-weeks, and 24-weeks, and measure physical activity (using 7-day accelerometer data), BMI, blood pressure, physical activity attitudes, barriers and perceived outcomes. Participants were randomly allocated to treatment and control groups, following the baseline assessment. Each participant in the treatment group was given a Fitbit Alta to monitor activity for the 24-week trial, attended two 2-hour group sessions involving goal-setting and action-planning activities, and a follow-up phone call to ensure program adherence. Results: Data collection is currently underway. Data analysis will use the Group x Time interaction from a General Linear Mixed Model analysis. Conclusions: As the population of cancer survivors is largely inactive and at cardiovascular risk, interventions are warranted. Specifically, physical activity interventions that are feasible, have robust theoretical underpinnings, and suit the preferences of cancer survivors post-treatment, show promise as a long-term solution. Clinical trial information: 2617000131358.",
author = "Maxwell-Smith, {Chloe Marie} and Cohen, {Paul Andrew} and Cameron Platell and Patrick Tan and Jason Tan and Paul Salama and Michael Levitt and Makin, {Gregory Bryan} and Stuart Salfinger and {Kader Ali Mohan}, {Ganendra Raj} and Robert Kane and Dana Hince and Hardcastle, {Sarah Jane}",
year = "2018",
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doi = "10.1200/JCO.2018.36.7_suppl.93",
language = "English",
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Maxwell-Smith, CM, Cohen, PA, Platell, C, Tan, P, Tan, J, Salama, P, Levitt, M, Makin, GB, Salfinger, S, Kader Ali Mohan, GR, Kane, R, Hince, D & Hardcastle, SJ 2018, 'Increasing physical activity in cancer survivors at cardiovascular risk using Fitbits: Randomized controlled trial' Journal of Clinical Oncology, vol. 36, no. 7, pp. 93. https://doi.org/10.1200/JCO.2018.36.7_suppl.93

Increasing physical activity in cancer survivors at cardiovascular risk using Fitbits: Randomized controlled trial. / Maxwell-Smith, Chloe Marie; Cohen, Paul Andrew; Platell, Cameron; Tan, Patrick; Tan, Jason; Salama, Paul; Levitt, Michael; Makin, Gregory Bryan; Salfinger, Stuart; Kader Ali Mohan, Ganendra Raj; Kane, Robert; Hince, Dana; Hardcastle, Sarah Jane.

In: Journal of Clinical Oncology, Vol. 36, No. 7, 01.03.2018, p. 93.

Research output: Contribution to journalAbstract/Meeting Abstract

TY - JOUR

T1 - Increasing physical activity in cancer survivors at cardiovascular risk using Fitbits: Randomized controlled trial

AU - Maxwell-Smith, Chloe Marie

AU - Cohen, Paul Andrew

AU - Platell, Cameron

AU - Tan, Patrick

AU - Tan, Jason

AU - Salama, Paul

AU - Levitt, Michael

AU - Makin, Gregory Bryan

AU - Salfinger, Stuart

AU - Kader Ali Mohan, Ganendra Raj

AU - Kane, Robert

AU - Hince, Dana

AU - Hardcastle, Sarah Jane

PY - 2018/3/1

Y1 - 2018/3/1

N2 - 93Background: Efforts to increase physical activity in cancer survivors have typically been facility-based, and results have generally not been durable. Home-based interventions provide a more feasible option, and are likely to produce longer-lasting benefits. Wearable trackers present a novel opportunity for monitoring physical activity in a practical way. The Health Action Process Approach model suggests that strategies such as action-planning and overcoming barriers may be effective for transitioning individuals from intention to behavioural change. This trial aims to increase physical activity in cancer survivors at cardiovascular risk, by implementing a 24-week self-monitoring and action-planning intervention using Fitbits. Methods: Sixty-eight cancer survivors were recruited to participate in the trial. Eligibility criteria included: insufficiently physically active, presence of cardiovascular risk factors, and completion of active cancer treatment in the five years prior to recruitment. Trial assessments are performed at baseline, 12-weeks, and 24-weeks, and measure physical activity (using 7-day accelerometer data), BMI, blood pressure, physical activity attitudes, barriers and perceived outcomes. Participants were randomly allocated to treatment and control groups, following the baseline assessment. Each participant in the treatment group was given a Fitbit Alta to monitor activity for the 24-week trial, attended two 2-hour group sessions involving goal-setting and action-planning activities, and a follow-up phone call to ensure program adherence. Results: Data collection is currently underway. Data analysis will use the Group x Time interaction from a General Linear Mixed Model analysis. Conclusions: As the population of cancer survivors is largely inactive and at cardiovascular risk, interventions are warranted. Specifically, physical activity interventions that are feasible, have robust theoretical underpinnings, and suit the preferences of cancer survivors post-treatment, show promise as a long-term solution. Clinical trial information: 2617000131358.

AB - 93Background: Efforts to increase physical activity in cancer survivors have typically been facility-based, and results have generally not been durable. Home-based interventions provide a more feasible option, and are likely to produce longer-lasting benefits. Wearable trackers present a novel opportunity for monitoring physical activity in a practical way. The Health Action Process Approach model suggests that strategies such as action-planning and overcoming barriers may be effective for transitioning individuals from intention to behavioural change. This trial aims to increase physical activity in cancer survivors at cardiovascular risk, by implementing a 24-week self-monitoring and action-planning intervention using Fitbits. Methods: Sixty-eight cancer survivors were recruited to participate in the trial. Eligibility criteria included: insufficiently physically active, presence of cardiovascular risk factors, and completion of active cancer treatment in the five years prior to recruitment. Trial assessments are performed at baseline, 12-weeks, and 24-weeks, and measure physical activity (using 7-day accelerometer data), BMI, blood pressure, physical activity attitudes, barriers and perceived outcomes. Participants were randomly allocated to treatment and control groups, following the baseline assessment. Each participant in the treatment group was given a Fitbit Alta to monitor activity for the 24-week trial, attended two 2-hour group sessions involving goal-setting and action-planning activities, and a follow-up phone call to ensure program adherence. Results: Data collection is currently underway. Data analysis will use the Group x Time interaction from a General Linear Mixed Model analysis. Conclusions: As the population of cancer survivors is largely inactive and at cardiovascular risk, interventions are warranted. Specifically, physical activity interventions that are feasible, have robust theoretical underpinnings, and suit the preferences of cancer survivors post-treatment, show promise as a long-term solution. Clinical trial information: 2617000131358.

U2 - 10.1200/JCO.2018.36.7_suppl.93

DO - 10.1200/JCO.2018.36.7_suppl.93

M3 - Abstract/Meeting Abstract

VL - 36

SP - 93

JO - Journal of clinical oncology : official journal of the American Society of Clinical Oncology

JF - Journal of clinical oncology : official journal of the American Society of Clinical Oncology

SN - 0732-183X

IS - 7

ER -