ACCELERATION: An Activity,Smoking Cessation, Healthy Eating and Alcohol Intervention Program With Motivational Supports Aimed at Chronic Disease Prevention
试验速览
- 阶段
- 不适用
- 入组人数
- 3,000
- 试验地点
- 2
- 主要终点
- Improvement in one or more of the Four Core Health Behaviors
研究概览
简要总结
The ACCELERATION (ACtivity, smoking Cessation, healthy Eating and aLcohol Education, inteRvention, and motivATION) Program is a collaborative project in cancer and chronic disease prevention that has been designed by and will be delivered amongst cardiopulmonary rehabilitation and prevention programs and cancer centres in Ontario (ON), British Columbia (BC), Quebec (QC) and Nova Scotia (NS). This project is being funded by the Canadian Partnership Against Cancer, Health Canada and Heart and Stroke Foundation of Canada and in the amount of $2.4M over a 3 year period (October 2013 - September 2016). The ACCELERATION Program is a 12 week structured model of behavioural interventions and education around self-management and prevention that aims to access readily available and referable people for primary prevention intervention.This program aligns with current provincial, national and international chronic disease prevention and management strategies. The goal of the ACCELERATION program is to measurably and effectively change the risk factors and health behaviours known to impact cancer and other chronic diseases. Specifically we will aim to increase physical activity, reduce smoking, encourage healthy eating, and moderate alcohol consumption in about 3,000 participants across Canada over 3 years.
详细描述
Chronic diseases including cancer, cardiovascular disease, lung conditions and diabetes are the leading cause of mortality and morbidity in Canada and worldwide. These chronic conditions share common modifiable risk factors including physical inactivity, suboptimal nutrition, smoking and excessive alcohol intake. Cardiac rehabilitation centres in this Coalition have been providing primary and secondary prevention services for many years focused on these behavioural risks, and many of our participants with heart disease also have co-morbidities including cancer, diabetes and lung disease. Co-morbidities are a clinical reality, and we no longer deal with diseases singularly. Today, our client population is more diverse than ever and fiscal constraints call for the pooling of prevention resources to simultaneously address a range of chronic diseases impacted by common risk factors.
Extending our reach to populations at risk of cancer and other chronic diseases, populations which are readily available and referable In Ontario, UHN/Toronto Rehab has a cancer program for women who have survived breast cancer as well as women undergoing cancer treatment. Discussions with Princess Margaret Hospital point to opportunities to extend programming to more cancer patients and people at risk of cancer. The ELLICSR arm of Princess Margaret Hospital, which focuses on helping survivors, has expressed interest in collaborating to reach family and friends of cancer survivors, for primary prevention. Likewise, the Odette Cancer Centre at Sunnybrook Hospital sees over 900 new women every year who are referred due to a family history of breast cancer. They have expressed to us that they can identify and will refer women at high risk of developing breast cancer into our proposed primary prevention program. Similarly, in Quebec, L'Hôpital du Sacré-Cœur de Montréal has one of the nation's highest rated lung cancer groups. Our Quebec partner, Centre de réadaptation cardio-respiratoire Jean-Jacques-Gauthier (CRJJG) has strong ties to this program. With funding, they will be able to reach and deliver prevention programmes to the family and friends of their lung cancer clients, an opportunity that exists because family and friends tend to be more engaged and open to the possibility of lifestyle change.
This is why we have partnered with these cancer centres in this Coalition: to formalize our existing partnerships and focus our resources on the population at risk of cancer that is readily available and referable for primary prevention.
The links that our Coalition partners have with primary care hold opportunities not yet seized. In Ontario, the Department of Family and Community Medicine at Sunnybrook has many patients at risk for, or with, multiple chronic diseases.
The opportunity that exists to reach pregnant women with obesity-related risks is one that could be seized Canada-wide. The unfortunate reality is that obesity complicates about 50% of pregnancies today.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Must have at least one behavioural risk factor
- •physical inactivity (less than 150 minutes of moderate to vigorous physical activity per week)
- •suboptimal nutrition behaviour (consumption of less than 5 fruits/vegetables per day)
- •smoking (any amount of personal smoking by self-report)
- •alcohol intake in excess of Canada's Low-Risk Alcohol Drinking Guidelines (low risk is defined by less than 10 drinks a week for women, with no more than 2 drinks a day most days; or less than 15 drinks a week for men, with no more than 3 drinks a day most days)
- •over the age of 18
- •family history of cancer or cardiovascular disease
- •in addition, subjects may have stable medical co-morbidities such as hypertension, dyslipidemia, diabetes, obesity and respiratory conditions, and persons with a diagnosis of cancer or cardiovascular event more than 5 years previously will also be included
排除标准
- •new cancer diagnosis or cardiovascular event within 5 years
- •alcoholism and alcohol abuse (mild, moderate or severe)
- •Unable to participate fully in the program due to mental health or physical limitations
- •participating concurrently in other studies of intensive health behaviour modification.
结局指标
主要结局
Improvement in one or more of the Four Core Health Behaviors
时间窗: 12 weeks, and 3 month follow-up
Target: at least 150 min moderate to vigorous physical activity and exercise per week .Baseline assumption - 15% of population meets this goal; end of program - at least 30% will meet goal. Target: at least 50% reduction in number of smokers Reduce long-term health risks by drinking no more than: 10 drinks a week for women, with no more than 2 drinks a day most days 15 drinks a week for men, with no more than 3 drinks a day most days Target: at least 5 fruits/vegetables per day
次要结局
- Improvement in Risk Factors for Chronic Disease(12 weeks, and 3 month follow-up)