Using Information Communication Technology to Deliver Brief Motivational Interviewing to Promote Regular Physical Activity Among Chinese Childhood Cancer Survivors: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 161
- 试验地点
- 2
- 主要终点
- Change in levels of physical activity from baseline to 12-month follow-up between intervention and control group
研究概览
简要总结
This study aims to examine the efficacy of using Information Communication Technology (ICT) to deliver brief Motivational Interviewing (BMI) to promote regular physical activity among Hong Kong Chinese childhood cancer survivors.
详细描述
A substantial body of evidence has indicated that improved childhood cancer survival has inevitably been accompanied by increased chronic physical problems and adverse psychological late-effects of cancer and its treatment. The frequently reported physiological and psychological sequelae included cancer-related fatigue, reduced muscle strength, decreases in functional capacity, activity intolerance, depression and distorted self-esteem, which in turn severely comprises their quality of life.
There is a growing body of evidence highlighting the beneficial effects of physical activity on the physiological and psychological health of childhood cancer survivors. Particularly, substantial evidence reveals that engaging in regular moderate-intensity physical activity can help ameliorate some of the treatment-related adverse effects experienced by childhood cancer survivors, such as reduce cancer-related fatigue, enhance muscle strength, improve cardiovascular fitness and eventually lead to a better quality of life.
Evidence demonstrates that education alone is insufficient or unlikely to change behavior. Motivational interviewing (MI) is a directive, client-centered counseling strategy which differs from prevailing patient education to support clients to explore and resolve their ambivalence about changing their behaviors. Meanwhile, there is an increase in the use of Information Communication Technology (ICT) for health care delivery and health promotion. Using instant messaging (i.e. WhatsApp or WeChat) allows quick, direct and continuing professional advice and support for the parents to promote their child's level of physical activity. Therefore, the aim of this study is to examine the efficacy of using ICT to deliver BMI to promote regular physical activity among Hong Kong Chinese childhood cancer survivors.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 9 Years 至 16 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The Inclusion Criteria for eligible Hong Kong Chinese childhood cancer survivals are as follows:
- •Aged 9 to 16 years;
- •Able to speak Cantonese and read Chinese;
- •Had completed cancer treatment at least six months previously; and
- •currently do not engage in regular physical exercise.
排除标准
- •The investigators will exclude childhood cancer survivors with evidence of recurrence or second malignancies, and those with physical impairment or cognitive and learning problems identified from their medical records.
- •Additionally, parents (either father or mother; the primary caregiver of childhood cancer survivors) must be able to:
- •Speak Cantonese and read Chinese,
- •Use a smartphone and can use an instant messaging tool (e.g., WhatsApp/WeChat); and
- •Are willing to receive health promotion advice and interact with our interventionist via WhatsApp/WeChat on a smartphone throughout the study period.
研究组 & 干预措施
brief motivational interviewing
Participants will receive BMI and instant messaging delivered by a trained research nurse. At the time of recruitment, both children and parents will receive an education talk on the significance of and misconceptions about regular physical activity for cancer survivors and strategies for overcoming barriers to engaging in physical activity. Parents will then receive a face-to-face BMI to motivate their children to engage in regular physical activity. Parents will also be encouraged to motivate their children to intensify their physical activity levels progressively, with the ultimate goal of achieving the Global Recommendations on Physical Activity on Health suggested by the World Health Organization. Additionally, they will be invited to download a mobile health application from the Centre for Health Protection, Department of Health, HKSAR website that contains information on physical activity.
干预措施: Brief motivational interviewing (Behavioral)
Placebo Control
Children and parents will receive the education talk on physical activity and ask to download the mobile health application that contains information on physical activity at the time of recruitment similar to the intervention group. However, parents will not receive BMI and instant messaging throughout the study period.
干预措施: Placebo control (Behavioral)
结局指标
主要结局
Change in levels of physical activity from baseline to 12-month follow-up between intervention and control group
时间窗: 12-month follow-up
The primary outcome measure is the physical activity levels of subjects at 12-month follow-up when compare to baseline. The Chinese University of Hong Kong: Physical Activity Rating for Children and Youth (CUHK-PARCY) will be used to assess participants' physical activity levels. It is a one-item scale, scores ranging from 0-2, 3-6 and 7-10 indicate low, moderate and high levels of physical activity respectively.
次要结局
- Muscle strength at baseline(Baseline)
- Change in levels of physical activity from baseline at 6-month follow-up between intervention and control group(6-month follow-up)
- Change in muscular strength from baseline at 1-month follow-up between intervention and control group(1-month follow-up)
- Change in muscular strength from baseline at 6-month follow-up between intervention and control group(6-month follow-up)
- Change in muscular strength from baseline at 3-month follow-up between intervention and control group(3-month follow-up)
- Change in levels of physical activity from baseline at 3-month follow-up between intervention and control group(3-month follow-up)
- Levels of cancer-related fatigue at baseline(Baseline)
- Change in levels of cancer-related fatigue from baseline at 3-month follow-up between intervention and control group(3-month follow-up)
- Change in lung functionality from baseline at 12-month follow-up between intervention and control group(12-month follow-up)
- Quality of life at baseline(Baseline)
- Levels of physical activity at baseline(baseline)
- Change in levels of cancer-related fatigue from baseline at 12-month follow-up between intervention and control group(12-month follow-up)
- Change in lung functionality from baseline at 3-month follow-up between intervention and control group(3-month follow-up)
- Change in quality of life from baseline at 12-month follow-up between intervention and control group(12-month follow-up)
- Change in levels of physical activity from baseline at 1-month follow-up between intervention and control group(1-month follow-up)
- Change in levels of cancer-related fatigue from baseline at 1-month follow-up between intervention and control group(1-month follow-up)
- Change in levels of cancer-related fatigue from baseline at 6-month follow-up between intervention and control group(6-month follow-up)
- Change in muscular strength from baseline at 12-month follow-up between intervention and control group(12-month follow-up)
- Lung functionality at baseline(Baseline)
- Change in lung functionality from baseline at 1-month follow-up between intervention and control group(1-month follow-up)
- Change in lung functionality from baseline at 6-month follow-up between intervention and control group(6-month follow-up)
- Change in quality of life from baseline at 1-month follow-up between intervention and control group(1-month follow-up)
- Change in quality of life from baseline at 3-month follow-up between intervention and control group(3-month follow-up)
- Change in quality of life from baseline at 6-month follow-up between intervention and control group(6-month follow-up)