A Brief SMART Exercise Instant Messaging Support Intervention - a Pilot Study

Not Applicable

• Conditions: Cancer; Lung
• Interventions: Behavioral: Brief messaging and personalized support

• Registration Number: NCT05050370
• Lead Sponsor: The University of Hong Kong

Brief Summary

Lung cancer is one of the most common cancer diseases, globally and locally. Several health benefits of increased physical activity (PA) have been reported for people with cancer. PA plays a critical role across the cancer trajectory, from prevention through to post-diagnosis and has been proposed as an alternative for improving physical and psychosocial health outcomes, reducing cancer recurrence, and cancer-specific and all-cause mortality. Although there are a variety of exercise intervention programs for cancer patients, those programs were quite intensive, requiring individuals to commit extra time and effort. Feeling of overwhelmed appointments, lack of time, other barriers, including high cost and limited access to facilities are the most frequently reported barriers that prevent people from starting and maintaining exercise. Hence, the investigators propose to use a brief messaging lifestyle modification intervention program to incorporating simple and easy-to-do patient-centred home-based lifestyle-integrated exercise into daily activities of patients with lung cancer. The aims are to explore the feasibility of using instant messaging to enhance physical activity and improve their fatigue, emotion and quality of life, and obtain feedback from patients for intervention and study design improvement.

Detailed Description

Lung cancer is one of the most common cancer, globally and locally. Patients with lung cancer are in a uniquely challenging situation in their disease, comorbidities, and treatment that may lead to worsened symptoms and many negative health consequences, including fatigue, irritability, and impaired daytime functioning. Physical activity (PA) is defined as 'any bodily movement produced by skeletal muscle that results in energy expenditure'. Several health benefits of increased PA have been reported for people with cancer. PA plays a critical role across the cancer trajectory, from prevention through to postdiagnosis and has been proposed as an alternative for improving physical and psychosocial health outcomes, reducing cancer recurrence, and cancer-specific and all-cause mortality. Although there are a variety of exercise intervention programs for cancer patients, those programs were quite intensive, requiring individuals to commit extra time and effort. Most clinicians underutilise exercise therapy, regardless of its low-cost way to improve symptoms and potential health outcomes. Feeling of overwhelmed appointments, lack of time, other barriers, including high cost and limited access to facilities are the most frequently reported barriers that prevent people from starting and maintaining exercise. Low motivation, fear to exercise, lack of knowledge about benefits are the most common barriers of engaging in physical activity for cancer patients.

Hence, the current proposal is to use a brief messaging lifestyle modification intervention program to incorporating simple and easy-to-do patient-centred home-based lifestyle-integrated exercise (light to moderate physical activity) into daily activities of patients with lung cancer.

The aims are to explore the feasibility of using instant messaging to enhance physical activity and improve their fatigue, emotion and quality of life, and obtain feedback from patients for intervention and study design improvement.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2021-01-23
• Study Start: 2021-02-04
• Status Verified: 2021-09
• Study First Submitted QC: 2021-09-14
• Last Update Submitted: 2021-09-14
• Study First Posted: 2021-09-20
• Last Update Posted: 2021-09-20
• Primary Completion: 2021-12
• Study Completion: 2021-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 16

Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Lifestyle-integrated exercise and care support	Brief messaging and personalized support	The experimental group will receive a face-to-face group session and a package of instant messages related to lifestyle-integrated exercise and cancer-related information with personalized support.

Primary Outcome Measures

Name	Time	Method
Change in fatigue level at 6 week	Baseline and 6 weeks	measured by Functional Assessment of Cancer Therapy - Fatigue subscale, the higher scores, the more fatigue.

Secondary Outcome Measures

Name	Time	Method
Change in Pain at 6 weeks	Baseline and 6 weeks	measured by a question with a scale from 0 to 10; a score of "0" indicates no pain at all, a score of "10" indicates severe pain. The higher score, the more pain.
Change in flexibility at 6 weeks	Baseline and 6 weeks	measured by chair sit and reach test
Change in sleep quality at 6 weeks	Baseline and 6 weeks	measured by the Pittsburgh sleep quality index . The higher the score, the worse the quality.
Change in sleep quality with objective measurement at 6 weeks	Baseline and 6 weeks	measured by activity monitor on duration of sleep and awake intervals
Change in Anxiety and depressive symptoms at 6 weeks	Baseline and 6 weeks	measured by Hospital Anxiety and Depression Scale, Each item is answered on a 4-point scale (0-3). The scores for the seven questions on depression are added together to obtain a score ranged from 0 to 21. The higher score the more depressed. The scores for the seven questions on anxiety are added together to obtain a score ranged from 0 to 21. The higher score the more anxiety and depression symptoms.
Change in Health-related quality of life at 6 weeks	Baseline and 6 weeks	measured by the European Organization for Research and Treatment of Cancer and Lung Module. The higher scores the worse the quality.
Change in Subjective Happiness at 6 weeks	Baseline and 6 weeks	measured by Subjective Happiness Scale. The higher scores the more happy.
Change in hand grip strength at 6 weeks	Baseline and 6 weeks	measured by a dynamometer
Change in balance at 6 weeks	Baseline and 6 weeks	measured by single leg stand test
Change in physical activity level with objective measurement at 6 weeks	Baseline and 6 weeks	measured by accelerometer on the daily walking steps
Change in dyspnea at 6 weeks	Baseline and 6 weeks	measured by a question with a scale from 0 to 10; a score of "0" indicates no dyspnea at all, a score of "10" indicates severe dyspnea. The higher score, the more dyspnea.
Change in activity level at 6 weeks	Baseline and 6 weeks	measured by pedometer

Trial Locations

Locations (1)

Queen Mary Hospital; 🇭🇰 Hong Kong, Hong Kong