A Brief SMART Exercise With Chat-based Instant Messaging Personalised Support Intervention
试验速览
- 阶段
- 不适用
- 入组人数
- 16
- 试验地点
- 1
- 主要终点
- Change in fatigue level at 6 week
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 18 years and above;
- •Diagnosis of non-small cell lung cancer or small cell lung cancer
- •Fatigue symptom score ≥4 out of 10
- •Self-reported engagement of <150 minutes of moderate-intensity PA each week
- •Ambulatory and capable of all self-care activities
- •Either undergoing or finished oncology therapy and/or support care
- •Mentally, cognitively and physically fit to join the trial
- •Able to speak and read Chinese;
- •Willing to complete the patient-reported outcome questionnaire
- •Completion of the Physical Activity Readiness Questionnaire
- •Possession of a smartphone with instant messaging functions such as WhatsApp or WeChat.
排除标准
- •Those preparing for lung operation
- •Skeletal fragility
- •Serious active infection
- •Inability to walk
- •Severe respiratory insufficiency
- •Uncontrolled pain
- •Diagnosed psychiatric illness such as major depressive disorder
研究组 & 干预措施
Lifestyle-integrated exercise and care 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.
干预措施: Brief messaging and personalized support (Behavioral)
结局指标
主要结局
Change in fatigue level at 6 week
时间窗: Baseline and 6 weeks
measured by Functional Assessment of Cancer Therapy - Fatigue subscale, the higher scores, the more fatigue.
次要结局
- Change in Pain at 6 weeks(Baseline and 6 weeks)
- Change in flexibility at 6 weeks(Baseline and 6 weeks)
- Change in sleep quality at 6 weeks(Baseline and 6 weeks)
- Change in sleep quality with objective measurement at 6 weeks(Baseline and 6 weeks)
- Change in Anxiety and depressive symptoms at 6 weeks(Baseline and 6 weeks)
- Change in Health-related quality of life at 6 weeks(Baseline and 6 weeks)
- Change in Subjective Happiness at 6 weeks(Baseline and 6 weeks)
- Change in hand grip strength at 6 weeks(Baseline and 6 weeks)
- Change in balance at 6 weeks(Baseline and 6 weeks)
- Change in physical activity level with objective measurement at 6 weeks(Baseline and 6 weeks)
- Change in dyspnea at 6 weeks(Baseline and 6 weeks)
- Change in activity level at 6 weeks(Baseline and 6 weeks)
研究者
Dr. Agnes Yuen-Kwan Lai
Assistant professor
The University of Hong Kong