The Move for Your Health Pilot Study
- Conditions
- Cancer
- Interventions
- Behavioral: Health Coaching and Tech SupportBehavioral: Tech Support Only
- Registration Number
- NCT03632694
- Lead Sponsor
- Cindy Blair, PhD, MPH
- Brief Summary
The Move for Your Health Pilot Study is a 16-week study in older cancer survivors to replace and break-up sedentary activity with short bouts of light physical activity.
- Detailed Description
This pilot study will determine the feasibility and acceptability of a mobile health (mHealth) intervention to replace and break-up sedentary time with intermittent bouts of light physical activity. The intervention uses an electronic activity monitor ("Jawbone UP2"; worn on the wrist) that pairs with a mobile app, which together promote awareness and enable self-monitoring of both physical activity (steps per day) and inactivity (wristband gently vibrates after a specified time of inactivity). Pre-post intervention change in objective, subjective, and biologic data will be compared between groups.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 54
- Age 60 years or older at the time of enrollment
- Diagnosed with local or regionally staged cancer (any site) and completed primary treatment
- Own a smartphone capable of running the "Jawbone UP2" app
- Willingness to be randomized to any of the 3 study arms, attend 2 clinic visits, and wear activity monitors (activPAL and actiGraph) at weeks 1 and 16 for 7 days; "Jawbone UP2" wristband monitor during weeks 2-16 during waking hours.
- Able to read, speak, and understand English.
- Living independently and capable of walking 3 blocks (approximately 1300 steps or 0.25 mile) without an assistive device (e.g., cane, walker)
- Residence within Bernalillo County or the four surrounding counties (to reduce travel burden)
- Currently participating in a program to decrease sedentary time or increase physical activity
- Paid employment or volunteer position for greater than 20 hours per week
- Severe impairments or pre-existing medical limitations for engaging in daily light physical activity
- Wrist size >20 cm
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Health Coaching and Tech Support Health Coaching and Tech Support Participants receive tech support for using the "Jawbone UP2" activity monitor and smartphone app, and education materials and health coaching to achieve their goals to reduce sedentary time and increase their daily steps. Tech Support Only Tech Support Only Participants receive tech support for using the "Jawbone UP2" activity monitor and smartphone app and education materials on reducing sedentary behavior.
- Primary Outcome Measures
Name Time Method Change in the number of breaks in sedentary time Baseline to 16-weeks Change in the average number of breaks in sedentary time measured over a 1-week period using activPAL, at both baseline and 16-weeks post-intervention
Change in total volume of sedentary time (hours/day) Baseline to 16-weeks Change in the average number of hours/day of sedentary time measured over a 1-week period using activPAL, at both baseline and 16-weeks post-intervention
- Secondary Outcome Measures
Name Time Method Change in cardiometabolic markers Baseline to 16-weeks Change in fasting glucose, insulin and lipids, as well as high-sensitivity C-Reactive Protein (CRP)
Change in light physical activity Baseline to 16-weeks Change in the average number of hours per day spent in light physical activity (or higher intensity) measured over a 1-week period using activPAL, at both baseline and 16-weeks post-intervention
Change in steps per day Baseline to 16-weeks Change in the average number of steps per day measured over a 1-week period using activPAL, at both baseline and 16-weeks post-intervention
Change in physical functioning (ranging from basic to strenuous activities) Baseline to 16-weeks Change in self-reported physical functioning as measured by the 36-item Short Form Survey (SF-36) physical functioning subscale. Raw scores range from 0 (worst functioning) to 100 (best functioning)
Change in physical performance Baseline to 16-weeks Change in the average physical performance score as measured by the Short Physical Performance Battery (SPPB). This performance battery includes chair stands, balance tests, and the 8-foot usual gait speed. Each subscale score ranges from 0 (cannot do) to 4 (good performance). The subscales are summed for a total score, which ranges from 0 (lowest level of performance) to 12 (highest level of performance)
Change in health-related quality of life (self-reported mental, physical, and social health and well-being) Baseline to 16-weeks Change in quality of life as measured by the SF-36; each of the 8 subscales and 2 component summary scores; scores based on proprietary algorithm from Optum; higher scores represent better quality of life)