Study Evaluating the Feasibility of an Adapted Physical Activity Program During the Hospitalization Phase in Cancer Patients Undergoing Treatment
- Conditions
- Cancer
- Interventions
- Other: adapted physical activity program (APA Program)
- Registration Number
- NCT06321744
- Lead Sponsor
- Centre Hospitalier Universitaire de Besancon
- Brief Summary
This is a non-randomized, non-controlled feasibility study which will take place at the Besançon University Hospital in the conventional hospitalization department.
It will be carried out with patients hospitalized in the conventional hospitalization department of the medical oncology department of Besançon University Hospital.
At entry, after presenting the study and obtaining non-opposition from patients, an initial assessment will be carried out before the APA program. This assessment will include an evaluation of physical parameters (measurements of body composition, functional capacities, autonomy in activities of daily living and muscular strength), as well as an evaluation of quality of life relating to health and motivation to practice physical activity.
At the end of the initial assessment, an APA program supervised (individually and in a room) by an APA teacher will be offered to patients. The sessions will be offered daily to patients (maximum 5 times/week). They will last on average 20 minutes each depending on the fatigue, pain and fitness of the patients. The objectives pursued are mainly an improvement in functional independence and mobility.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 32
- Man or woman aged 18 and over (no age limit)
- Patient followed for cancer,
- Patients with no medical contraindication to adapted physical activity (certificate)
- Patient with a performance index status less than 4
- Patient hospitalized in the conventional medical oncology hospitalization department of Besançon University Hospital.
- Patient not opposed to participating in the study
- Patient affiliated to a French social security scheme or beneficiary of such a scheme.
- For women: menopausal for at least 24 months, surgically sterilized, or, for women of childbearing age, use an effective method of contraception (oral contraceptives, contraceptive injections, intrauterine devices, double-barrier method, patches contraceptives)
- Length of hospitalization estimated at at least 7 days (main objective) and with the patient's objective of returning home or to SSR in the long term
- Patient with an absolute medical contraindication to adapted physical activity
- Patient with inability to understand instructions and complete questionnaires.
- Patient with a performance index status of 4
- Patient with legal incapacity or limited legal capacity
- Patient unlikely to cooperate in the study and/or low cooperation anticipated by the investigator
- Patient without health insurance
- Pregnant woman
- Patient being in the exclusion period of another study or provided for by the "national volunteer file".
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Adapted physical activity program (APA Program) adapted physical activity program (APA Program) An intervention (APA program) will be offered to patients hospitalized in the conventional hospitalization department of the medical oncology department. At entry, after presenting the study and obtaining non-opposition from patients, an initial assessment will be carried out before the APA program. At the end of the initial assessment, an APA program supervised (individually and in a room) by an APA teacher will be offered to patients. The sessions will be offered daily to patients (maximum 5 times/week). They will last on average 20 minutes each depending on the fatigue, pain and fitness of the patients. The objectives pursued are mainly an improvement in functional independence and mobility.
- Primary Outcome Measures
Name Time Method Validate the feasibility of a supervised adapted physical activity (APA) program during the first 7 days of hospitalization in medical oncology for patients with cancer undergoing treatment 7 days after inclusion The main objective of the study is to validate that the proportion of patients having completed, from inclusion (D0), at least three supervised APA sessions of a minimum duration of 15 minutes, during the first 7 consecutive days of his hospitalization (P) is beyond a threshold considered uninteresting of 50% (P0)
To test the following hypotheses:
H0: a compliant patient rate \<= 50% is uninteresting (P\<=P0) H1: a compliant patient rate \> 80% is expected (P\>P1) With an A'Hern type design, a one-sided alpha risk of 2.5% and a power of 90%, it is required to include 28 evaluable patients in the study to test H0 vs H1.
Considering a rate of unevaluable patients of 10% it will be necessary to include 32 patients.
Hypothesis H0 will be rejected if 20 (71.4%) or more than 20 patients out of the first 28 evaluable are compliant.
- Secondary Outcome Measures
Name Time Method Describe the evolution of physical parameters functional capacities At inclusion (day 1) and at the study completion, an average of 15 days - Score of Short Physical Performance Battery Test (Score of 0 =Faible performance to 12= Haute performance)
Tolerance with the APA program on perception of effort immediately after each intervention session Perception of effort with te Borg scale CR10.
Scale of 0 (No exertion at all) to 10 (representing an extreme intensity of activity)Describe the evolution of muscular strength At inclusion (day 1) and at the study completion, an average of 15 days Handgrip :results in kilograms
Describe the evolution of the quality of life At inclusion (day 1) and at the study completion, an average of 15 days QLQ-C30 questionnaire All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. Thus a high score for a functional scale represents a high / healthy level of functioning, a high score for the global health status / QoL represents a high QoL, but a high score for a symptom scale / item represents a high level of symptomatology / problems.
Tolerance with the APA program on pain and fatigue Immediately before and after each intervention session Visual analog scale (0 = no pain and 10 = very severe pain)
Compliance with the APA program at the study completion, an average of 15 days Number of sessions carried out out of the number planned
Criteria/reasons for non-participation, non-compliance, discontinuation of the intervention and study withdrawals at the study completion, an average of 15 days Patient satisfaction at the study completion, an average of 15 days Likert scale (0= unsatisfiedt o 5 =very satisfied)
Describe the evolution of body composition measured by impedancemetry At inclusion (day 1) and at the study completion, an average of 15 days * fat-free mass index and muscle mass,
* body protein content,
* metabolic activity indexDescribe the evolution of autonomy in daily life activities At inclusion (day 1) and at the study completion, an average of 15 days IADL Questionnaire IADL score 0 to 4
* IADL score = 0: dependent
* IADL score = 4 autonomousDescribe the evolution of motivation to practice physical activity At inclusion (day 1) and at the study completion, an average of 15 days Questionnaire BREQ-2 The BREQ-2 is a 19 item questionnaire that measures the stages of the self-determination continuum with respect to motivation to exercise with a 5 point Likert scale (0=not true for me, 4=very true for me)
Tolerance with the APA program on fatigue Immediately before and after each intervention session Visual analog scale (0 = no fatigue and 10 = very severe fatigue)