LEVEL UP: Video Games for Activity in Breast Cancer Survivors

This research project includes qualitative and quantitative formative research leading to a
randomized controlled feasibility trial of a video game-based physical activity
intervention. First, we will investigate exercise protocols implemented over 6 weeks in 20
breast cancer survivors. We will choose a console and six games for inclusion in the trial,
based on measured energy expenditure and enjoyment. We will create refined exercise
protocols using these games and insights from participants. Second, we will test an
intervention that uses active video games for implementation of motivating exercise and
provision of behavioral tools (e.g., tracking of progress towards goals). Participants in
a pre-pilot trial (N = 10) will receive weekly brief telephone counseling over 6 weeks.
Feasibility measurement will include attrition, self-reported acceptability, and objective
measures of video game play taken from game console data.

Inclusion Criteria:

- Female

- Aged 45 - 75

- Diagnosed with breast cancer within the past 10 years

Exclusion Criteria:

- Chemotherapy or radiation treatment in the past six months

- Surgery in the past six months

- Evidence of disease recurrence

- Unable to read and understand English

- Unable to see a TV screen from several feet away

- Unable to find transportation to the study location

- No Internet access in the home (only for intervention portion of the study)

- Participant is active (60 minutes of moderate-vigorous intensity activity per week or
more)

- BMI is under 18.5 kg/m2 or over 40 kg/m2

- Participant reports psychological issues that would interfere with study completion.
Examples will be provided to illustrate potential psychological issues, such as
dementia or schizophrenia.

- Inadequate performance on Senior Fitness Test, indicating inability to engage in
video game exercise procedures (total score < 9 out of 12)

- Report a heart condition, chest pain during periods of activity or rest, loss of
consciousness, etc. on the Physical Activity Readiness Questionnaire (PAR-Q), unless
cleared by their physician

- Unable to walk, jump, and jog as may be required by some games (self-report)

- Report current symptoms of alcohol or substance dependence

- Plans to move away from the Galveston-Houston area or to be out of town for more than
1 week during the study period

- Unwillingness to report drugs taken for comorbidities such as hypertension or
diabetes

- Stroke, hip fracture, hip or knee replacement, or spinal surgery in the past 6 months

- Report a history of orthopedic complications that would prevent optimal participation
in the physical activities prescribed (e.g., heel spurs, severe arthritis)

- Clinical judgment concerning safety

- Currently participating in a physical activity or weight program/research study

- Currently pregnant or nursing

- No TV is available in the participant's home

- Currently on a weight loss diet or has lost more than 5% body weight in the previous
6 months

- Current smoker

- Game console to be used in the study is already available in the home

- Another member of the household is a participant or staff member on this trial