Internet-Based Exercise and Diet Support in Prostate Cancer Survivors

PRIMARY OBJECTIVES:

I. To determine the feasibility and acceptability of the Community of Wellness web portal
among prostate cancer survivors by conducting a randomized controlled study comparing four
levels of web-based content and interaction with participants.

SECONDARY OBJECTIVES:

I. To compare efficacy of four levels of web-based content in the Community of Wellness web
portal in a pilot randomized controlled trial on exercise and dietary habits, self-efficacy
for behavior change, motivation for exercise, and changes in treatment-related side effects.

OUTLINE: Patients are assigned to 1 of 4 groups.

GROUP I: Patients receive "Written Information" which includes access to the TrueNTH open
access portal that provides basic written information about exercise and diet.

GROUP II: Patients receive access to "Written Information + Prescription", including written
information plus additional an exercise prescription and tailored diet recommendations.

GROUP III: Patients receive access to "Written Information + Prescription + Technology",
including written information, exercise prescription + diet recommendation and additional
technology components. Patients complete diet and exercise behavior logs and receive
educational and motivational text messages about healthy diet and exercise habits.

GROUP IV: Patients receive access to "Written Information + Prescription + Technology +
Coaching" and receive written information, exercise prescription + diet recommendation,
technology support and a 30-minute (each) diet and exercise consultation plus the ability to
receive ongoing advice from coaches via the web portal.

After completion of intervention, patients are followed up at 3 months.

Inclusion Criteria:

- Self-reported prostate cancer diagnosis

- Able to read English on a computer screen

- Able to access a computer, tablet or smartphone at home or public location

- Access to a device capable of receiving plain text messages

- A personal email address

Exclusion Criteria:

- Men who have contraindications to exercise based the American College of Sports
Medicine 2016 Exercise pre-participation screening criteria and who do not receive a
physician clearance to participate in the moderate intensity physical activity with
one or more of the following self-reported conditions:

- heart attack

- heart surgery, cardiac catheterization, or coronary angioplasty

- pacemaker/implantable cardiac defibrillator/rhythm disturbance

- heart valve disease

- heart failure

- heart transplantation

- congenital heart disease

- diabetes

- kidney (renal) disease

- chest discomfort with exertion

- unreasonable breathlessness

- dizziness, fainting or blackouts

- ankle swelling

- unpleasant awareness of forceful, rapid or irregular heart rate

- burning or cramping sensations in your lower legs when walking short distance