Adaptation of an eHealth (Web-application) Platform for Delivery of a Sedentary Behavior Intervention Among Prostate Cancer Patients
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Prostate Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 2/28/2019 |
| Start Date: | August 13, 2018 |
| End Date: | May 2019 |
The overall objective of this study is to adapt and refine an existing eHealth
(web-application/web-app/app) platform designed to promote spontaneous movement (reducing
sedentary behavior) among older adults, to men with prostate cancer.
(web-application/web-app/app) platform designed to promote spontaneous movement (reducing
sedentary behavior) among older adults, to men with prostate cancer.
Primary treatments for prostate cancer (PCa) accelerate aging-related changes in body
composition and declines in physical function and quality of life ; the median age at PCa
diagnosis is 66 years and approximately 64% of PCa survivors are > 70 years. The negative
side effects of treatments are pronounced in older, sedentary, overweight or obese men with
existing comorbidities. The concomitant loss of skeletal muscle mass, increased deposition of
adipose tissue and loss of bone mineral density leads to fractures, cancer-related fatigue,
frailty, compromised physical functioning, disability and loss of independence as well as
anxiety and depression. Regular physical activity reduces morbidity, improves survival and
can buffer PCa patients against the negative side-effects of treatment, yet less than 20% are
meeting recommended guidelines—and most spend up to 70% of their time each day in sedentary
behavior. Targeting a reduction in sedentary behavior by promoting regular spontaneous
movement in conjunction with regular resistance training may be an effective approach for PCa
patients who are likely to be fatigued and functionally impaired. Traditional theory-based
exercise interventions have shown preliminary efficacy for promoting short-term exercise, but
can be improved for longer-term efficacy. Traditional exercise interventions are generally
not individually tailored, and therefore cannot incorporate behavioral theory to re-engage
participants when lapses in self-regulation occur. eHealth technologies can enhance
traditional theory-based exercise interventions. The study team hypothesizes that an eHealth
delivered intervention can effectively facilitate the development and maintenance of
self-regulatory skills that are critical to sustaining long-term behavior change.
composition and declines in physical function and quality of life ; the median age at PCa
diagnosis is 66 years and approximately 64% of PCa survivors are > 70 years. The negative
side effects of treatments are pronounced in older, sedentary, overweight or obese men with
existing comorbidities. The concomitant loss of skeletal muscle mass, increased deposition of
adipose tissue and loss of bone mineral density leads to fractures, cancer-related fatigue,
frailty, compromised physical functioning, disability and loss of independence as well as
anxiety and depression. Regular physical activity reduces morbidity, improves survival and
can buffer PCa patients against the negative side-effects of treatment, yet less than 20% are
meeting recommended guidelines—and most spend up to 70% of their time each day in sedentary
behavior. Targeting a reduction in sedentary behavior by promoting regular spontaneous
movement in conjunction with regular resistance training may be an effective approach for PCa
patients who are likely to be fatigued and functionally impaired. Traditional theory-based
exercise interventions have shown preliminary efficacy for promoting short-term exercise, but
can be improved for longer-term efficacy. Traditional exercise interventions are generally
not individually tailored, and therefore cannot incorporate behavioral theory to re-engage
participants when lapses in self-regulation occur. eHealth technologies can enhance
traditional theory-based exercise interventions. The study team hypothesizes that an eHealth
delivered intervention can effectively facilitate the development and maintenance of
self-regulatory skills that are critical to sustaining long-term behavior change.
Inclusion Criteria:
- Histologically confirmed prostate cancer.
- Currently (in last 2-years) receiving care for prostate cancer at WFBMC.
- Currently owns a smartphone or a tablet computer (iOS and major brand Android devices
not including eReaders).
- English-speaking.
Exclusion Criteria:
- Unable to provide informed consent (e.g., delirium).
- Unable to ambulate safely (fall risk).
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