The Feasibility of an Active Lifestyle Programme in Patients Recovering From Colorectal Cancer

University of East Anglia28 enrolled

Overview

Long-term maintenance of physical activity behaviour change post-intervention remains challenging. This study is investigating the feasibility of a behaviour change intervention based on Self-Determination Theory in people recovering from colorectal cancer and its effects on behaviour change 6 months post-intervention.

This study was a randomized controlled feasibility trial consisting of a 3-months active lifestyle intervention and a 3-months follow-up period. Participants were allocated to an active lifestyle programme (ALP) or the standard (SC) care group. ALP was offered 12 supervised exercise sessions over 3 months and six supportive behaviour change workshops. SC was encouraged to continue with their usual lifestyle. The intervention was informed by Self-Determination Theory. The supervised exercise sessions took place in small groups of maximum 7 participants and lasted approximately 1 hour. Exercise included aerobic and resistance exercises. The behaviour change workshops were delivered in a motivational interviewing style, also in small groups of maximum 7 participants. Participants were followed-up at 6 months. There was no contact with participants during the post-intervention and follow-up period.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Colorectal Cancer

Interventions

Active lifestyle programmeBEHAVIORAL

The intervention is an activity lifestyle programme to increase physical activity behaviour post-intervention and to facilitate behaviour change maintenance at 3 months post-intervention.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * a histologically confirmed diagnosis of colorectal cancer with Dukes stages A-C * completed cancer treatment within the last 24 months, * be able to understand spoken and written English * score of 80 or more on the Karnofsky Performance Status Scale Exclusion Criteria: * already meeting general PA guidelines of 150 min of moderate PA or 75 min of vigorous intensity PA per week, * recent myocardial infarction * uncontrolled hypertension * a pacemaker * or unstable angina.

Outcomes

Primary Outcomes

Change in minutes spent in moderate and vigorous intensity physical activity measure with the International Physical Activity Questionnaire long version

Time frame: 0, 3, 6 months

Secondary Outcomes

Change in behavioural regulation measure with the Behavioural Regulation in Exercise Questionnaire version 2

Time frame: 0, 3, 6 months

Change in psychological needs satisfaction measured with the psychological needs satisfaction in exercise scale

Time frame: 0, 3, 6 months

Change in quality of life measure with the Functional Assessment of Cancer Therapy general

Time frame: 0, 3, 6 months

Change in quality of life measure with the Functional Assessment of Cancer Therapy-colorectal

Time frame: 0, 3, 6 months

Change in fatigue with the Functional Assessment of Cancer Therapy - fatigue

Time frame: 0, 3, 6 months

Change in intention to exercise

assessed with Intention to exercise scale

Time frame: 0, 3, 6 months

Change in barriers to exercise

assessed with Barriers to Exercise scale

Time frame: 0, 3, 6 months

Change in physical fitness

assessed with the modified Bruce treadmill test

Time frame: 0, 3, and 6 months

Data from ClinicalTrials.gov

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