Prospective Evaluation of the Impact on Patients' Quality of Life of a 12-Week Adapted Physical Activity Program (APA)

Institut Cancerologie de l'Ouest37 enrolled

Overview

The objective of this study is to evaluate the effects of regular physical practice on fatigue, quality of life and kinesiophobia in patients treated at the ICO in Angers, regardless of the type of cancer and the type of treatment. A 12-week Adapted Physical Activity program (APA) is proposed to patients included in the study with an assessment of fatigue, quality of life, level of physical activity and kinesiophobia (fear of movement) at the beginning of the study. A second assessment of fatigue and quality of life will be done during the 6-week management. At the end of the program, a final evaluation of fatigue, quality of life and kinesiophobia will be done.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Sports Physical Therapy

Interventions

Adapted Physical Activity (APA)OTHER

Adults participating in the APA program at ICO during the first semester of 2020, regardless of cancer type and ongoing treatment (chemotherapy, radiotherapy, hormone therapy, immunotherapy). The APA program duration is : 12 weeks

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Oncological care at the ICO 2. All types of cancer 3. Regardless of the type of treatment (chemotherapy, radiotherapy, hormone therapy, immunotherapy) 4. Age \> 18 years old 5. Follow the APA program at the ICO 6. Subject informed of the study Exclusion Criteria: 1. Contraindication to the practice of sport 2. APA Program outside the ICO 3. Subject opposing the use of his data 4. Minor or adult patient under guardianship or curatorship 5. Pregnant woman 6. Altered general condition

Locations (1)

Institut de Cancérologie de L'Ouest

Angers, France

Outcomes

Primary Outcomes

Quality of Life of Patients Participating in the 12-week Adapted Physical Activity Program.

Describe the evolution of the quality of life of patients being treated for their cancer pathology at the ICO site in Angers, and participating in the 12-week adapted physical activity program at ICO. Quality of life is measured with the FACIT-F Fatigue and Quality of Life Questionnaire. The questionnaire is structured into five sections, each containing between 6 and 13 items. In total, it includes 40 items, each scored from 0 to 4: 0 - Not at all 1. \- A little 2. \- Moderately 3. \- Quite a bit 4. \- Very much By adding up the answers, the score range obtained is: 0 to 160. The higher the score, the less tired the patient is.

Time frame: 12 weeks

Secondary Outcomes

Describe Attendance at the APA Program.

The number of sessions is planned by the APA coach at the beginning of the APA program. The number of performed sessions is measured.

Time frame: 12 weeks

Measure the Evolution of Kinesiophobia (Fear of Movement).

Kinesiophobia is measured with the TAMPA Scale for Kinesiophobia (TSK-CF). This scale assesses the kinesiophobia index presented by the patient at the time of the assessment. The higher the score, the greater the level of kinesiophobia. Total score range: 17 to 68. Higher scores indicate greater fear of movement. A score ≥ 40 is considered significant kinesiophobia.

Time frame: 12 weeks

Measure Physical Activity at the Initiation of the APA Program.

The level of physical activity (PA) is assessed using the GPAQ questionnaire. The questionnaire consists of 16 items. Physical activity is expressed in MET-minutes per week (Metabolic Equivalent of Task), calculated from reported activity. Based on the score, three profiles are defined: High * ≥3 days vigorous activity (≥1500 MET-min/week) OR * ≥7 days walking/moderate/vigorous PA (≥3000 MET-min/week) Moderate * ≥20 min vigorous PA / day, ≥3 days/week OR * ≥30 min moderate PA/walking / day, ≥5 days/week OR * ≥5 days mixed activity (≥600 MET-min/week) Low * Does not meet above criteria

Data from ClinicalTrials.gov

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