The purpose of this study is to determine whether a 16-week virtual, home-based, high-intensity interval training (HIIT) exercise program will improve physical, cognitive, and emotional health among young adult survivors of pediatric brain tumors. The names of the study interventions involved in this study are/is: * High-Intensity Interval Training (HIIT)
This is a Pilot/Feasibility, randomized control, research study that will compare an exercise group to a control group on physical, social, and overall quality of life needs of pediatric brain tumor survivors who are now young adults. Participants will be randomized (selected at random) for two groups: HIIT program group will complete a 16-week intervention period followed by a 16-week period with no intervention and the waitlisted control group will complete a 16-week period and will perform their usual, daily activities followed by an optional 16-week period in which they can complete the HIIT program. Research procedures include screening for eligibility, study treatment including in-clinic evaluations of fitness and strength, blood collection, at-home zoom exercise sessions, self-administered activity logs, and survey questionnaires. Participation in this research study is expected to last about 8 months. It is expected that about 30 people will take part in this research study. The Stahl Family Charitable Foundation, Pedal 4 Pediatrics, and the Childhood Brain Tumor Foundation are supporting this research study by providing funding for the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
30
Exercise program with stationary bike via the Zoom platform.
Usual Activities
Dana Farber Cancer Institute
Boston, Massachusetts, United States
RECRUITINGAttendance of Exercise Sessions
Defined as participant attendance of \>= 70% of the 48 HIIT exercise sessions.
Time frame: From first exercise session to final exercise session, up to 16 weeks
Completion in Minutes of Exercise Sessions
Defined as participant completion of \>= 70% of the 90 minutes of exercise per week
Time frame: From first exercise session to final exercise session, up to 16 weeks
HIIT Compliance
Defined as obtaining +-5W of target power output for \>= 40 seconds of high intensity minute
Time frame: From first exercise session to final exercise session, up to 16 weeks
Barriers to Exercise Adherence
Assessed through the 17-item Barriers to Recruitment Participation Questionnaire (BRPQ), 1-5 scale with 1 denoted as strongly agree and 5 as strongly disagree.
Time frame: From first exercise session to final exercise session, up to 16 weeks
Participant Burden
Assessed through the Perceived Research Burden Assessment (PRBA), 1-5 scale with 1 denoted as strongly disagree and 5 as strongly agree.
Time frame: From first exercise session to final exercise session, up to 16 weeks
Cognition
An assortment of tests will be executed through the NIH toolbox to measure overall cognition.
Time frame: : From baseline to post-intervention, up to 43 weeks
Cardiorespiratory Fitness
Assessed through the use of a VO2 max (or submaximal if equipment is unavailable) cycle exercise stress test (Parvo Medics TrueOne 2400; Sandy, UT, USA).
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Time frame: From baseline to post-intervention, up to 43 weeks
Muscular Strength
10-repetition maximum will be used to assess muscular strength.
Time frame: From baseline to post-intervention, up to 43 weeks
Body Composition
Bioelectrical Impedance Analysis (BIA), and blood pressure as measured twice on both arms with a seated position with a minimum of 1-minute interval and the higher pressure will be recorded when there are differences. BIA: Assessed via bioelectrical impedance using a validated device (Tanita 780, Arlington Heights, IL). Participants will be asked to remove their shoes and socks after which height will be taken using a stadiometer they will then proceed to move to the BIA and stand still on the device while holding the handles with their hands at their sides. The device will estimate body fat using an algorithm based on their age, sex, height, and body weight.
Time frame: From baseline to post-intervention, up to 43 weeks
Fatigue
BFI: A questionnaire of scale ratings 0 - 10 that focuses on cancer-related fatigue and tiredness.
Time frame: From baseline to post-intervention, up to 43 weeks
Psychosocial Health
Assessed through the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire, which is comprised of 27 items with scale ratings validated to measure physical, emotional, social, and functional well-being of cancer patients and survivors
Time frame: From baseline to post-intervention, up to 43 weeks
Quality of Sleep
Assessed through the Pittsburg Sleep Quality Index (PSQI), which is used to measure 7 components of the quality and patterns of sleep in participants.
Time frame: From baseline to post-intervention, up to 43 weeks
Dietary Assessment, ASA-24
Participants will be provided with a login to enter dietary data measured by an automated, online self-administered 24-hour assessment tool.
Time frame: Up to 3 days
ActiGraph - Physical Activity Monitoring
Participants will be provided with an accelerometer (ActiGraph, Pensacola, FL) to wear for seven days at baseline and post-intervention testing visits and will be instructed to wear the water-resistant accelerometer at all times except for when swimming or bathing. The device will record activity data and will be electronically transferred to a computer via USB cable at time of completion.
Time frame: From baseline to post-intervention, up to 27 weeks
Exercise Tolerance
Will be recorded using the Exercise-Induced Feeling Inventory (EIF). Based on a 0-4 scale, it assesses the participant's feeling state change(s) post-exercise and is also used for the assessment of self-motivation to adhere to an exercise regimen. Participants will be asked to complete the inventory before and after each exercise session.
Time frame: From baseline to week 16, up to 32 weeks
Pain Index
BPI: A 9 item questionnaire to evaluate the severity of pain and the impact of pain on the participant's daily functioning.
Time frame: From baseline to post-intervention, up to 43 weeks
Hip and Waist Circumference
Hip and waist circumference will be assessed and recorded in cm.
Time frame: From baseline to post-intervention, up to 43 weeks