Cardiovascular disease, the number one leading cause of death in the United States, is highly prevalent in cancer survivors. Physical activity can reduce risk, and referrals to programs addressing survivors' choices are highly recommended from providers in cancer survivorship, though rarely implemented. The study team proposes to develop ActivityChoice, a clinic-based implementation program, using patient narrative decision aids to support choices to a group in-person, group virtual, or self-monitored digital health physical activity program.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
114
The enhanced referral uses an electronic referral and patient decision aid to provide choices to 3 different physical activity programs.
The standard referral period will serve as the "usual care" comparator. Patients will receive a paper referral and Fitbit monitor.
University of Massachusetts Chan Medical School
Worcester, Massachusetts, United States
Proportion of patients referred as obtained by the electronic referral system and electronic health record
The number of patients referred/The number of eligible patients
Time frame: Baseline
Proportion of eligible clinicians enrolling in the the study
Number of enrolled clinicians/Number of eligible clinicians
Time frame: Baseline
Clinic/Clinician fidelity of delivering patient decision aids
Clinic delivery of patient decision aids as reported by patients
Time frame: Baseline
Patient Engagement
Program enrollment (number referred/number enrolled);
Time frame: Examined at baseline, 3-, and 6-months
Patient Retention
Percent of enrolled patients completing follow-up surveys at 3- and 6-months
Time frame: 3- and 6-months
Patient narrative decision aid acceptability and effectiveness (Enhanced Referral only)
Acceptability of decision aid using the Ottawa Decision Aid Centre 10-item acceptability of decision aids (Minimum score=0, Maximum score=100; Higher score indicates higher decisional conflict and uncertainty
Time frame: Baseline following referrals
Patient Autonomous Regulation
Behavioral Regulation for Exercise Questionnaire-2 (Minimum=0, Maximum=76; Higher scores indicates greater regulation/motivation)
Time frame: Baseline, 3- and 6-months
Patient Objective Physical Activity
Change from baseline to 3- and 6-months in steps, light, moderate and vigorous physical activity measured via Fitbits.
Time frame: Baseline, 3- and 6-months
Patient Self-Report Physical Activity
Change from baseline to 3- and 6-months in light, moderate and vigorous physical activity survey-measured (Godin leisure time questionnaire) physical activity. The questionnaire is a 4-item self-administered questionnaire with the first three questions seeking information on the number of times one engages in mild, moderate and strenuous leisure-time physical activity bouts of at least 15 min duration in a typical week. Scores can range from 0 to 98, with the higher score meaning a greater level of activity for that week.
Time frame: Baseline, 3- and 6-months
Patient Health-related Quality of Life
Functional Assessment of Cancer Therapy-General (FACT-G): Physical, social, emotional and functional well-being (Minimum=0, Maximum=127; Higher score means a higher quality of life)
Time frame: Baseline, 3- and 6-months
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