This study aimed to evaluate the feasibility, acceptability, and preliminary efficacy of an 8-week, remotely delivered health coaching intervention designed to improve: 1) targeted psychosocial mechanisms of action (behavioral regulation skills, affective attitudes, health habits, and identity); 2) health behaviors (physical activity, diet, sleep); and 3) cancer-related health outcomes (physical function, anxiety, depression, fatigue, and pain) among young and middle-aged adult cancer survivors.
Almost 17 million Americans today live with cancer. While advances in cancer treatment have resulted in improved survivorship rates, many treatments are associated with negative, long-term side effects including weight gain, physical dysfunction, fatigue, sleep difficulties, and overall reduced quality of life. Consequently, improving quality of survivorship has been identified as an important but understudied area of research. Both the American Cancer Society and the National Comprehensive Cancer Center Network recommend all cancer survivors maintain a healthy lifestyle that includes being physically active, avoiding inactivity, getting adequate sleep, following a healthy eating pattern, and maintaining a healthy weight. Strong evidence suggests engaging in these healthy lifestyle behaviors has been shown to improve cancer-related health outcomes and quality of life. Unfortunately, most cancer survivors do not meet these recommendations. The American Cancer Society and National Academy of Medicine have recommended healthcare providers and health care systems establish comprehensive survivorship programs that follow patients after primary active treatment and include resources that support engaging in healthy lifestyle behaviors . Unfortunately, a lack of trained survivorship care workforce, lack of reimbursement for survivorship programs, and lack of cohesive systems are major barriers to implementing effective lifestyle behavior survivorship care. Therefore, the aims of this study are: Aim 1: To determine the feasibility (recruitment rate, attrition rate) and acceptability (program satisfaction) of recruiting and delivering an 8-week remotely delivered lifestyle behavior change intervention to adult cancer survivors. Aim 2: To determine the efficacy of an 8-week remotely delivered lifestyle behavior change intervention on psychosocial mechanisms of action (behavioral regulation skills, habits, identity), health behaviors (physical activity, sedentary behavior, sleep, diet), and cancer-related health outcomes (anxiety, depression, fatigue, pain, physical function, global health) over 8 weeks.
Study Type
INTERVENTIONAL
Participants receive five free health coaching sessions with a trained student health coach, access to three health education videos, and a free wrist worn activity monitor to keep track of their physical activity and sleep behaviors.
Lucas J Carr
Iowa City, Iowa, United States
Feasibility - Enrollment
Enrollment rates calculated as percentage of enrolled vs interested participants
Time frame: From the first day of study recruitment until the date of the last participant to complete the intervention, assessed up to 36 months
Acceptability
Participants self-reported their acceptability with each intervention feature using an Acceptability Survey. Responses were collected using a 5 point likert scale with higher numbers representing greater satisfaction (1=Very disatisfied, 5=Very Satisfied)
Time frame: Post-intervention (8 weeks)
Feasibility Adherence rates
Participate adherence rates to health coaching sessions calculated as sessions attended vs sessions offered
Time frame: From the first day the intervention launched until the date of the last participant to complete the intervention, assessed up to 36 months
Feasibility- Retention rate
Retention rate calculated as percentage comparing number enrolled versus number that complete the study
Time frame: From the first day of study recruitment until the date of the last participant to complete the intervention, assessed up to 36 months
Behavioral Regulation Skills
Participant's perceived ability to regulate their physical activity, diet, and sleep behaviors using a six item survey that uses a 5 point Likert scale. Scores will range from 6 (low skills) to 30 (high skills).
Time frame: From enrollment to 8 weeks
Habit formation skills
Habit formation was measured with a 3 question survey using a 5 point likert scale. Responses will range from 3 (weak habit) to 15 (strong habit).
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
30
Time frame: From enrollment to 8 weeks
Physical activity
Minutes per day of moderate intensity physical activity measured for 7 days with a ActivPAL
Time frame: Enrollment to 8 weeks
Diet behavior
Measured with the Automated Self-Administered Dietary Assessment (ASA24) Tool
Time frame: From enrollment to 8 weeks
Sleep behavior
Sleep time and sleep efficiency measured for 7 days with an ActTrust2 actigraph
Time frame: From enrollment to 8 weeks
Global Health
Measured with two questions on a 5 point likert scale. Scores will range from 2 (poor) to 10 (excellent)
Time frame: From enrollment to 8 weeks