Remotely delivered exercise to older rural cancer survivors: a randomized controlled pilot trial.
Remotely delivered exercise to older rural cancer survivors: a randomized controlled pilot trial.
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DOI：
10.1007/s11764-022-01292-y
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发表时间：
2024-04
影响因子：
3.7
通讯作者：
Patel, Kushang, V
中科院分区：
文献类型：
--
作者：
Gell, Nancy M.;Dittus, Kim;Caefer, Jacqueline;Martin, Anita;Bae, Myeongjin;Patel, Kushang, V
该研究旨在确定远程运动（远程运动）对老年农村癌症幸存者的可行性，并探讨远程运动对身体功能，身体活动和患者报告结果的影响。参与者是60岁的农村癌症幸存者（79%女性;平均年龄70.4 ± 5.7岁），随机分配到远程提供的EnhanceFitness（tele-EF）锻炼计划，包括有氧、力量和平衡训练，并由美国理事会认证的教练指导1小时，每周3天，持续16周（n = 20）或等待名单对照组（n = 19）。我们评估了可行性、身体功能、加速度计测量的身体活动以及基线和干预后患者报告的结果。在筛选为合格的患者中，44例（64%）同意参加，39例在完成基线测量后随机分配。两组（每组n = 1）之间的平均寿命相当，95%的患者完成了研究。上课率中位数为86.9%（四分位数间距：79-94%）。与对照组相比，远程EF参与者在五次坐立测试中有统计学显著改善（− 3.4 vs. − 1.1 s，p = 0.03，效应量= 0.44），平均每日轻度体力活动（+ 38.5 vs 0.5 min，p = 0.03，效应量= 0.72）和步数（+ 1977 vs 33，p = 0.01，效应量= 0.96）。两组之间运动、疲劳或睡眠障碍的自我效能没有变化。研究结果表明，远程EF是可行的，在老年人，农村癌症幸存者和身体功能和体力活动的积极变化的结果。Tele-EF解决了老年人、农村癌症幸存者在锻炼方面的常见障碍，包括获得专业指导和监督的机会有限。在线版本包含补充材料，可通过10.1007/s11764-022-01292-y获得。
The study aimed to determine the feasibility of remotely delivered exercise (tele-exercise) for older, rural cancer survivors and to explore the effects of tele-exercise on physical function, physical activity, and patient-reported outcomes. Participants were rural cancer survivors age 60 years (79% female; mean age 70.4 ± 5.7) randomly assigned to the remotely delivered EnhanceFitness (tele-EF) exercise program, inclusive of aerobic, strength, and balance training and led by American Council on Exercise certified instructors for 1 h, 3 days/week for 16 weeks (n = 20) or to a waitlist control group (n = 19). We assessed feasibility, physical function, accelerometer-measured physical activity, and patient-reported outcomes at baseline and post intervention. Among those screened as eligible, 44 (64%) consented to participate with 39 randomized after completing baseline measures. Attrition was equivalent between groups (n = 1, each) with 95% completing the study. The median class attendance rate was 86.9% (interquartile range: 79–94%). Compared to controls, tele-EF participants had statistically significant improvement in the five-time sit-to-stand test (− 3.4 vs. − 1.1 s, p = 0.03, effect size = 0.44), mean daily light physical activity (+ 38.5 vs 0.5 min, p = 0.03, effect size = 0.72) and step counts (+ 1977 vs. 33, p = 0.01, effect size = 0.96). There were no changes in self-efficacy for exercise, fatigue, or sleep disturbance between groups. Findings indicate that tele-EF is feasible in older, rural cancer survivors and results in positive changes in physical function and physical activity. Tele-EF addresses common barriers to exercise for older, rural cancer survivors, including limited accessible opportunities for professional instruction and supervision. The online version contains supplementary material available at 10.1007/s11764-022-01292-y.
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