Community Volunteers Promoting Physical Activity Among Cancer Survivors

描述（由申请人提供）：研究机构的研究表明，癌症幸存者采用体育活动可以改善他们的身体功能，生活质量，情绪和疲劳。作为将这些努力转化为社区环境的第一步，我们进行了一项试点研究，以检验社区志愿者（特别是美国癌症协会（ACS）当地办事处的RTR志愿者）向25名乳腺癌幸存者提供的基于电话的体育活动计划的可行性和初步效果。这是单组重复测量设计。基于行为改变跨理论模型和社会认知理论的课程为期12周；在12周和24周时评估结果。参与者报告说，与基线相比，在12周和24周时，他们的体力活动显著增加，疲劳减少，生活质量改善。这项研究是一项随机对照试验，代表了我们将体育活动研究扩展到社区环境的下一步努力；社区志愿者将提供干预措施，从而使幸存者更容易获得身体活动干预措施。米里亚姆医院的研究人员将与美国癌症协会国家办公室（亚特兰大，乔治亚州）和新英格兰美国癌症协会分部合作，分享他们的技能、经验和资源，以检验培训RTR志愿者为乳腺癌幸存者提供简短体育活动咨询的效果。15到20名RTR志愿者将接受培训，提供为期12周的基于电话的PA项目，作为12周RTR服务（RTR Plus）的补充，而不是向108名乳腺癌幸存者提供标准的12周RTR服务（RTR）。身体活动、疲劳和其他结果的评估将在基线、12周和24周完成。将跟踪有关干预措施副作用和实施干预措施成本的数据。如果提议的随机试验显示出积极的效果，结果将用于设计和支持一项传播试验，以促进体育活动在社区环境中提高癌症康复的效果。公共卫生相关性：在研究环境中提供的体育活动计划已被证明可以改善乳腺癌幸存者的生活质量并减少疲劳。我们计划培训美国癌症协会（新英格兰分部）的Reach to Recovery志愿者，为乳腺癌患者提供为期12周的电话体育活动项目（RTR Plus）。对照组患者将接受康复服务（RTR）。108名乳腺癌患者将在项目开始、12周和24周时接受身体活动、疲劳和其他结果的检查。如果体育活动项目被发现是有效的，就有可能在全美13000名康复志愿者中传播

DESCRIPTION (provided by applicant): Studies in research settings have demonstrated that physical activity adoption among cancer survivors can improve their physical functioning, quality of life, mood and fatigue. As a first step towards translating these efforts into a community-setting, we conducted a pilot study to examine the feasibility and preliminary effects of a telephone-based physical activity program offered by community volunteers (specifically, Reach to Recovery [RTR] volunteers of the local office of the American Cancer Society [ACS]) to 25 breast cancer survivors. This was a single group repeated measures design. The program based on the Transtheoretical Model of Behavior Change and Social Cognitive Theory was offered over 12 weeks; and outcomes were assessed at 12 and 24 weeks. Participants' reported significant increases in physical activity, reductions in fatigue and improvement in quality of life at 12 and 24 weeks compared to baseline. The proposed study, a randomized controlled trial, represents the next step in our efforts to extend the research on physical activity to the community setting; community volunteers will deliver the intervention, thereby making physical activity interventions much more accessible to survivors. In partnership with the National ACS office (Atlanta, GA) and the New England ACS Division, researchers at the Miriam Hospital will share their skills, experience and resources to examine the effects of training RTR volunteers to deliver brief physical activity counseling to breast cancer survivors. Fifteen to twenty RTR volunteers will be trained to offer a 12-week telephone-based PA program as a supplement to 12- week RTR services (RTR Plus) vs. delivering the standard 12-week RTR services (RTR) to 108 breast cancer survivors. Assessments of physical activity, fatigue and other outcomes will be completed at baseline, 12 weeks and 24 weeks. Data on side-effects of the intervention and costs of intervention delivery will be tracked. If the proposed randomized trial demonstrates positive effects, the results will be used to design and support a dissemination trial of the effects of physical activity promotion to enhance cancer recovery in a community setting. PUBLIC HEALTH RELEVANCE: Physical activity programs, when offered in research settings, have been shown to improve quality of life and reduce fatigue among breast cancer survivors. We plan to train Reach to Recovery volunteers at the American Cancer Society (New England Division) to provide a 12-week telephone-based physical activity program (RTR Plus) for breast cancer patients. The comparison group of patients will receive Reach to Recovery services (RTR). Physical activity, fatigue and other outcomes will be examined among 108 breast cancer patients at the start of the program, at 12 weeks and 24 weeks. If the physical activity program is found to be effective, there is a potential for dissemination among the 13,000 Reach to Recovery volunteers across the U.S.