Community Volunteers Promoting Physical Activity Among Cancer Survivors

描述（由申请人提供）：在研究环境中的研究表明，癌症幸存者中的体力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，以检查社区志愿者（特别是美国癌症协会[ACS]当地办事处的Reach to Recovery [RTR]志愿者）为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。这是一个单组重复测量设计。该计划基于行为改变和社会认知理论的跨理论模型，提供了超过12周的时间，并在12周和24周的结果进行了评估。与基线相比，参与者在12周和24周时报告了身体活动的显著增加，疲劳的减少和生活质量的改善。拟议的研究是一项随机对照试验，代表了我们努力将体育活动研究扩展到社区环境的下一步;社区志愿者将提供干预，从而使幸存者更容易获得体育活动干预。在与国家ACS办公室（亚特兰大，佐治亚州）和新英格兰ACS司合作，研究人员在米里亚姆医院将分享他们的技能，经验和资源，以检查培训RTR志愿者提供简短的身体活动咨询乳腺癌幸存者的影响。15到20名RTR志愿者将接受培训，提供为期12周的电话PA计划，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）。将在基线、12周和24周时完成体力活动、疲劳和其他结局的评估。将跟踪有关干预措施副作用和干预措施实施成本的数据。如果拟议的随机试验显示出积极的效果，其结果将用于设计和支持在社区环境中促进身体活动以促进癌症康复的效果的传播试验。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提高乳腺癌幸存者的生活质量并减少疲劳。我们计划在美国癌症协会（新英格兰分部）培训“达到康复”志愿者，为乳腺癌患者提供为期12周的基于电话的身体活动计划（RTR Plus）。对照组患者将接受康复服务（RTR）。在项目开始时，在12周和24周时，将对108名乳腺癌患者的身体活动、疲劳和其他结果进行检查。如果身体活动计划被发现是有效的，有一个潜在的传播13,000达到恢复志愿者在美国各地。

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.