Peers Promoting Exercise Adoption and Maintenance among Cancer Survivors

同行促进癌症幸存者采取和维持运动

• 批准号: 9894738
• 负责人: Bernardine M. Pinto
• 金额: $ 15.7万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-04-03 至 2023-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9894738
• 关键词: Address; Adoption; Age; American; American Cancer Society; Attenuated; Behavior Therapy; Breast Cancer Patient; Breast Cancer survivor; Cancer Patient; Cancer Survivor; Cancer Survivorship; Communities; Cost Effectiveness Analysis; Counseling; Data; Educational Intervention; Electronic Mail; Enrollment; Exercise; Fatigue; Feedback; Funding; Future; Home environment; Injury; Intervention; Maintenance; Mediator of activation protein; Moods; Motivation; Muscle; Outcome; Participant; Patients; Personal Satisfaction; Physical Function; Quality of life; Randomized Controlled Trials; Readiness; Recommendation; Recovery; Reporting; Research; Self Efficacy; Social support; Sports Medicine; Sprain; Sum; Supervision; Survivors; Telephone; Testing; Text; Text Messaging; Time; Training; Translating; Translations; United States National Institutes of Health; arm; base; cancer care; cancer recurrence; cancer risk; college; community setting; cost; cost effectiveness; design; dissemination trial; efficacy trial; evidence base; exercise intervention; exercise program; improved; intervention effect; malignant breast neoplasm; moderate-to-vigorous physical activity; peer; peer coaching; post intervention; primary outcome; programs; psychosocial; public health relevance; randomized controlled study; scale up; side effect; theories; therapy development; volunteer

DESCRIPTION (provided by applicant): Peers Promoting Exercise Adoption and Maintenance among Cancer Survivors ABSTRACT Studies in research settings have demonstrated that exercise adoption among cancer survivors can improve their quality of life, mood and fatigue. Little has been done to translate these efforts into a community-setting. Such dissemination is essential to extend the reach of efficacious interventions to improve the recovery and well-being of cancer survivors. We have tested the effects of a 3-month telephone-based exercise program offered by community peer volunteers (specifically, Reach to Recovery [RTR] volunteers of the American Cancer Society [ACS]) to breast cancer survivors. This theory-based intervention was successfully delivered and was found to significantly increase exercise at 3 months (post-intervention) and at 6 months compared to a contact control condition. Intervention effects were significant but attenuated at 6 months. Exercise maintenance is important to sustain psychosocial benefits and may reduce risk for cancer recurrence. Maintenance of outcomes is also fundamental to informing the translation of evidence-based behavioral interventions into practice. Hence, prior to implementation in community-based organizations, we propose to enhance this intervention to support not only the adoption of exercise (3 months) but also its maintenance at 12 months by comparing three evidence-based maintenance interventions that can be implemented by community-based organizations. In this randomized controlled trial, after the 3-month telephone-based exercise program from RTR peer volunteers/coaches, we will compare three groups: 1) Reach Plus (exercise logs and feedback reports but no additional contact with coaches via phone or messages), 2) Reach Plus Phone (monthly counseling calls from coaches, exercise logs and feedback reports), and 3) Reach Plus Messages (monthly email/text messages, exercise logs and feedback reports). In sum, during Months 4-9, participants in the three groups will be asked to keep exercise logs and will be provided feedback reports; extended support will be offered via monthly telephone calls from the coaches (Reach Plus Phone) or email/text messages (Reach Plus Messages). We will enroll 150 patients and assess exercise (primary outcome), fatigue, QOL and mood at baseline, 3, 6, 9 and 12 months. We will also conduct cost-effectiveness analyses to inform dissemination efforts. If the proposed trial demonstrates positive effects, we will design a dissemination trial f a peer mentored approach for exercise adoption and maintenance among breast cancer survivors in a community setting. Partnering with cancer care organizations that offer peer mentoring can expand the reach ("scale up") of efforts to enhance survivors' recovery.

描述（由申请人提供）：同行促进癌症幸存者的运动采用和维护摘要在研究环境中的研究表明，癌症幸存者的运动采用可以改善他们的生活质量，情绪和疲劳。在将这些努力转化为社区环境方面，所做的工作很少。这种传播对于扩大有效干预措施的覆盖面以改善癌症幸存者的康复和福祉至关重要。我们测试了由社区同伴志愿者（特别是美国癌症协会[ACS]的Reach to Recovery [RTR]志愿者）为乳腺癌幸存者提供的为期3个月的电话锻炼计划的效果。这种以理论为基础的干预成功地进行了，并发现与接触控制条件相比，在3个月（干预后）和6个月时显著增加了运动量。干预效果显著，但在6个月时减弱。坚持锻炼对维持心理社会益处很重要，并可能降低癌症复发的风险。维持结果也是将循证行为干预转化为实践的基础。因此，在社区组织实施之前，我们建议加强这种干预措施，通过比较可以实施的三种基于证据的维持干预措施，不仅支持锻炼的采用（3个月），还支持其在12个月时的维持。社区组织。在这项随机对照试验中，在RTR同龄志愿者/教练进行了为期3个月的电话锻炼计划后，我们将比较三组：1）Reach Plus（运动日志和反馈报告，但没有通过电话或消息与教练的额外联系），2）Reach Plus电话（来自教练的每月咨询电话、锻炼日志和反馈报告）和3）Reach Plus消息（每月电子邮件/短信、锻炼日志和反馈报告）。总之，在第4-9个月期间，三组参与者将被要求记录运动日志并提供反馈报告;教练将通过每月电话（Reach Plus电话）或电子邮件/短信（Reach Plus消息）提供扩展支持。我们将招募150名患者，并在基线、3、6、9和12个月时评估运动（主要结局）、疲劳、QOL和情绪。我们还将进行成本效益分析，为传播工作提供信息。如果拟议的试验显示出积极的效果，我们将设计一个传播试验，在社区环境中的乳腺癌幸存者中采用同伴指导的方法进行锻炼和维持。与提供同伴指导的癌症护理组织合作，可以扩大努力的范围（“扩大规模”），以促进幸存者的康复。

项目成果

Cost-effectiveness of peer-delivered physical activity promotion and maintenance programs for initially sedentary breast cancer survivors.

同伴为最初久坐的乳腺癌幸存者提供的身体活动促进和维持计划的成本效益。

• DOI: 10.1093/tbm/ibad026
• 发表时间: 2023
• 期刊: Translational behavioral medicine
• 影响因子: 3.6
• 作者: Chen,BrianK;Dunsiger,ShiraI;Pinto,BernardineM
• 通讯作者: Pinto,BernardineM

Mediators of physical activity maintenance during a 12-month randomized controlled trial among breast Cancer survivors.

在乳腺癌幸存者中进行的一项为期 12 个月的随机对照试验中身体活动维持的中介因素。

• DOI: 10.1007/s10865-023-00402-0
• 发表时间: 2023
• 期刊: Journal of behavioral medicine
• 影响因子: 3.1
• 作者: Pinto,BernardineM;Dunsiger,ShiraI;Kindred,MadisonM;Mitchell,Sheryl
• 通讯作者: Mitchell,Sheryl

Effects of a peer-led physical activity program on psychosocial outcomes among breast cancer survivors.

由同伴主导的体育活动计划对乳腺癌幸存者心理社会结果的影响。

• DOI: 10.1002/pon.6292
• 发表时间: 2024
• 期刊: Psycho-oncology
• 影响因子: 3.6
• 作者: Pinto,BernardineM;Dunsiger,ShiraI;Kindred,Madison;Mitchell,Sheryl;DeScenza,Victoria
• 通讯作者: DeScenza,Victoria

The many faces of recruitment in a randomized controlled trial.

• DOI: 10.1016/j.cct.2021.106285
• 发表时间: 2021-03
• 期刊: CONTEMPORARY CLINICAL TRIALS
• 影响因子: 2.2
• 作者: Pinto, Bernardine M.;Dunsiger, Shira I.
• 通讯作者: Dunsiger, Shira I.