A randomized controlled trial of Promoting Physical Activity in Regional and Remote Cancer Survivors (PPARCS).

HARDCASTLE, Sarah, MAXWELL-SMITH, Chloe, CAVALHERI, Vinicius, BOYLE, Terry, ROMÁN, Marta Leyton, PLATELL, Cameron, LEVITT, Michael, SAUNDERS, Christobel, SARDELIC, Frank, NIGHTINGALE, Sophie, MCCORMICK, Jacob, LYNCH, Craig, COHEN, Paul A, BULSARA, Max and HINCE, Dana (2024). A randomized controlled trial of Promoting Physical Activity in Regional and Remote Cancer Survivors (PPARCS). Journal of sport and health science, 13 (1), 81-89.

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Link to published version:: https://doi.org/10.1016/j.jshs.2023.01.003


Background Physical activity (PA) is important for cancer survivors. Trials of remotely delivered interventions are needed to assist in reaching under-served non-metropolitan cancer survivors. The objective of this study was to ascertain whether wearable technology, coupled with health coaching was effective in increasing PA in breast and colorectal cancer survivors living in regional and remote areas in Australia. Methods Cancer survivors from 5 states were randomized to intervention and control arms. Intervention participants were given a Fitbit Charge 2 and received up to 6 telephone health coaching sessions. Control participants received PA print materials. Accelerometer assessments at baseline and 12 weeks measured moderate-to-vigorous PA (MVPA), light PA, and sedentary behavior. Results Eighty-seven participants were recruited (age = 63 ± 11 years; 74 (85%) female). There was a significant net improvement in MVPA of 50 min/week, favoring the intervention group (95% confidence interval (95%CI): 13.6–86.1, p = 0.007). There was also a net increase in MVPA bouts of 39.5 min/week (95%CI: 11.9–67.1, p = 0.005), favoring the intervention group. Both groups improved light PA and sedentary behavior, but there were no between-group differences. Conclusion This is the first study to demonstrate that, when compared to standard practice (i.e., PA education), a wearable technology intervention coupled with distance-based health coaching, improves MVPA in non-metropolitan cancer survivors. The results display promise for the use of scalable interventions using smart wearable technology in conjunction with phone-based health coaching to foster increased PA in geographically disadvantaged cancer survivors.

Item Type: Article
Uncontrolled Keywords: Behavior change; Exercise; Health disparities; Oncology; Wearable technology; 1106 Human Movement and Sports Sciences; 4201 Allied health and rehabilitation science; 4206 Public health; 4207 Sports science and exercise
Identification Number: https://doi.org/10.1016/j.jshs.2023.01.003
Page Range: 81-89
SWORD Depositor: Symplectic Elements
Depositing User: Symplectic Elements
Date Deposited: 23 Feb 2023 17:18
Last Modified: 23 Jan 2024 14:45
URI: https://shura.shu.ac.uk/id/eprint/31549

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