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

作     者：Sarah J.Hardcastle Chloe Maxwell-Smith Vinicius Cavalheri Terry Boyle Marta Leyton Román Cameron Platell Michael Levitt Christobel Saunders Frank Sardelic Sophie Nightingale Jacob McCormick Craig Lynch Paul A.Cohen Max Bulsara Dana Hince Sarah J.Hardcastle;Chloe Maxwell-Smith;Vinicius Cavalheri;Terry Boyle;Marta Leyton Román;Cameron Platell;Michael Levitt;Christobel Saunders;Frank Sardelic;Sophie Nightingale;Jacob McCormick;Craig Lynch;Paul A.Cohen;Max Bulsara;Dana Hince

作者机构：Sport and Physical Activity Research CentreSheffield Hallam UniversitySheffieldS102BPUK Institute for Health ResearchThe University of Notre DameFremantleWA 6959Australia Curtin School of Population HealthCurtin UniversityPerthWA 6845Australia Curtin School of Allied HealthCurtin UniversityPerthWA 6845Australia Allied HealthSouth Metropolitan Health ServiceMurdochWA 6150Australia Australian Centre for Precision HealthUniversity of South AustraliaAdelaideSA 5001Australia Department of Didactics of MusicalPlastic and Body ExpressionUniversity of ExtremaduraCaceres 10071Spain St.John of God Subiaco HospitalPerthWA 6008Australia Department of SurgeryUniversity of MelbourneMelbourneVIC 3010Australia Tamara Private HospitalTamworthNSW 2340Australia Peter MacCallum Cancer CentreMelbourneVIC 3000Australia College of Health and MedicineAustralian National UniversityCanberraACT 2600Australia Division of Obstetrics and GynaecologyMedical SchoolUniversity of Western AustraliaPerthWA 6009Australia 

出 版 物：《Journal of Sport and Health Science》 (运动与健康科学（英文）)

年 卷 期：2024年第13卷第1期

页      面：81-89页

核心收录：

学科分类：0403[教育学-体育学] 040302[教育学-运动人体科学(可授教育学、理学、医学学位)] 04[教育学] 1202[管理学-工商管理] 

基　　金：sponsored by a grant from the Tonkin son Colorectal Cancer Research Fund(#57838) the Ministry of Education,Culture and Sports of Spain for the financing of the Jose Castillejo scholarship(CAS19/00043)to MLR。 

主　　题：Behavior change Exercise Health disparities Oncology Wearable technology 

摘      要：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 2TMand 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 49.8 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’s 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.