A Pilot Randomized Controlled Trial of a Fitbit- and Facebook-Based Physical Activity Intervention for Young Adult Cancer Survivors
Most young adult cancer survivors (YACS) do not meet physical activity (PA) guidelines. Although PA can improve health and quality of life (QOL), few randomized controlled trials (RCTs) of PA interventions for YACS exist. We conducted a pilot RCT to test feasibility of a PA intervention among YACS....
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| Veröffentlicht in: | Journal of adolescent and young adult oncology 2022-08, Vol.11 (4), p.379-388 |
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| container_title | Journal of adolescent and young adult oncology |
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| creator | Johnson, Ashleigh M Baker, K Scott Haviland, Miriam J Syrjala, Karen L Abbey-Lambertz, Mark Chow, Eric J Mendoza, Jason A |
| description | Most young adult cancer survivors (YACS) do not meet physical activity (PA) guidelines. Although PA can improve health and quality of life (QOL), few randomized controlled trials (RCTs) of PA interventions for YACS exist. We conducted a pilot RCT to test feasibility of a PA intervention among YACS.
We recruited 18-39-year-olds (≥1 and |
| doi_str_mv | 10.1089/jayao.2021.0056 |
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We recruited 18-39-year-olds (≥1 and <5 years postcancer therapy) from Seattle Cancer Care Alliance. The 12-week intervention involved a wrist-worn PA-tracking device (Fitbit), a peer-based Facebook support group, step count goal setting, and a self-selected support "buddy." Controls received Fitbit only. Baseline assessments occurred before randomization; follow-up assessments occurred during intervention weeks 10-12. Feasibility criteria are listed below. Exploratory outcomes included PA, sedentary time (ST), QOL measures (e.g., fatigue), and self-determination theory (SDT) construct measures.
All feasibility criteria were met: We recruited 50 YACS, intervention participants wore the Fitbit on the majority of intervention days (82.9%), ≥75% of participants completed questionnaires at baseline (100%) and follow-up (93.9%). Exploratory analyses, adjusted for wave, accelerometer wear time, race, and income, showed significant group differences for change in ST (-52.4 vs. 2.5 minutes/day;
= 0.002) but no change in moderate-to-vigorous intensity PA (0.0 vs. -0.2 minutes/day;
= 0.40), comparing intervention participants to controls. The intervention (vs. control) group had a greater increase in fatigue interference (
= 0.03). No other significant differences in SDT or QOL measures were found.
This Fitbit and Facebook-based PA intervention was feasible to YACS, with promising effects on reducing ST, and warrants a fully powered RCT. Clinical Trial Registration no.: NCT03233581.</description><identifier>ISSN: 2156-5333</identifier><identifier>EISSN: 2156-535X</identifier><identifier>DOI: 10.1089/jayao.2021.0056</identifier><identifier>PMID: 34677081</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Cancer ; Cancer Survivors ; Exercise ; Fatigue ; Humans ; Intervention ; Neoplasms - therapy ; Original ; Pilot Projects ; Quality of life ; Randomized Controlled Trials as Topic ; Smartphones ; Social Media ; Social networks ; Survivor ; Wearable computers ; Young Adult ; Young adults</subject><ispartof>Journal of adolescent and young adult oncology, 2022-08, Vol.11 (4), p.379-388</ispartof><rights>Copyright Mary Ann Liebert, Inc. Aug 2022</rights><rights>Copyright 2022, Mary Ann Liebert, Inc., publishers 2022 Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c351t-8f2d50d7eb9ae45adc9f67353edc19ea7a85a41c944327d38174f9b6f607b1c43</citedby><cites>FETCH-LOGICAL-c351t-8f2d50d7eb9ae45adc9f67353edc19ea7a85a41c944327d38174f9b6f607b1c43</cites><orcidid>0000-0001-6638-9352</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34677081$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johnson, Ashleigh M</creatorcontrib><creatorcontrib>Baker, K Scott</creatorcontrib><creatorcontrib>Haviland, Miriam J</creatorcontrib><creatorcontrib>Syrjala, Karen L</creatorcontrib><creatorcontrib>Abbey-Lambertz, Mark</creatorcontrib><creatorcontrib>Chow, Eric J</creatorcontrib><creatorcontrib>Mendoza, Jason A</creatorcontrib><title>A Pilot Randomized Controlled Trial of a Fitbit- and Facebook-Based Physical Activity Intervention for Young Adult Cancer Survivors</title><title>Journal of adolescent and young adult oncology</title><addtitle>J Adolesc Young Adult Oncol</addtitle><description>Most young adult cancer survivors (YACS) do not meet physical activity (PA) guidelines. Although PA can improve health and quality of life (QOL), few randomized controlled trials (RCTs) of PA interventions for YACS exist. We conducted a pilot RCT to test feasibility of a PA intervention among YACS.
We recruited 18-39-year-olds (≥1 and <5 years postcancer therapy) from Seattle Cancer Care Alliance. The 12-week intervention involved a wrist-worn PA-tracking device (Fitbit), a peer-based Facebook support group, step count goal setting, and a self-selected support "buddy." Controls received Fitbit only. Baseline assessments occurred before randomization; follow-up assessments occurred during intervention weeks 10-12. Feasibility criteria are listed below. Exploratory outcomes included PA, sedentary time (ST), QOL measures (e.g., fatigue), and self-determination theory (SDT) construct measures.
All feasibility criteria were met: We recruited 50 YACS, intervention participants wore the Fitbit on the majority of intervention days (82.9%), ≥75% of participants completed questionnaires at baseline (100%) and follow-up (93.9%). Exploratory analyses, adjusted for wave, accelerometer wear time, race, and income, showed significant group differences for change in ST (-52.4 vs. 2.5 minutes/day;
= 0.002) but no change in moderate-to-vigorous intensity PA (0.0 vs. -0.2 minutes/day;
= 0.40), comparing intervention participants to controls. The intervention (vs. control) group had a greater increase in fatigue interference (
= 0.03). No other significant differences in SDT or QOL measures were found.
This Fitbit and Facebook-based PA intervention was feasible to YACS, with promising effects on reducing ST, and warrants a fully powered RCT. Clinical Trial Registration no.: NCT03233581.</description><subject>Cancer</subject><subject>Cancer Survivors</subject><subject>Exercise</subject><subject>Fatigue</subject><subject>Humans</subject><subject>Intervention</subject><subject>Neoplasms - therapy</subject><subject>Original</subject><subject>Pilot Projects</subject><subject>Quality of life</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Smartphones</subject><subject>Social Media</subject><subject>Social networks</subject><subject>Survivor</subject><subject>Wearable computers</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>2156-5333</issn><issn>2156-535X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc9rFDEUx4MottSevUnAi5fZJpNfk4uwLq4WChatoKeQyWTarNmkTTID69V_3GxbFzWXPMjnffMeHwBeYrTAqJNnG73TcdGiFi8QYvwJOG4x4w0j7NvTQ03IETjNeYPqoailHD8HR4RyIVCHj8GvJbx0Phb4WYchbt1PO8BVDCVF72t5lZz2MI5Qw7UrvSsNrBxca2P7GH8073Su1OXNLjtTwaUpbnZlB89DsWm2obgY4BgT_B6ncA2Xw-QLXOlgbIJfpjS7Oab8Ajwbtc_29PE-AV_X769WH5uLTx_OV8uLxhCGS9ON7cDQIGwvtaVMD0aOXBBG7GCwtFrojmmKjaSUtGIgHRZ0lD0fORI9NpScgLcPubdTv61NdbykvbpNbqvTTkXt1L8vwd2o6zgrSbGUgteAN48BKd5NNhe1ddlY73WwccqqZV39W7JOVvT1f-gmTinU9VQr9hp4ex949kCZFHNOdjwMg5HaO1b3jtXesdo7rh2v_t7hwP8xSn4DJZik5Q</recordid><startdate>202208</startdate><enddate>202208</enddate><creator>Johnson, Ashleigh M</creator><creator>Baker, K Scott</creator><creator>Haviland, Miriam J</creator><creator>Syrjala, Karen L</creator><creator>Abbey-Lambertz, Mark</creator><creator>Chow, Eric J</creator><creator>Mendoza, Jason A</creator><general>Mary Ann Liebert, Inc</general><general>Mary Ann Liebert, Inc., publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6638-9352</orcidid></search><sort><creationdate>202208</creationdate><title>A Pilot Randomized Controlled Trial of a Fitbit- and Facebook-Based Physical Activity Intervention for Young Adult Cancer Survivors</title><author>Johnson, Ashleigh M ; Baker, K Scott ; Haviland, Miriam J ; Syrjala, Karen L ; Abbey-Lambertz, Mark ; Chow, Eric J ; Mendoza, Jason A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c351t-8f2d50d7eb9ae45adc9f67353edc19ea7a85a41c944327d38174f9b6f607b1c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cancer</topic><topic>Cancer Survivors</topic><topic>Exercise</topic><topic>Fatigue</topic><topic>Humans</topic><topic>Intervention</topic><topic>Neoplasms - therapy</topic><topic>Original</topic><topic>Pilot Projects</topic><topic>Quality of life</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Smartphones</topic><topic>Social Media</topic><topic>Social networks</topic><topic>Survivor</topic><topic>Wearable computers</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johnson, Ashleigh M</creatorcontrib><creatorcontrib>Baker, K Scott</creatorcontrib><creatorcontrib>Haviland, Miriam J</creatorcontrib><creatorcontrib>Syrjala, Karen L</creatorcontrib><creatorcontrib>Abbey-Lambertz, Mark</creatorcontrib><creatorcontrib>Chow, Eric J</creatorcontrib><creatorcontrib>Mendoza, Jason A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of adolescent and young adult oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnson, Ashleigh M</au><au>Baker, K Scott</au><au>Haviland, Miriam J</au><au>Syrjala, Karen L</au><au>Abbey-Lambertz, Mark</au><au>Chow, Eric J</au><au>Mendoza, Jason A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Pilot Randomized Controlled Trial of a Fitbit- and Facebook-Based Physical Activity Intervention for Young Adult Cancer Survivors</atitle><jtitle>Journal of adolescent and young adult oncology</jtitle><addtitle>J Adolesc Young Adult Oncol</addtitle><date>2022-08</date><risdate>2022</risdate><volume>11</volume><issue>4</issue><spage>379</spage><epage>388</epage><pages>379-388</pages><issn>2156-5333</issn><eissn>2156-535X</eissn><abstract>Most young adult cancer survivors (YACS) do not meet physical activity (PA) guidelines. Although PA can improve health and quality of life (QOL), few randomized controlled trials (RCTs) of PA interventions for YACS exist. We conducted a pilot RCT to test feasibility of a PA intervention among YACS.
We recruited 18-39-year-olds (≥1 and <5 years postcancer therapy) from Seattle Cancer Care Alliance. The 12-week intervention involved a wrist-worn PA-tracking device (Fitbit), a peer-based Facebook support group, step count goal setting, and a self-selected support "buddy." Controls received Fitbit only. Baseline assessments occurred before randomization; follow-up assessments occurred during intervention weeks 10-12. Feasibility criteria are listed below. Exploratory outcomes included PA, sedentary time (ST), QOL measures (e.g., fatigue), and self-determination theory (SDT) construct measures.
All feasibility criteria were met: We recruited 50 YACS, intervention participants wore the Fitbit on the majority of intervention days (82.9%), ≥75% of participants completed questionnaires at baseline (100%) and follow-up (93.9%). Exploratory analyses, adjusted for wave, accelerometer wear time, race, and income, showed significant group differences for change in ST (-52.4 vs. 2.5 minutes/day;
= 0.002) but no change in moderate-to-vigorous intensity PA (0.0 vs. -0.2 minutes/day;
= 0.40), comparing intervention participants to controls. The intervention (vs. control) group had a greater increase in fatigue interference (
= 0.03). No other significant differences in SDT or QOL measures were found.
This Fitbit and Facebook-based PA intervention was feasible to YACS, with promising effects on reducing ST, and warrants a fully powered RCT. Clinical Trial Registration no.: NCT03233581.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>34677081</pmid><doi>10.1089/jayao.2021.0056</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-6638-9352</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2156-5333 |
| ispartof | Journal of adolescent and young adult oncology, 2022-08, Vol.11 (4), p.379-388 |
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| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Cancer Cancer Survivors Exercise Fatigue Humans Intervention Neoplasms - therapy Original Pilot Projects Quality of life Randomized Controlled Trials as Topic Smartphones Social Media Social networks Survivor Wearable computers Young Adult Young adults |
| title | A Pilot Randomized Controlled Trial of a Fitbit- and Facebook-Based Physical Activity Intervention for Young Adult Cancer Survivors |
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