Promoting physical activity in young adult cancer survivors using mHealth and adaptive tailored feedback strategies: Design of the Improving Physical Activity after Cancer Treatment (IMPACT) randomized controlled trial

Carmina G. Valle; Bernardine M. Pinto; Jessica Gokee LaRose; Molly Diamond; Lindsey N. Horrell; Brooke T. Nezami; Karen E. Hatley; Erin M. Coffman; Kristen Polzien; Derek P. Hales; Allison M. Deal; Christine M. Rini; Donald L. Rosenstein; Deborah F. Tate

doi:10.1016/j.cct.2021.106293

Promoting physical activity in young adult cancer survivors using mHealth and adaptive tailored feedback strategies: Design of the Improving Physical Activity after Cancer Treatment (IMPACT) randomized controlled trial

Carmina G. Valle^*, Bernardine M. Pinto, Jessica Gokee LaRose, Molly Diamond, Lindsey N. Horrell, Brooke T. Nezami, Karen E. Hatley, Erin M. Coffman, Kristen Polzien, Derek P. Hales, Allison M. Deal, Christine M. Rini, Donald L. Rosenstein, Deborah F. Tate

^*Corresponding author for this work

Medical Social Sciences

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Introduction: Despite the health benefits of physical activity for cancer survivors, nearly 60% of young adult cancer survivors (YACS) are physically inactive. Few physical activity interventions have been designed specifically for YACS. Purpose: To describe the rationale and design of the IMPACT (IMproving Physical Activity after Cancer Treatment) trial, which tests the efficacy of a theory-based, mobile physical activity intervention for YACS. Methods: A total of 280 physically inactive YACS (diagnosed at ages 18–39) will be randomized to a self-help control or intervention condition. All participants will receive an activity tracker and companion mobile app, cellular-enabled scale, individual videochat session, and access to a Facebook group. Intervention participants will also receive a 6-month mobile intervention based on social cognitive theory, which targets improvements in behavioral capability, self-regulation, self-efficacy, and social support, and incorporates self-regulation strategies and behavior change techniques. The program includes: behavioral lessons; adaptive goal-setting in response to individuals' changing activity patterns; tailored feedback based on objective data and self-report measures; tailored text messages; and Facebook prompts encouraging peer support. Assessments occur at baseline, 3, 6, and 12 months. The primary outcome is total physical activity min/week at 6 months (assessed via accelerometry); secondary outcomes include total physical activity at 12 months, sedentary behavior, weight, and psychosocial measures. Conclusions: IMPACT uniquely focuses on physical activity in YACS using an automated tailored mHealth program. Study findings could result in a high-reach, physical activity intervention for YACS that has potential to be adopted on a larger scale and reduce cancer-related morbidity. ClinicalTrials.gov Identifier: NCT03569605.

Original language	English (US)
Article number	106293
Journal	Contemporary Clinical Trials
Volume	103
DOIs	https://doi.org/10.1016/j.cct.2021.106293
State	Published - Apr 2021

Funding

This work was supported by a grant from the National Institutes of Health , National Cancer Institute ( R01CA204965 to CGV). This work was supported in part by the UNC Connected Health Applications & Interventions Core through a grant from the National Institutes of Health , National Institute of Diabetes and Digestive and Kidney Diseases ( P30DK056350 to the UNC Nutrition Obesity Research Center ) and/or from the National Institutes of Health , National Cancer Institute ( P30CA016086 to the UNC Lineberger Comprehensive Cancer Center). Support for Lindsey Horrell was from the National Institutes of Health , National Cancer Institute ( T32CA128582 to the UNC Cancer Health Disparities Training Program), and support for Erin Coffman was from the National Institutes of Health , National Institute of Diabetes and Digestive and Kidney Diseases ( T32DK007686 to the UNC Nutrition Training Grant).

Keywords

Adaptive interventions
Physical activity
Social media
Tailored feedback
Technology
Young adult cancer survivors

ASJC Scopus subject areas

Pharmacology (medical)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Valle, C. G., Pinto, B. M., LaRose, J. G., Diamond, M., Horrell, L. N., Nezami, B. T., Hatley, K. E., Coffman, E. M., Polzien, K., Hales, D. P., Deal, A. M., Rini, C. M., Rosenstein, D. L., & Tate, D. F. (2021). Promoting physical activity in young adult cancer survivors using mHealth and adaptive tailored feedback strategies: Design of the Improving Physical Activity after Cancer Treatment (IMPACT) randomized controlled trial. Contemporary Clinical Trials, 103, Article 106293. https://doi.org/10.1016/j.cct.2021.106293

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title = "Promoting physical activity in young adult cancer survivors using mHealth and adaptive tailored feedback strategies: Design of the Improving Physical Activity after Cancer Treatment (IMPACT) randomized controlled trial",

abstract = "Introduction: Despite the health benefits of physical activity for cancer survivors, nearly 60% of young adult cancer survivors (YACS) are physically inactive. Few physical activity interventions have been designed specifically for YACS. Purpose: To describe the rationale and design of the IMPACT (IMproving Physical Activity after Cancer Treatment) trial, which tests the efficacy of a theory-based, mobile physical activity intervention for YACS. Methods: A total of 280 physically inactive YACS (diagnosed at ages 18–39) will be randomized to a self-help control or intervention condition. All participants will receive an activity tracker and companion mobile app, cellular-enabled scale, individual videochat session, and access to a Facebook group. Intervention participants will also receive a 6-month mobile intervention based on social cognitive theory, which targets improvements in behavioral capability, self-regulation, self-efficacy, and social support, and incorporates self-regulation strategies and behavior change techniques. The program includes: behavioral lessons; adaptive goal-setting in response to individuals' changing activity patterns; tailored feedback based on objective data and self-report measures; tailored text messages; and Facebook prompts encouraging peer support. Assessments occur at baseline, 3, 6, and 12 months. The primary outcome is total physical activity min/week at 6 months (assessed via accelerometry); secondary outcomes include total physical activity at 12 months, sedentary behavior, weight, and psychosocial measures. Conclusions: IMPACT uniquely focuses on physical activity in YACS using an automated tailored mHealth program. Study findings could result in a high-reach, physical activity intervention for YACS that has potential to be adopted on a larger scale and reduce cancer-related morbidity. ClinicalTrials.gov Identifier: NCT03569605.",

keywords = "Adaptive interventions, Physical activity, Social media, Tailored feedback, Technology, Young adult cancer survivors",

author = "Valle, {Carmina G.} and Pinto, {Bernardine M.} and LaRose, {Jessica Gokee} and Molly Diamond and Horrell, {Lindsey N.} and Nezami, {Brooke T.} and Hatley, {Karen E.} and Coffman, {Erin M.} and Kristen Polzien and Hales, {Derek P.} and Deal, {Allison M.} and Rini, {Christine M.} and Rosenstein, {Donald L.} and Tate, {Deborah F.}",

note = "Publisher Copyright: {\textcopyright} 2021 Elsevier Inc.",

year = "2021",

month = apr,

doi = "10.1016/j.cct.2021.106293",

language = "English (US)",

volume = "103",

journal = "Contemporary Clinical Trials",

issn = "1551-7144",

publisher = "Elsevier Inc.",

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Valle, CG, Pinto, BM, LaRose, JG, Diamond, M, Horrell, LN, Nezami, BT, Hatley, KE, Coffman, EM, Polzien, K, Hales, DP, Deal, AM, Rini, CM, Rosenstein, DL & Tate, DF 2021, 'Promoting physical activity in young adult cancer survivors using mHealth and adaptive tailored feedback strategies: Design of the Improving Physical Activity after Cancer Treatment (IMPACT) randomized controlled trial', Contemporary Clinical Trials, vol. 103, 106293. https://doi.org/10.1016/j.cct.2021.106293

Promoting physical activity in young adult cancer survivors using mHealth and adaptive tailored feedback strategies: Design of the Improving Physical Activity after Cancer Treatment (IMPACT) randomized controlled trial. / Valle, Carmina G.; Pinto, Bernardine M.; LaRose, Jessica Gokee et al.
In: Contemporary Clinical Trials, Vol. 103, 106293, 04.2021.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Promoting physical activity in young adult cancer survivors using mHealth and adaptive tailored feedback strategies

T2 - Design of the Improving Physical Activity after Cancer Treatment (IMPACT) randomized controlled trial

AU - Valle, Carmina G.

AU - Pinto, Bernardine M.

AU - LaRose, Jessica Gokee

AU - Diamond, Molly

AU - Horrell, Lindsey N.

AU - Nezami, Brooke T.

AU - Hatley, Karen E.

AU - Coffman, Erin M.

AU - Polzien, Kristen

AU - Hales, Derek P.

AU - Deal, Allison M.

AU - Rini, Christine M.

AU - Rosenstein, Donald L.

AU - Tate, Deborah F.

PY - 2021/4

Y1 - 2021/4

N2 - Introduction: Despite the health benefits of physical activity for cancer survivors, nearly 60% of young adult cancer survivors (YACS) are physically inactive. Few physical activity interventions have been designed specifically for YACS. Purpose: To describe the rationale and design of the IMPACT (IMproving Physical Activity after Cancer Treatment) trial, which tests the efficacy of a theory-based, mobile physical activity intervention for YACS. Methods: A total of 280 physically inactive YACS (diagnosed at ages 18–39) will be randomized to a self-help control or intervention condition. All participants will receive an activity tracker and companion mobile app, cellular-enabled scale, individual videochat session, and access to a Facebook group. Intervention participants will also receive a 6-month mobile intervention based on social cognitive theory, which targets improvements in behavioral capability, self-regulation, self-efficacy, and social support, and incorporates self-regulation strategies and behavior change techniques. The program includes: behavioral lessons; adaptive goal-setting in response to individuals' changing activity patterns; tailored feedback based on objective data and self-report measures; tailored text messages; and Facebook prompts encouraging peer support. Assessments occur at baseline, 3, 6, and 12 months. The primary outcome is total physical activity min/week at 6 months (assessed via accelerometry); secondary outcomes include total physical activity at 12 months, sedentary behavior, weight, and psychosocial measures. Conclusions: IMPACT uniquely focuses on physical activity in YACS using an automated tailored mHealth program. Study findings could result in a high-reach, physical activity intervention for YACS that has potential to be adopted on a larger scale and reduce cancer-related morbidity. ClinicalTrials.gov Identifier: NCT03569605.

AB - Introduction: Despite the health benefits of physical activity for cancer survivors, nearly 60% of young adult cancer survivors (YACS) are physically inactive. Few physical activity interventions have been designed specifically for YACS. Purpose: To describe the rationale and design of the IMPACT (IMproving Physical Activity after Cancer Treatment) trial, which tests the efficacy of a theory-based, mobile physical activity intervention for YACS. Methods: A total of 280 physically inactive YACS (diagnosed at ages 18–39) will be randomized to a self-help control or intervention condition. All participants will receive an activity tracker and companion mobile app, cellular-enabled scale, individual videochat session, and access to a Facebook group. Intervention participants will also receive a 6-month mobile intervention based on social cognitive theory, which targets improvements in behavioral capability, self-regulation, self-efficacy, and social support, and incorporates self-regulation strategies and behavior change techniques. The program includes: behavioral lessons; adaptive goal-setting in response to individuals' changing activity patterns; tailored feedback based on objective data and self-report measures; tailored text messages; and Facebook prompts encouraging peer support. Assessments occur at baseline, 3, 6, and 12 months. The primary outcome is total physical activity min/week at 6 months (assessed via accelerometry); secondary outcomes include total physical activity at 12 months, sedentary behavior, weight, and psychosocial measures. Conclusions: IMPACT uniquely focuses on physical activity in YACS using an automated tailored mHealth program. Study findings could result in a high-reach, physical activity intervention for YACS that has potential to be adopted on a larger scale and reduce cancer-related morbidity. ClinicalTrials.gov Identifier: NCT03569605.

KW - Adaptive interventions

KW - Physical activity

KW - Social media

KW - Tailored feedback

KW - Technology

KW - Young adult cancer survivors

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Valle CG, Pinto BM, LaRose JG, Diamond M, Horrell LN, Nezami BT et al. Promoting physical activity in young adult cancer survivors using mHealth and adaptive tailored feedback strategies: Design of the Improving Physical Activity after Cancer Treatment (IMPACT) randomized controlled trial. Contemporary Clinical Trials. 2021 Apr;103:106293. doi: 10.1016/j.cct.2021.106293

Promoting physical activity in young adult cancer survivors using mHealth and adaptive tailored feedback strategies: Design of the Improving Physical Activity after Cancer Treatment (IMPACT) randomized controlled trial

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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