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Evaluating a web- and telephone-based personalised exercise intervention for individuals living with metastatic prostate cancer (ExerciseGuide): Protocol for a pilot randomised controlled trial

journal contribution
posted on 30.04.2021, 01:46 by Holly EL Evans, Cynthia C Forbes, Daniel A Galvão, Corneel Vandelanotte, Robert U Newton, Gary Wittert, Suzanne Chambers, Andrew D Vincent, Ganessan Kichenadasse, Nicholas Brook, Danielle Girard, Camille E Short
Introduction: Preliminary research has shown the effectiveness of supervised exercise-based interventions in alleviating sequela resulting from metastatic prostate cancer. Despite this, many individuals do not engage in sufficient exercise to gain the benefits. There are many barriers, which limit the uptake of face-to-face exercise in this population including lack of suitable facilities, remoteness, and access to experts, significant fatigue, urinary incontinence and motivation. Technology-enabled interventions offer a distance-based alternative. This protocol describes a pilot two-armed randomised controlled study that will investigate the feasibility and preliminary efficacy of an online exercise and behavioural change tool (ExerciseGuide) amongst individuals with metastatic prostate cancer. Methods: Sixty-six participants with histologically diagnosed metastatic prostate cancer will be randomised into either the 8-week intervention or a wait-list control. The intervention arm will have access to a tailored website, remote supervision, and tele-coaching sessions to enhance support and adherence. Algorithms will individually prescribe resistance and aerobic exercise based upon factors such as metastasis location, pain, fatigue, confidence and current exercise levels. Behavioural change strategies and education on exercise benefits, safety and lifestyle are also tailored through the website. The primary outcome will be intervention feasibility (safety, usability, acceptability, and adherence). Secondary exploratory outcomes include changes in physical activity, quality of life, sleep, and physical function. Outcomes will be measured at baseline and week 9. Discussion: The study aims to determine the potential feasibility of an online remotely monitored exercise intervention developed for individuals with metastatic prostate cancer. If feasible, this pilot intervention will inform the design and implementation of further distance-based interventions. Trial registration: ANZCTR, ACTRN12614001268639. Registered 10 December 2018, https://anzctr.org.au/ACTRN12618001979246.aspx © 2021, The Author(s).

Funding

Category 1 - Australian Competitive Grants (this includes ARC, NHMRC)

History

Volume

7

Issue

1

Start Page

1

End Page

16

Number of Pages

16

eISSN

2055-5784

ISSN

2055-5784

Location

England

Publisher

BioMed Central

Publisher License

CC BY

Additional Rights

CC BY

Language

eng

Peer Reviewed

Yes

Open Access

Yes

Acceptance Date

21/12/2020

External Author Affiliations

University of South Australia; Flinders Centre for Innovation in Cancer, SA; University of Adelaide; University of Hull, UK; Edith Cowan University; University of Technology, Sydney

Author Research Institute

Appleton Institute

Era Eligible

Yes

Medium

Electronic

Journal

Pilot and Feasibility Studies

Article Number

21

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Licence

Exports