Cancer Clinical Trial
Official title:
A Randomized Controlled Trial to Determine the Effect of Supplementing an Oncologist's Recommendation to Exercise With Multimedia on Fatigue Levels in Breast Cancer Patients
Fatigue is a troublesome symptom for breast cancer patients, which might be mitigated with exercise. Cancer patients often prefer their oncologist recommend an exercise program, yet a recommendation alone may not be enough to change behavior. Our study will determine whether adding an exercise DVD to an oncologist's recommendation to exercise led to better outcomes than a recommendation alone.
Purpose: Controlled, intervention trials suggest that exercise may be a useful strategy to
manage symptoms and side effects associated with cancer treatment. However, practical
programs that facilitate exercise engagement among cancer patients are few and have been
insufficiently studied. Medical providers may be best suited to deliver exercise information
because of their frequent patient contact and the trust that patients place in their advice;
however, unless sufficient resources are supplied in conjunction with verbal advice,
patients may be less likely to successfully follow their physician's advice. The addition of
an easy-to-follow, cancer specific exercise instructional video (DVD) to a provider's
recommendation to exercise may provide patients with the motivation and ability to increase
physical activity. We propose a feasibility study that will 1) determine acceptance and use
of a provider-disseminated instructional home-exercise DVD among female cancer patients
treated at OHSU and 2) determine if this cancer specific home-based DVD exercise program
leads to greater decreases in fatigue, increases in exercise motivation and in physical
activity compared to a standard exercise recommendation only among breast cancer patients
treated at OHSU (N=100).
Methods: Medical providers who see female cancer patients during routine clinical visits
will be approached to participate in the study. Willing providers will be enlisted to
consent patients to receive a brief conversation (2-3 minutes) about the importance of
exercise in their cancer care and then ask whether or not patients are willing to receive
more information about the study from study staff. Providers will inform study staff about
consenting participants who will then be randomized to one of two groups in the order that
they enrolled. Study staff will then contact participants by phone to further explain the
study and confirm eligibility then ask questions about their treatment, symptoms, and
physical activity history. Based on their randomly assigned group, participants will receive
either a control packet of standard exercise information based on guidelines from the
American Cancer Society or standard exercise information plus a cancer specific home-based
exercise DVD program. Fatigue, motivation for exercise, physical activity and use /
acceptability of exercise information (+/- DVD) will be reassessed at 4 and 8 weeks
following enrollment.
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