Cancer Related Fatigue Clinical Trial
Official title:
Effects of Qigong on Fatigue & Quality of Life in Elderly Prostate Cancer Survivors
Aim 1: Assess the feasibility, safety and efficacy of a Qigong intervention in elderly
prostate cancer survivors.
Describe participation, retention, and adherence rates and assess reasons for participation,
attrition, and non-adherence.
Identify effective recruitment and retention strategies. Ascertain participants' level of
satisfaction and additional perceptions of the experimental and control interventions,
perceived study burden, study design, and implementation.
Aim 2: Provide preliminary data on potential effects of Qigong vs. non-aerobic stretching
exercises on fatigue, psychosocial outcomes, and health-related quality of life in
preparation for a future R01 application for a larger, definitive randomized controlled
trial. Hypothesis: Qigong participants will have improved fatigue levels, quality of life,
and related psychosocial and health outcomes compared to those randomized to the non-aerobic
stretching group.
This ongoing feasibility study is a two-armed, parallel group, randomized clinical trial.We
will recruit 60 elderly prostate cancer survivors (age 55+ years) and their significant
others (spouse, domestic partner, or close family member).
Considering literature attesting to strains associated with caregiver status, we will also
collect survey and physical assessment data to explore the intervention's effect on
significant others.
Recruitment occurs through Huntsman Cancer Institute's outpatient clinic and University and
community-based strategies (for example, newspaper ads, flyers, support groups, patient
registries).
We will measure relevant psychosocial measures, including fatigue and quality of life (SF36
& EPIC), perceived stress, distress, mood, cognitive function, social connectedness,
demographics, and leisure time, at baseline, the six-week midpoint, and one week
post-intervention. Weekly measures of fatigue and quality of life and physical activity logs
will also be administered.
Biometric assessments, including balance and mobility, flexibility, blood pressure, resting
heart rate, body mass index, and waist-hip-ratio, will be done at baseline (before
randomization) and one week post-intervention.
Significant others will undergo the same survey measures as the prostate cancer survivors,
except for measures specific to prostate cancer (e.g., EPIC-26-short form).
Participants will be recruited in two cohorts, one beginning early March and the other early
June, 2012. The twice-weekly exercise classes will be 60 minutes in duration, running for 12
weeks. Classes will be conducted at Huntsman Cancer Institute's Survivor & Wellness Center,
beginning one week after baseline physical assessments. Participants will receive a DVD of
the respective class led by trained and qualified instructors so they can supplement classes
with home-based sessions.
Qigong class will consist of postures, movements, deep breathing techniques, and meditation,
including an emphasis on weight shifting, breath, and posture control.
Non-aerobic stretching will consist of light stretching exercises that avoid focus on
meditation. This class will serve as the control group for non-specific factors such as
attention dose and the group setting.
To ensure consistency of physical intensity between the two study arms, both objective
(heart rate monitors) and subjective (self-reported ten-point Borg scale) measures will be
performed on participants.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Supportive Care
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