The online delivery of exercise oncology classes supported with health coaching: a parallel pilot randomized controlled trial

Pilot and Feasibility Studies

Research

Margaret L. McNeely¹  Manuel Ester²  Maximilian Eisele²  Andrew J. Pohl²  Meghan H. McDonough²  Julia T. Daun²  Rosie Twomey³  S. Nicole Culos-Reed⁴ 

[1] Department of Physical Therapy & Oncology, University of Alberta, Edmonton, AB, Canada;Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada;Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada;Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada;Department of Oncology, Cummings School of Medicine, University of Calgary, Calgary, AB, Canada;Department of Psychosocial Resources, Tom Baker Cancer Centre, Cancer Care, Alberta Health Services, Calgary, AB, Canada;

关键词: Health coaching;    Exercise;    Physical activity;    Maintenance;    Cancer survivors;    Online delivery;    mHealth;   

DOI  :  10.1186/s40814-023-01316-z

 received in 2022-07-20, accepted in 2023-05-02,  发布年份 2023

来源: Springer

【 摘 要 】

PurposeThe primary objective was to investigate the feasibility of a synchronous, online-delivered, group-based, supervised, exercise oncology maintenance program supported with health coaching.MethodsParticipants had previously completed a 12-week group-based exercise program. All participants received synchronous online delivered exercise maintenance classes, and half were block randomized to receive additional weekly health coaching calls. A class attendance rate of ≥ 70%, a health coaching completion rate of ≥ 80%, and an assessment completion rate of ≥ 70% were set as markers of feasibility. Additionally, recruitment rate, safety, and fidelity of the classes and health coaching calls were reported. Post-intervention interviews were performed to further understand the quantitative feasibility data. Two waves were conducted — as a result of initial COVID-19 delays, the first wave was 8 weeks long, and the second wave was 12 weeks long, as intended.ResultsForty participants (n8WK = 25; n12WK = 15) enrolled in the study with 19 randomized to the health coaching group and 21 to the exercise only group. The recruitment rate (42.6%), attrition (2.5%), safety (no adverse events), and feasibility were confirmed for health coaching attendance (97%), health coaching fidelity (96.7%), class attendance (91.2%), class fidelity (92.6%), and assessment completion (questionnaire = 98.8%; physical functioning = 97.5%; Garmin wear-time = 83.4%). Interviews highlighted that convenience contributed to participant attendance, while the diminished ability to connect with other participants was voiced as a drawback compared to in-person delivery.ConclusionThe synchronous online delivery and assessment of an exercise oncology maintenance class with health coaching support was feasible for individuals living with and beyond cancer. Providing feasible, safe, and effective exercise online to individuals living with cancer may support increased accessibility. For example, online may provide an accessible alternative for those living in rural/remote locations as well as for those who may be immunocompromised and cannot attend in-person classes. Health coaching may additionally support individuals’ behavior change to a healthier lifestyle.Trial registrationThe trial was retrospectively registered (NCT04751305) due to the rapidly evolving COVID-19 situation that precipitated the rapid switch to online programming.

【 授权许可】

CC BY   
© The Author(s) 2023

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Fig. 2

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