Abstract
BackgroundHigher levels of physical activity (PA) after treatment are associated with beneficial effects on physical and psychosocial functioning of cancer survivors. However, survivors often do not meet the recommended levels of PA. In order to promote PA, we developed a closed internet-based program. The aim of the study is to evaluate the (cost-)effectiveness of an internet-based PA-promotion program, alone or combined with physiotherapy counselling, compared to usual care, on PA-levels of breast or prostate cancer survivors. In this multicenter randomised controlled trial (RCT), breast or prostate cancer survivors who completed their primary treatment 3–12 months earlier, will be randomised to either 6-months access to a fully-automated internet-based intervention alone, an internet-based intervention plus remote support by a physiotherapist, or a control group. The intervention is based on the Transtheoretical Model and includes personalized feedback, information, video’s and assignments. Additionally, in a second arm, physiotherapy counselling is provided through monthly scheduled and on-demand telephone calls. The control group will receive usual care and a leaflet with PA guidelines.MethodsAt baseline, 6 and 12 months, the primary outcome (PA) will be measured during 7 consecutive days by accelerometers. Secondary outcomes are self-reported PA, fatigue, mood, health-related quality of life, and costs. The group differences for primary and secondary outcomes will be analyzed using linear mixed models.DiscussionIf proven to be (cost)effective, this internet-based intervention, either alone or in combination with telephone support, will be a welcome addition to previous RCT’s.Trial registrationNetherlands trial register (NTR6911), Date of trial registration: December 21, 2017.
Highlights
Introduction text with picturePersonal feedback on physical activity (PA) level of last week showed in graph and table
The aim of this trial is to evaluate theeffectiveness of the Internet-based Physical Activity Support program (IPAS) intervention alone or combined with physiotherapy counselling on PA levels of breast and prostate cancer survivors compared to usual care
A recent meta-analysis of individual patient data of 34 exercise randomised controlled trial (RCT) has shown that such supervised interventions are more effective than unsupervised interventions in terms of quality of life and physical functioning [59]
Summary
6 and 12 months, the primary outcome (PA) will be measured during 7 consecutive days by accelerometers. Secondary outcomes are self-reported PA, fatigue, mood, health-related quality of life, and costs. The group differences for primary and secondary outcomes will be analyzed using linear mixed models
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