Abstract

BackgroundAlthough the benefits of physical activity (PA) on health are recognised, prostate cancer patients do not follow PA recommendations. The barriers to PA, whether physical, environmental or organisational, are known. Furthermore, even when such barriers are overcome, this achievement is not systematically accompanied by a change in lifestyle habits. The proposal of a programme enabling the integration of PA in the patient’s everyday life represents a new challenge in the personalized management of cancer patients. Peer-mentoring interventions have demonstrated their effectiveness in increasing adherence to PA by patients. This study aimed (1) to assess the feasibility of a peer-mentoring intervention: the Acti-Pair program in a local context and (2) to assess the effectiveness of the intervention in this context.Methods and analysisA pre-post design pilot study will be used to evaluate feasibility, potential effectiveness and implementation outcomes overs in prostate cancer patients. We performed a mixed quantitative and qualitative prospective study to assess means and process indicators and the implementation of the Acti-Pair program. This study will be performed in cancer centres of Loire district and will be comprised of three successive stages (1) diagnosis of the target population, (2) recruitment and training of peers, and (3) implementation of this intervention in the Loire department.DiscussionThis study will allow us to extend the peer-mentoring intervention to other contexts and assess the effectiveness of this intervention and its generalisability.

Highlights

  • The benefits of physical activity (PA) on health are recognised, prostate cancer patients do not follow PA recommendations

  • Our primary objective and hypothesis will be related to feasibility outcome and will be to determine adherence to the Acti-Pair programme: the programme will be feasible if 60% of patients reach at least 60% of 1-h session of adapted physical activity (APA) as the minimum weekly threshold over the 3 months of intervention

  • Acti-Pair combines several factors that have each independently demonstrated their effect on increasing PA in the long term

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Summary

Introduction

The benefits of physical activity (PA) on health are recognised, prostate cancer patients do not follow PA recommendations. The barriers to PA, whether physical, environmental or organisational, are known Even when such barriers are overcome, this achievement is not systematically accompanied by a change in lifestyle habits. Recognised benefits of Baudot et al Pilot and Feasibility Studies (2022) 8:12 moderate-to-vigorous physical activity (MVPA; i.e. activities that require an energy expenditure ≥ 3 times the resting metabolic rate, such as brisk walking or cycling), is associated with reduced risks of advanced, aggressive, and fatal prostate cancer [6]. Respect of new health standards (i.e. regular PA practice, diet, stress management, etc.) and lifestyle changes can be beneficial, even after 60 years of age [7]. Providing information about the benefits of this practice is not enough to change patients’ lifestyles

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