move for your health for older cancer survivors

Conditions: Cancer Survivors

Summary: the move for your health (my health) pilot study is a 12-week study for older cancer survivors to promote light physical activity. the home-based study (no travel required) will test whether a fitbit activity tracker and health coaching can help cancer survivors be more active throughout the day.

the objective is to examine the feasibility and acceptability of a home-based lifestyle activity intervention to promote light-intensity activity using a whole-of-day approach. sixty-four older cancer survivors will be randomized to either a 12-week theory-based intervention or a waitlist control. the intervention uses a fitbit activity tracker that pairs with a smartphone app to promote awareness and enable self-monitoring of both activity and inactivity. motivational counseling will be used to individually tailor strategies to achieve goals. data will be collected at baseline, post-intervention (week 13), and 3-months post-intervention (week 26).

Eligibility criteria:
inclusion criteria: * diagnosed in new mexico (nm) with a loco-regionally staged cancer, completed primary treatment (surgery, radiation, chemotherapy), and not currently being treated for a recurrence. patients with metastatic cancer are eligible with physician approval. * mild-to-moderate physical functional impairment (raw score between 20 and 34 on the 8-item promis physical function survey) * able to speak, read, \& understand english or spanish * participating in less than 120 minutes per week of moderate-intensity physical activity * living independently and capable of walking 3 blocks (approximately 1300 steps or 0.25 mile) without an assistive device (e.g., cane, walker) and without stopping to rest * own a smartphone or tablet \*or\* be willing to use a study-provided smartphone capable of running the fitbit app. also, access to the internet or a wi-fi hotspot at least once per week is required. smartphones and data plans will be provided to those individuals who are eligible but do not currently own a device capable of running the fitbit app. * availability of a family member or friend to be present (for safety) during the remote assessment of physical performance tests * willingness to be randomized to either study arm and to wear activity trackers exclusion criteria: * adults not able to consent * severe impairments (in seeing or hearing) or pre-existing medical limitations for engaging in daily light physical activity (e.g., severe orthopedic conditions, pending hip/knee replacement, dementia, oxygen dependent, chronic vertigo) * paid employment or volunteer position for greater than 20 hours per week (to avoid potential confounding by occupation activity/inactivity) * currently participating in a program (personal program, e.g., wearing an activity monitor, or structured program, e.g., another study) to decrease sedentary time or increase physical activity * planning to move out of new mexico within the next year

Keywords: cancer survivor physical activity sedentary behavior cancer survivorship rural older hispanic physical function physical performance quality of life home-based distance-based