internet-based exercise and diet support in prostate cancer survivors

Conditions: Cancer Survivor; Prostate Carcinoma

Summary: this pilot clinical trial studies how well the true nth community of wellness internet-based exercise and diet support works in improving diet and exercise habits in prostate cancer survivors. internet-based exercise and diet support may help better control treatment-related side effects and symptoms, better overall quality of life, and lower risk factors associated with cancer progression.

primary objectives: i. to determine the feasibility and acceptability of the community of wellness web portal among prostate cancer survivors by conducting a randomized controlled study comparing four levels of web-based content and interaction with participants. secondary objectives: i. to compare efficacy of four levels of web-based content in the community of wellness web portal in a pilot randomized controlled trial on exercise and dietary habits, self-efficacy for behavior change, motivation for exercise, and changes in treatment-related side effects. outline: patients are assigned to 1 of 4 groups. group i: patients receive "written information" which includes access to the truenth open access portal that provides basic written information about exercise and diet. group ii: patients receive access to "written information + prescription", including written information plus additional an exercise prescription and tailored diet recommendations. group iii: patients receive access to "written information + prescription + technology", including written information, exercise prescription + diet recommendation and additional technology components. patients complete diet and exercise behavior logs and receive educational and motivational text messages about healthy diet and exercise habits. group iv: patients receive access to "written information + prescription + technology + coaching" and receive written information, exercise prescription + diet recommendation, technology support and a 30-minute (each) diet and exercise consultation plus the ability to receive ongoing advice from coaches via the web portal. after completion of intervention, patients are followed up at 3 months.

Eligibility criteria:
inclusion criteria: * self-reported prostate cancer diagnosis * able to read english on a computer screen * able to access a computer, tablet or smartphone at home or public location * access to a device capable of receiving plain text messages * a personal email address exclusion criteria: * men who have contraindications to exercise based the american college of sports medicine 2016 exercise pre-participation screening criteria and who do not receive a physician clearance to participate in the moderate intensity physical activity with one or more of the following self-reported conditions: * heart attack * heart surgery, cardiac catheterization, or coronary angioplasty * pacemaker/implantable cardiac defibrillator/rhythm disturbance * heart valve disease * heart failure * heart transplantation * congenital heart disease * diabetes * kidney (renal) disease * chest discomfort with exertion * unreasonable breathlessness * dizziness, fainting or blackouts * ankle swelling * unpleasant awareness of forceful, rapid or irregular heart rate * burning or cramping sensations in your lower legs when walking short distance