Promoting Physical Activity in Young Adult Cancer Survivors Using mHealth and Adaptive Tailored Feedback Strategies
Condition: Physical Activity; Neoplasms; Neoplasms by Site; Cancer
MeSH terms: Neoplasms; Neoplasms by Site
Study type: Interventional

Summary: 
      To date, few interventions have been designed specifically to promote physical activity in
      young adult cancer survivors, nor used novel technologies for delivery; none have been
      successful in promoting long-term adherence to PA. The purpose of this randomized controlled
      trial is to test the efficacy of a theory-based, mobile physical activity intervention with
      adaptive goal-setting and tailored feedback that is aimed at increasing physical activity
      among young adult cancer survivors.
    

Detailed description: 
      There are over half a million young adult cancer survivors in the United States. Young adult
      cancer survivors are an underserved and vulnerable subgroup of survivors that experience
      increased risk over time for obesity and chronic diseases such as diabetes and cardiovascular
      disease. Increasing physical activity is a promising behavioral intervention that has
      positive effects on physical function, body composition, cardiovascular fitness,
      health-related quality of life, and depression, and may prevent cancer recurrence, new
      cancers and improve survival. To date, few interventions have been designed specifically to
      promote physical activity in young adult cancer survivors, nor used novel technologies for
      delivery; none have been successful in promoting long-term adherence to physical activity.
      This is a randomized controlled trial to test the efficacy of a theory-based, mobile physical
      activity intervention with adaptive goal-setting and tailored feedback that is aimed at
      increasing PA among young adult cancer survivors. Young adult cancer survivors (n=280),
      diagnosed between ages 18-39, will be recruited and randomized into one of two conditions: 1)
      activity tracker + Facebook group (Self-help) or 2) activity tracker + Facebook group +
      adaptive goal-setting and tailored feedback (Intervention). Young adult cancer survivors will
      receive a 6-month intervention followed by an additional 6 months of tapered contacts.
      Assessments of objectively-measured physical activity and other outcomes will be conducted at
      baseline, 3, 6, and 12 months.
    

Intervention name(s): Self-help; Intervention
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Participants will receive an individual session, Fitbit activity tracker, and access to a secret Facebook group.; Participants will receive an individual session, Fitbit activity tracker, and access to a secret Facebook group with the addition of behavioral lessons, adaptive physical activity goals, tailored feedback summaries, and text messages.
Other intervention name(s): Digital tools; Digital tools plus
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: After completing informed consent, 7-day PA assessment, weight measurement, and baseline questionnaires, participants will be randomly assigned with equal probability to 1 of 2 treatment groups: 1) self-help or 2) intervention. Future treatment assignments will be concealed from study staff who are recruiting and enrolling participants.
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Supportive Care
Keywords: young adult; cancer survivor