Pink Warrior 2: Teleconference-based Gaming Support
Condition: Breast Cancer; Physical Activity
MeSH terms: Breast Neoplasms
Study type: Interventional

Summary: 
      Breast cancer survivors, from diagnosis until the end of life, go through many transitions.
      One major transition is the significant decrease of physical activity immediately after
      diagnosis. Despite the known benefits of physical activity-speeding recovery time and reduced
      cancer recurrence risk-only 1 in 3 survivors met physical activity recommendations of 150
      minutes of moderate-intensity activity per week. Physical activity interventions have shown
      effectiveness in helping breast cancer survivors increase physical activity during treatment,
      but limited evidence-based physical activity interventions have been incorporated into the
      clinic and community. To address this limitation, the investigators are partnering with the
      UTMB breast cancer support group to conduct a 12-week physical activity intervention, Pink
      Warrior.

      The goal of this study is to compare an intervention that uses active games versus an
      intervention uses pedometer to encourage physical activity such as walking within breast
      cancer survivors in active cancer treatment. The study will include breast cancer survivor
      between the ages of 18 - 70 whom currently gets less than 150 minutes of planned physical
      activity per week and received a breast cancer diagnosis within 0 to 6 months. Participants
      will be randomized to participate in the support group using the active video game-based
      physical activity intervention (Wii and Xbox active games) or to participate in the existing
      UTMB breast cancer support group with pedometers (Digi-Walker CW-700/701). The investigators
      hypothesize that by engaging in active video gaming, breast cancer survivors will be
      motivated to initiate and maintain physical activity during treatment. This will ultimately
      increase functional capacity and prevent functional disability in breast cancer survivors.
    

Detailed description: 
      Increasing and maintaining physical activity among female breast cancer (BC) survivors during
      treatment remains an unresolved problem in BC survivorship care. BC survivors, from diagnosis
      until the end of life, go through many transitions. One major transition is the significant
      decline of physical activity immediately after diagnosis. Despite the known benefits of
      physical activity-speeding recovery time and reduced cancer recurrence risk-less than 30% of
      survivors met physical activity recommendations. Physical activity interventions have shown
      effectiveness in helping BC survivors increase activity during treatment, but limited
      evidence-based activity interventions have been disseminated into the clinic and community.
      To address this limitation, we are partnering with the UTMB breast cancer support group to
      conduct a 12-week physical activity intervention, Pink Warrior, which will investigate the
      feasibility of implementing active video game-based physical activity intervention among BC
      survivors undergoing treatment within the support group setting. Participants (N = 60) will
      be randomized to participate in the support group using the active video game-based physical
      activity intervention or to participate in the existing UTMB breast cancer support group with
      pedometers. Our specific aims are:

      Aim 1: Evaluate the feasibility and acceptability of active video game-based physical
      activity intervention among BC survivors undergoing treatment within the support group
      setting. Measures of feasibility will include weekly attendance records, number of completed
      home-based worksheets, number of participants completing the program activities,
      technological issues, and adverse events.

      Aim 2: Compare the support group using the active video game-based physical activity
      intervention to the existing UTMB breast cancer support group with pedometer. Primary
      outcomes will be changes in physical activity. Secondary outcomes will be changes in physical
      function, dietary pattern, and quality of life.

      Aim 3: Develop tools for implementation of the Pink Warrior intervention within the clinic
      and community settings. A trainer's manual for the Pink Warrior intervention will be
      developed and UTMB Breast Cancer Support Group facilitators will be trained by research staff
      to implement the program.
    

Intervention name(s): Active video game teleconference support group; Standard support group + pedometer
Intervention type(s): Behavioral; Behavioral
Intervention description(s): 12 sessions of teleconferenced support group meetings, including active video game play + self-paced walking monitored by Fitbit wearable device; 3 monthly sessions of in-person standard support group meetings + self-paced walking monitored by pedometer
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Other
Keywords: active video game; telemedicine; cancer survivor; women's health; support group; survivorship; mhealth