Internet-Based Exercise and Diet Support in Prostate Cancer Survivors

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