Assessing Exercise Behavior and Preferences Among Patients and Oncologists

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to understand the preferences and barriers surrounding exercise of both the patients and oncologists within Indiana University Simon Cancer Center. This information will establish gaps in our current care and provide important information to guide future pilot interventions.

Detailed Description
-----------------
This descriptive, cross-sectional study will survey patients with a current or previous diagnosis of non-metastatic solid tumor malignancy who are being seen at the Indiana University Simon Cancer in Indianapolis, Indiana. Patients with active, incurable disease are excluded. Willing and eligible patients will complete a brief, 14 question survey while seen in the waiting room of the women's or multi-disciplinary clinics. We aim to survey 350 patients over a 12 month period. Patients will fill out the survey at only one point in time and no patient identifiers will be kept. During COVID-19 restrictions, we will also send out an electronic version of the survey to participants using the email address provided in their Cerner accounts. Responses will be captured by REDCAP and will remain anonymous and not linked to the patients' medical record or personal health information. The physician survey will be emailed to oncologist/hematologists practicing within IUSCC who see patients at least once per week. Physicians will receive a survey at only one point in time. The survey will be anonymous and no physician identifiers will be kept. Primary objective Estimate the proportion of patients with curable solid tumor malignancies seen at the Indiana University Simon Cancer Center who are meeting exercise recommendations for cancer survivors (more than 150 minutes per week of moderate or 75 minutes per week of vigorous activity). Secondary objectives Assess patients' perceived barriers to exercise during cancer survivorship Assess patients' preferences for receiving exercise recommendations Assess oncologists' perceived barriers to making exercise recommendations Assess oncologists' preferences for exercise and physical activity resources that could be provided by the cancer center

Official Title
-----------------
Assessing Exercise Behavior and Preferences Among Patients and Oncologists at Indiana University Simon Cancer Center

Conditions
-----------------
Solid Tumor, Exercise

Intervention / Treatment
-----------------
* Behavioral: Survey regarding exercise habits, barriers to exercise, and experience with exercise services from the cancer center.
* Behavioral: Survey regarding personal exercise habits and beliefs, barriers to making exercise recommendations


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Physician survey Any oncologist/hematologist practicing within IUSCC regularly providing care for patients with solid tumor malignancies (seeing patients one or more days per week in the multidisciplinary or women's clinics with solid tumor malignancies). Physicians providing care only for hematologic (multiple myeloma, leukemia, lymphoma, transplant) or benign disorders will be excluded. Patient survey Patients with a current or previous diagnosis of stage 0-III or curable solid tumor Patients receiving any component of their medical oncologic care at IUSCC Age ≥ 18 years Able to read and write English Exclusion Criteria: Metastatic disease at the time of study participation Inability to complete the survey

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Subjects<br>Cancer patients with curable or previously treated malignancies | Behavioral: Survey regarding exercise habits, barriers to exercise, and experience with exercise services from the cancer center.<br>* Survey created at Indiana University to gain information regarding exercise habits, barriers to exercise, and experience with exercise services from the cancer center.<br>|
| Providers<br>Physicians seeing patients in the outpatient clinics at the IU Simon Cancer Center | Behavioral: Survey regarding personal exercise habits and beliefs, barriers to making exercise recommendations<br>* Survey regarding personal exercise habits and beliefs, barriers to making exercise recommendations, and potential resources the cancer center might provide to help make effective exercise recommendations in the future<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of patients who meet exercise recommendations. | Patients self-reporting more than 150 minutes per week of moderate physical activity OR more than 75 minutes per week of vigorous physical activity | baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Perceived barriers to exercise during cancer survivorship via pilot survey | Investigator created survey with 14 items regarding demographics, cancer history, exercise habits, and exercise as part of cancer treatment | Baseline | 
| Patient preferences for receiving exercise recommendations via pilot survey | Investigator created survey with 14 items regarding demographics, cancer history, exercise habits, and exercise as part of cancer treatment | Baseline | 
| Provider perceived barriers to making exercise recommendations via pilot survey | Investigator created survey with 14 items regarding demographics, cancer speciality, exercise habits, and exercise recommendations to patients and patient exercise habits | Baseline | 
| Provider preferences for exercise and physical activity resources that could be provided by the cancer center via pilot survey | Investigator created survey with 14 items regarding demographics, cancer speciality, exercise habits, and exercise recommendations to patients and patient exercise habits | Baseline | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
solid tumor, exercise