Virtual Mind-Body Exercises for People Having Pancreatic Surgery

Study Overview
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Brief Summary
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The purpose of this study is to find out if it is practical to provide 2 interventions, VMB exercise classes and EUC (pre-recorded self-care videos), during the perioperative period (before and after surgery) to improve health-related outcomes and quality of life for people undergoing a pancreatectomy.

Official Title
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Pilot Study of Virtual Mind-Body Exercises for Patients Undergoing Pancreatic Surgery

Conditions
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Pancreas Disease

Intervention / Treatment
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* Other: Virtual mind-body group exercise classes
* Other: Enhanced usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ≥ 18 years or older Any pancreas disease (benign, pre-malignant, or malignant) and will be undergoing pancreatectomy Has at least one week to participate in the study prior to the anticipated surgery date Eastern Cooperative Oncology Group (ECOG) Performance status 0 or 1 English-speaking only Exclusion Criteria: Unable to give informed consent due to cognitive impairment or impaired decisionmaking capacity Cognitive impairment precluding response to study assessments Received neoadjuvant or any chemoradiation in the past 60 days Unwilling to accept random assignment Unwilling to commit to the 12-week study time period Unlikely to be compliant because of social factors that prevent patients from attending classes or doing home practice (e.g., unreliable internet, no access to a computer)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Virtual mind-body group exercise classes (VMB)<br>Will be provided with the schedule and links to the web-based mind-body exercises offered by MSK in real-time via the Zoom video conferencing platform. Each session is led by a licensed clinician (e.g., licensed dance therapist, certified yoga instructor, nurse specialist/physical trainer) with specific expertise in the oncology setting. | Other: Virtual mind-body group exercise classes<br>* Pre-operative period (baseline/intake day to day before surgery): mid- to high intensity classes focusing on aerobic physical activity, relaxation, and stress management (classes: Fitness for Everyone, Tai Chi, Mat Yoga, Dance Cardio, Meditation, Core Strength, Music Therapy) Immediate post-operative period (post-operative hospitalization to 2 weeks after surgery): low- to mid-intensity classes focusing on relaxation, stress management and low-impact physical activity (classes: Chair Yoga, Dance Therapy, Meditation, Music Therapy) Late post-operative period (3-12 weeks after surgery): mid- to high-intensity classes focusing on aerobic physical activity, relaxation, and stress management (classes: Fitness for Everyone, Tai Chi, Mat Yoga, Dance Cardio, Meditation, Core Strength, Music Therapy)<br>|
| Active Comparator: Enhanced usual care (EUC)<br>Pre-recorded self-care videos. | Other: Enhanced usual care<br>* EUC arm will be referred to MSK's multimedia page on the Integrative Medicine website to access pre-recorded mind-body videos on their own time. These videos are 15-60 minutes in duration and consist of educational and self-care videos, including guided meditation and Tai Chi.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of the Virtual Mind-Body Exercises program as measured by enrollment rate | total number of patients invited, and the total number of study participants will be recorded | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| improving patient-reported outcomes (PROs) | Changes in HADS anxiety scores. The Hospital Anxiety and Depression Scale (HADS) will be used to explore the effect of treatments on psychological distress, specifically on anxiety. HADS is a 14-item scale with seven items measuring depression and seven items measuring anxiety. Each item is answered by the patient on a four-point (0-3) response category; possible scores range from 0-21 for anxiety and depression, with higher scores indicating higher symptomatology. Established cutoffs are: 0-7 not significant; 8-10 subclinical; and 11-21 clinically significant depression/anxiety. | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Exercises, 22-070