- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04547634
Telerehabilitation in Oncology Patients
Effect of a Telerehabilitation-exercise Intervention in Oncology Patients in the Covid-19 Pandemic
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Current literature shows that Therapeutic Exercise has multiple benefits in oncology patients, such as improvements in function and quality of life, and ameliorates symptoms such as cancer-related fatigue. Furthermore, given the risk of obesity, both exercise and diet play a key role in recovery from cancer. In fact, current guidelines support the use of exercise with therapeutic purposes as a complement to cancer treatment.
As a consequence of the COVID-19 pandemic, oncology patients present more difficulties to attend programs, as the vast majority are immunosuppressed, and they are considered risk population. Therefore, new online (TEEP) must be developed to facilitate the benefits of these programs in the post-COVID Era. This study analyses the feasibility (in terms of suitability and verification of exercise prescription, absence and attendance type, and total days of attendance) and the effect (in weight, physical function, and symptoms) in cancer patients and survivors.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Málaga, Spain
- Antonio Cuesta Vargas
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Metastatic breast patient, gynecological cancer patient, or breast cancer survivor under adjuvant treatment after surgical intervention.
- Having given informed consent to participate voluntarily in the program and to be in contact via telematics (email or messaging platform).
- Have a good internet connection
- Be accompanied by an adult on the day of assessment.
- Availability to access the computer on during the intervention.
Exclusion Criteria:
- Technophobia
- Domatophobia or self-report of adversity to be at home.
- Lack of logistical requirements (Internet and lack of skill in its use).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Experimental
The sample will receive of a Therapeutic Exercise and Education programme
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The intervention will consist of 30 minutes of strength exercises followed by 20 minutes of endurance with aerobic training, individualized based on the evaluations of muscular strength and endurance.
Sessions lasted 1 hour, carried out twice a week, for 12 weeks.
This intervention will be complemented by nutritional education.
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|
No Intervention: Control
Subjects will be told to continue with their normal activity of daily living.
After the intervention in the experimental group, the control group will be offered intervention.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Suitability of exercise intensity
Time Frame: Through study completion, an average of 3 months
|
Patients are asked before each session to mark in a numerical scale how are they feeling that day to push themselves and get their session well done.
From 0 (very well) to 10 (very badly).
Higher scores mean a worse feeling.
|
Through study completion, an average of 3 months
|
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Verification of exercise intensity
Time Frame: Through study completion, an average of 3 months
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Patients are asked to score the feeling of perceived effort after the session with the Borg Perceived Exertion scale (6-20).
Higher scores mean a worse perceived exertion.
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Through study completion, an average of 3 months
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Total attendance
Time Frame: After intervention, an average of 3 months
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Total of days of attendance
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After intervention, an average of 3 months
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Absence type
Time Frame: Through study completion, an average of 3 months
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Reasons of absence, categorized as: personal matter, visit the oncology, medical appointment (no related to oncology treatment), health problem, connection problem or unknown.
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Through study completion, an average of 3 months
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Attendance type
Time Frame: Through study completion, an average of 3 months
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Attendance type, categorized as: full attendance, partly attendance because of lack of time, partly attendance because of internet connection problem
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Through study completion, an average of 3 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from Cancer-Related Fatigue (CRF)
Time Frame: Prior and after intervention, an average of 3 months
|
The Spanish version of the Piper Fatigue Scale-Revised (PFS-R) will be used.
Its total score is the sum of all items (from 0 to 220), with higher values indicate a higher level of fatigue (worse outcome)
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Prior and after intervention, an average of 3 months
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Change from Functional capacity
Time Frame: prior and after intervention, an average of 3 months
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It will be tested by 30-second Sit-To-Stand Test (30-STS), number of repetitions completed.
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prior and after intervention, an average of 3 months
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Change from Upper limb functionality (%)
Time Frame: prior and after intervention, an average of 3 months
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the Spanish version of Upper Limb Functional Index (ULFI) questionnaire will be filled online
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prior and after intervention, an average of 3 months
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Change from Lower limb functionality (%)
Time Frame: prior and after intervention, an average of 3 months
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the Spanish version of Lower Limb Functional Index (LLFI) questionnaire will be filled online
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prior and after intervention, an average of 3 months
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Change from Quality of life (self-reported questionnaire)
Time Frame: prior and after intervention, an average of 3 months
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It will be assessed by The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) version 3.0.
EORTC QLQ-C30 comprises 30 items and contains five functional scales, three symptom scales, a global health status/QoL scale, and six single items.
Raw scores can be linearly converted to a 0-100 scale with higher scores reflecting higher levels of function (better outcome) and higher levels of symptom show bigger problems (worse outcome).
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prior and after intervention, an average of 3 months
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Change from specific Breast Cancer Quality of life (self-reported questionnaire)
Time Frame: prior and after intervention, an average of 3 months
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It will be assessed by The European Organization for Research and Treatment of Cancer Breast Cancer-Specific Quality of Life questionnaire (EORTC QLQ-BR23).
This is a breast cancer module of EORTC QLQ-C30 which contains 23 items that assess disease symptom, side effects of treatment, body image, sexual functioning, and future perspective.
All items are rated on a 4-point scale (from 1- not at all, to very much).
Higher scores represent better functioning (better outcome), and higher scores of symptom show bigger issues (worse outcome)
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prior and after intervention, an average of 3 months
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Respiratory Tract Infections
- Infections
- RNA Virus Infections
- Virus Diseases
- Respiratory Tract Diseases
- Lung Diseases
- Neoplastic Processes
- Pneumonia, Viral
- Pneumonia
- Coronavirus Infections
- Coronaviridae Infections
- Nidovirales Infections
- Pathological Conditions, Signs and Symptoms
- COVID-19
- Neoplasms
- Neoplasm Metastasis
- Therapeutics
- Physical Therapy Modalities
- Patient Care
- Socioeconomic Factors
- Population Characteristics
- Rehabilitation
- Aftercare
- Continuity of Patient Care
- Educational Status
- Exercise Therapy
Other Study ID Numbers
- Teleclub_cam
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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