Smartphone-Enabled Health Coaching Intervention (iMOVE) to Promote Long-Term Maintenance of Physical Activity in Breast Cancer Survivors: Protocol for a Feasibility Pilot Randomized Controlled Trial

Paul Ritvo, Maya Obadia, Daniel Santa Mina, Shabbir Alibhai, Catherine Sabiston, Paul Oh, Kristin Campbell, David McCready, Leslie Auger, Jennifer Michelle Jones, Paul Ritvo, Maya Obadia, Daniel Santa Mina, Shabbir Alibhai, Catherine Sabiston, Paul Oh, Kristin Campbell, David McCready, Leslie Auger, Jennifer Michelle Jones

Abstract

Background: Although physical activity has been shown to contribute to long-term disease control and health in breast cancer survivors, a majority of breast cancer survivors do not meet physical activity guidelines. Past research has focused on promoting physical activity components for short-term breast cancer survivor benefits, but insufficient attention has been devoted to long-term outcomes and sustained exercise adherence. We are assessing a health coach intervention (iMOVE) that uses mobile technology to increase and sustain physical activity maintenance in initially inactive breast cancer survivors.

Objective: This pilot randomized controlled trial (RCT) is an initial step in evaluating the iMOVE intervention and will inform development of a full-scale pragmatic RCT.

Methods: We will enroll 107 physically inactive breast cancer survivors and randomly assign them to intervention or control groups at the University Health Network, a tertiary cancer care center in Toronto, Canada. Participants will be women (age 18 to 74 years) stratified by age (55 years and older/younger than 55 years) and adjuvant hormone therapy (AHT) exposure (AHT vs no AHT) following breast cancer treatment with no metastases or recurrence who report less than 60 minutes of preplanned physical activity per week. Both intervention and control groups receive the 12-week physical activity program with weekly group sessions and an individualized, progressive, home-based exercise program. The intervention group will additionally receive (1) 10 telephone-based health coaching sessions, (2) smartphone with data plan, if needed, (3) supportive health tracking software (Connected Wellness, NexJ Health Inc), and (4) a wearable step-counting device linked to a smartphone program.

Results: We will be assessing recruitment rates; acceptability reflected in selective, semistructured interviews; and enrollment, retention, and adherence quantitative intervention markers as pilot outcome measures. The primary clinical outcome will be directly measured peak oxygen consumption. Secondary clinical outcomes include health-related quality of life and anthropometric measures. All outcome measures are administered at baseline, after exercise program (month 3), and 6 months after program (month 9).

Conclusions: This pilot RCT will inform full-scale RCT planning. We will assess pilot procedures and interventions and collect preliminary effect estimates.

Trial registration: ClinicalTrials.gov NCT02620735; https://ichgcp.net/clinical-trials-registry/NCT02620735 (Archived by WebCite at https://ichgcp.net/clinical-trials-registry/NCT02620735).

Keywords: RCT; breast neoplasm; exercise; health coaching; telehealth.

Conflict of interest statement

Conflicts of Interest: None declared.

©Paul Ritvo, Maya Obadia, Daniel Santa Mina, Shabbir Alibhai, Catherine Sabiston, Paul Oh, Kristin Campbell, David McCready, Leslie Auger, Jennifer Michelle Jones. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 24.08.2017.

Figures

Figure 1
Figure 1
Exercise volume progression.

References

    1. Canadian Cancer Society Canadian Cancer Statistics: Prostate cancer statistics at a glance. [2017-07-17]. .
    1. Altekruse S, Kosary C, Krapcho M, Neyman N, Aminou R, Waldron W, Ruhl J, Howlader N, Tatalovich Z, Cho H, Mariotto A, Eisner M, Lewis D, Cronin K, Chen H, Feuer E, Stinchcomb D, Edwards B( SEER cancer statistics review, 1975-2007. Bethesda: National Cancer Institute; [2017-07-17].
    1. Lipscombe LL, Chan WW, Yun L, Austin PC, Anderson GM, Rochon PA. Incidence of diabetes among postmenopausal breast cancer survivors. Diabetologia. 2013 Mar;56(3):476–483. doi: 10.1007/s00125-012-2793-9.
    1. Howlader N, Noone AM, Krapcho M, Miller D, Bishop K, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA, editors. SEER Cancer Statistics Review, 1975-2014. Bethesda: National Cancer Institute; 2014.
    1. Miller KD, Triano LR. Medical issues in cancer survivors—a review. Cancer J. 2008;14(6):375–387. doi: 10.1097/PPO.0b013e31818ee3dc.
    1. Ganz PA. Survivorship: adult cancer survivors. Prim Care. 2009 Dec;36(4):721–741. doi: 10.1016/j.pop.2009.08.001.
    1. Carver JR, Shapiro CL, Ng A, Jacobs L, Schwartz C, Virgo KS, Hagerty KL, Somerfield MR, Vaughn DJ, ASCO Cancer Survivorship Expert Panel American Society of Clinical Oncology clinical evidence review on the ongoing care of adult cancer survivors: cardiac and pulmonary late effects. J Clin Oncol. 2007 Sep 01;25(25):3991–4008. doi: 10.1200/JCO.2007.10.9777.
    1. Stone PC, Minton O. Cancer-related fatigue. Eur J Cancer. 2008 May;44(8):1097–1104. doi: 10.1016/j.ejca.2008.02.037.
    1. Fosså SD, Vassilopoulou-Sellin R, Dahl AA. Long-term physical sequelae after adult-onset cancer. J Cancer Surviv. 2008 Mar;2(1):3–11. doi: 10.1007/s11764-007-0039-5.
    1. Stewart A, Bielajew C, Collins B, Parkinson M, Tomiak E. A meta-analysis of the neuropsychological effects of adjuvant chemotherapy treatment in women treated for breast cancer. Clin Neuropsychol. 2006 Feb;20(1):76–89. doi: 10.1080/138540491005875.
    1. Burton AW, Fanciullo GJ, Beasley RD, Fisch MJ. Chronic pain in the cancer survivor: a new frontier. Pain Med. 2007 Mar;8(2):189–198. doi: 10.1111/j.1526-4637.2006.00220.x.
    1. Camp-Sorrell D. Cardiorespiratory effects in cancer survivors. Cancer Nurs. 2006;29(2 Suppl):55–59.
    1. Pelusi J. Sexuality and body image. Research on breast cancer survivors documents altered body image and sexuality. Am J Nurs. 2006 Mar;106(3 Suppl):32–38.
    1. Azim HA, de Azambuja E, Colozza M, Bines J, Piccart MJ. Long-term toxic effects of adjuvant chemotherapy in breast cancer. Ann Oncol. 2011 Sep;22(9):1939–1947. doi: 10.1093/annonc/mdq683.
    1. Hewitt M, Greenfield S, Stovall EL. From Cancer Patient to Cancer Survivors: Lost in Transition. Washington: National Academies Press; 2006.
    1. Ng AK, Kenney LB, Gilbert ES, Travis LB. Secondary malignancies across the age spectrum. Semin Radiat Oncol. 2010 Jan;20(1):67–78. doi: 10.1016/j.semradonc.2009.09.002.
    1. Bernstein JL, Thompson WD, Risch N, Holford TR. Risk factors predicting the incidence of second primary breast cancer among women diagnosed with a first primary breast cancer. Am J Epidemiol. 1992 Oct 15;136(8):925–936.
    1. Clarke M, Collins R, Darby S, Davies C, Elphinstone P, Evans V, Godwin J, Gray R, Hicks C, James S, MacKinnon E, McGale P, McHugh T, Peto R, Taylor C, Wang Y, Early Breast Cancer Trialists' Collaborative Group (EBCTCG) Effects of radiotherapy and of differences in the extent of surgery for early breast cancer on local recurrence and 15-year survival: an overview of the randomised trials. Lancet. 2005 Dec 17;366(9503):2087–2106. doi: 10.1016/S0140-6736(05)67887-7.
    1. Buchanan CL, Dorn PL, Fey J, Giron G, Naik A, Mendez J, Murphy C, Sclafani LM. Locoregional recurrence after mastectomy: incidence and outcomes. J Am Coll Surg. 2006 Oct;203(4):469–474. doi: 10.1016/j.jamcollsurg.2006.06.015.
    1. Demark-Wahnefried W, Clipp EC, Morey MC, Pieper CF, Sloane R, Snyder DC, Cohen HJ. Lifestyle intervention development study to improve physical function in older adults with cancer: outcomes from Project LEAD. J Clin Oncol. 2006 Jul 20;24(21):3465–3473. doi: 10.1200/JCO.2006.05.7224.
    1. Davies C, Godwin J, Gray R, Clarke M, Cutter D, Darby S, McGale P, Pan HC, Taylor C, Wang YC, Dowsett M, Ingle J, Peto R. Relevance of breast cancer hormone receptors and other factors to the efficacy of adjuvant tamoxifen: patient-level meta-analysis of randomised trials. Lancet. 2011 Aug 27;378(9793):771–784. doi: 10.1016/S0140-6736(11)60993-8.
    1. Ewertz M, Jensen AB. Late effects of breast cancer treatment and potentials for rehabilitation. Acta Oncol. 2011 Feb;50(2):187–193. doi: 10.3109/0284186X.2010.533190.
    1. Ballard-Barbash R, Friedenreich CM, Courneya KS, Siddiqi SM, McTiernan A, Alfano CM. Physical activity, biomarkers, and disease outcomes in cancer survivors: a systematic review. J Natl Cancer Inst. 2012 Jun 06;104(11):815–840. doi: 10.1093/jnci/djs207.
    1. Lemanne D, Cassileth B, Gubili J. The role of physical activity in cancer prevention, treatment, recovery, and survivorship. Oncology (Williston Park) 2013 Jun;27(6):580–585.
    1. Kabat GC, Kim M, Caan BJ, Chlebowski RT, Gunter MJ, Ho GYF, Rodriguez BL, Shikany JM, Strickler HD, Vitolins MZ, Rohan TE. Repeated measures of serum glucose and insulin in relation to postmenopausal breast cancer. Int J Cancer. 2009 Dec 01;125(11):2704–2710. doi: 10.1002/ijc.24609. doi: 10.1002/ijc.24609.
    1. Eliassen AH, Missmer SA, Tworoger SS, Spiegelman D, Barbieri RL, Dowsett M, Hankinson SE. Endogenous steroid hormone concentrations and risk of breast cancer among premenopausal women. J Natl Cancer Inst. 2006 Oct 04;98(19):1406–1415. doi: 10.1093/jnci/djj376.
    1. Coussens LM, Werb Z. Inflammation and cancer. Nature. 2002;420(6917):860–867. doi: 10.1038/nature01322.
    1. Lynch BM, Dunstan DW, Healy GN, Winkler E, Eakin E, Owen N. Objectively measured physical activity and sedentary time of breast cancer survivors, and associations with adiposity: findings from NHANES (2003-2006) Cancer Causes Control. 2010 Feb;21(2):283–288. doi: 10.1007/s10552-009-9460-6.
    1. Goodwin PJ, Ennis M, Pritchard KI, Trudeau ME, Koo J, Madarnas Y, Hartwick W, Hoffman B, Hood N. Fasting insulin and outcome in early-stage breast cancer: results of a prospective cohort study. J Clin Oncol. 2002 Jan 01;20(1):42–51. doi: 10.1200/JCO.2002.20.1.42.
    1. Pollak MN. Insulin resistance, estimated by serum C-peptide level, is associated with reduced event-free survival for postmenopausal women in NCIC CTG MA.14 adjuvant breast cancer trial. J Clin Oncol. 2006;24(18):524.
    1. Irwin ML, Aiello EJ, McTiernan A, Bernstein L, Gilliland FD, Baumgartner RN, Baumgartner KB, Ballard-Barbash R. Physical activity, body mass index, and mammographic density in postmenopausal breast cancer survivors. J Clin Oncol. 2007 Mar 20;25(9):1061–1066. doi: 10.1200/JCO.2006.07.3965.
    1. World Cancer Research Fund . Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective. Washington: American Institute for Cancer Research; 2007.
    1. Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, Bandera EV, Hamilton KK, Grant B, McCullough M, Byers T, Gansler T. Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012;62(4):243–274. doi: 10.3322/caac.21142. doi: 10.3322/caac.21142.
    1. Brunet J, Meterissian S, Sabiston CM. Physical activity and breast cancer survivorship: evidence-based recommendations. Am J Lifestyle Med. 2012;6(6):224–240.
    1. Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvão DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, Schneider CM, Schwartz AL. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010 Jul;42(7):1409–1426. doi: 10.1249/MSS.0b013e3181e0c112.
    1. Irwin ML, Crumley D, McTiernan A, Bernstein L, Baumgartner R, Gilliland FD, Kriska A, Ballard-Barbash R. Physical activity levels before and after a diagnosis of breast carcinoma: the Health, Eating, Activity, and Lifestyle (HEAL) study. Cancer. 2003 Apr 01;97(7):1746–1757. doi: 10.1002/cncr.11227. doi: 10.1002/cncr.11227.
    1. Irwin ML, Ainsworth BE. Physical activity interventions following cancer diagnosis: methodologic challenges to delivery and assessment. Cancer Invest. 2004;22(1):30–50.
    1. Irwin ML, Duggan C, Wang C, Smith AW, McTiernan A, Baumgartner RN, Baumgartner KB, Bernstein L, Ballard-Barbash R. Fasting C-peptide levels and death resulting from all causes and breast cancer: the health, eating, activity, and lifestyle study. J Clin Oncol. 2011 Jan 01;29(1):47–53. doi: 10.1200/JCO.2010.28.4752.
    1. Courneya KS, Katzmarzyk PT, Bacon E. Physical activity and obesity in Canadian cancer survivors: population-based estimates from the 2005 Canadian Community Health Survey. Cancer. 2008 Jun;112(11):2475–2482. doi: 10.1002/cncr.23455. doi: 10.1002/cncr.23455.
    1. Pinto BM, Trunzo JJ, Reiss P, Shiu S. Exercise participation after diagnosis of breast cancer: trends and effects on mood and quality of life. Psychooncology. 2002;11(5):389–400. doi: 10.1002/pon.594.
    1. Pinto BM, Frierson GM, Rabin C, Trunzo JJ, Marcus BH. Home-based physical activity intervention for breast cancer patients. J Clin Oncol. 2005 May 20;23(15):3577–3587. doi: 10.1200/JCO.2005.03.080.
    1. Blanchard CM, Courneya KS, Stein K. Cancer survivors' adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society's SCS-II. J Clin Oncol. 2008 May 1;26(13):2198–2204. doi: 10.1200/JCO.2007.14.6217.
    1. Blanchard CM, Denniston MM, Baker F, Ainsworth SR, Courneya KS, Hann DM, Gesme DH, Reding D, Flynn T, Kennedy JS. Do adults change their lifestyle behaviors after a cancer diagnosis? Am J Health Behav. 2003;27(3):246–256.
    1. Centers for Disease Control and Prevention . A National Action Plan for Cancer Survivorship: Advancing Public Health Strategies. Atlanta: Centers for Disease Control and Prevention; 2004.
    1. Harrison S, Hayes SC, Newman B. Level of physical activity and characteristics associated with change following breast cancer diagnosis and treatment. Psychooncology. 2009 Apr;18(4):387–394. doi: 10.1002/pon.1504.
    1. Demark-Wahnefried W, Peterson B, McBride C, Lipkus I, Clipp E. Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas. Cancer. 2000 Feb 1;88(3):674–684.
    1. Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM. Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol. 2005 Aug 20;23(24):5814–5830. doi: 10.1200/JCO.2005.01.230.
    1. Bellizzi KM, Rowland JH, Jeffery DD, McNeel T. Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol. 2005 Dec 1;23(34):8884–8893. doi: 10.1200/JCO.2005.02.2343.
    1. Coups EJ, Ostroff JS. A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med. 2005 Jun;40(6):702–711. doi: 10.1016/j.ypmed.2004.09.011.
    1. Pinto BM, Eakin E, Maruyama NC. Health behavior changes after a cancer diagnosis: what do we know and where do we go from here? Ann Behav Med. 2000;22(1):38–52.
    1. Lemon SC, Zapka JG, Clemow L. Health behavior change among women with recent familial diagnosis of breast cancer. Prev Med. 2004 Aug;39(2):253–262. doi: 10.1016/j.ypmed.2004.03.039.
    1. Blaney JM, Lowe-Strong A, Rankin-Watt J, Campbell A, Gracey JH. Cancer survivors' exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: a questionnaire-survey. Psychooncology. 2013 Jan;22(1):186–194. doi: 10.1002/pon.2072.
    1. Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM. Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol. 2005 Aug 20;23(24):5814–5830. doi: 10.1200/JCO.2005.01.230.
    1. Speck RM, Courneya KS, Mâsse LC, Duval S, Schmitz KH. An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv. 2010 Jun;4(2):87–100. doi: 10.1007/s11764-009-0110-5.
    1. Schmitz KH, Holtzman J, Courneya KS, Mâsse LC, Duval S, Kane R. Controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev. 2005 Jul;14(7):1588–1595. doi: 10.1158/1055-9965.EPI-04-0703.
    1. Fjeldsoe B, Neuhaus M, Winkler E, Eakin E. Systematic review of maintenance of behavior change following physical activity and dietary interventions. Health Psychol. 2011 Jan;30(1):99–109. doi: 10.1037/a0021974.
    1. Mishra SI, Scherer RW, Snyder C, Geigle PM, Berlanstein DR, Topaloglu O. Exercise interventions on health-related quality of life for people with cancer during active treatment. Cochrane Database Syst Rev. 2012:CD008465. doi: 10.1002/14651858.CD008465.pub2.
    1. Wolin KY, Schwartz AL, Matthews CE, Courneya KS, Schmitz KH. Implementing the exercise guidelines for cancer survivors. J Support Oncol. 2012;10(5):171–177. doi: 10.1016/j.suponc.2012.02.001.
    1. Cramp F, James A, Lambert J. The effects of resistance training on quality of life in cancer: a systematic literature review and meta-analysis. Support Care Cancer. 2010 Nov;18(11):1367–1376. doi: 10.1007/s00520-010-0904-z.
    1. Focht BC, Clinton SK, Devor ST, Garver MJ, Lucas AR, Thomas-Ahner JM, Grainger E. Resistance exercise interventions during and following cancer treatment: a systematic review. J Support Oncol. 2013 Jun;11(2):45–60.
    1. Galvão DA, Newton RU. Review of exercise intervention studies in cancer patients. J Clin Oncol. 2005 Feb 01;23(4):899–909. doi: 10.1200/JCO.2005.06.085.
    1. Bicego D, Brown K, Ruddick M, Storey D, Wong C, Harris SR. Effects of exercise on quality of life in women living with breast cancer: a systematic review. Breast J. 2009;15(1):45–51. doi: 10.1111/j.1524-4741.2008.00670.x.
    1. Pekmezi DW, Demark-Wahnefried W. Updated evidence in support of diet and exercise interventions in cancer survivors. Acta Oncol. 2011 Feb;50(2):167–178. doi: 10.3109/0284186X.2010.529822.
    1. Courneya KS, Segal RJ, Mackey JR, Gelmon K, Reid RD, Friedenreich CM, Ladha AB, Proulx C, Vallance JKH, Lane K, Yasui Y, McKenzie DC. Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter randomized controlled trial. J Clin Oncol. 2007 Oct 1;25(28):4396–4404. doi: 10.1200/JCO.2006.08.2024.
    1. McNeely ML, Campbell KL, Rowe BH, Klassen TP, Mackey JR, Courneya KS. Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. CMAJ. 2006 Jul 04;175(1):34–41. doi: 10.1503/cmaj.051073.
    1. Kirshbaum MN. A review of the benefits of whole body exercise during and after treatment for breast cancer. J Clin Nurs. 2007 Jan;16(1):104–121. doi: 10.1111/j.1365-2702.2006.01638.x.
    1. Sabiston CM, Brunet J, Burke S. Pain, movement, and mind: does physical activity mediate the relationship between pain and mental health among survivors of breast cancer? Clin J Pain. 2012 Jul;28(6):489–495. doi: 10.1097/AJP.0b013e31823853ac.
    1. Sabiston CM, McDonough MH, Crocker PRE. Psychosocial experiences of breast cancer survivors involved in a dragon boat program: exploring links to positive psychological growth. J Sport Exerc Psychol. 2007 Aug;29(4):419–438.
    1. Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA. Physical activity and survival after breast cancer diagnosis. JAMA. 2005 May 25;293(20):2479–2486. doi: 10.1001/jama.293.20.2479.
    1. Stull VB, Snyder DC, Demark-Wahnefried W. Lifestyle interventions in cancer survivors: designing programs that meet the needs of this vulnerable and growing population. J Nutr. 2007 Jan;137(1 Suppl):243S–248S.
    1. Cramp F, Daniel J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev. 2008:CD006145. doi: 10.1002/14651858.CD006145.pub2.
    1. Estabrooks PA, Glasgow RE, Dzewaltowski DA. Physical activity promotion through primary care. JAMA. 2003 Jun 11;289(22):2913–2916. doi: 10.1001/jama.289.22.2913.
    1. White SM, McAuley E, Estabrooks PA, Courneya KS. Translating physical activity interventions for breast cancer survivors into practice: an evaluation of randomized controlled trials. Ann Behav Med. 2009 Feb;37(1):10–19. doi: 10.1007/s12160-009-9084-9.
    1. Wigers SH, Stiles TC, Vogel PA. Effects of aerobic exercise versus stress management treatment in fibromyalgia. A 4.5 year prospective study. Scand J Rheumatol. 1996;25(2):77–86. doi: 10.3109/03009749609069212.
    1. Rissanen A, Fogelholm M. Physical activity in the prevention and treatment of other morbid conditions and impairments associated with obesity: current evidence and research issues. Med Sci Sports Exerc. 1999 Nov;31(11 Suppl):S635–S645.
    1. Marcus BH, Dubbert PM, Forsyth LH, McKenzie TL, Stone EJ, Dunn AL, Blair SN. Physical activity behavior change: issues in adoption and maintenance. Health Psychol. 2000 Jan;19(1S):32–41.
    1. Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, Stone EJ, Rajab MW, Corso P. The effectiveness of interventions to increase physical activity. A systematic review. Am J Prev Med. 2002 May;22(4 Suppl):73–107.
    1. van der Bij AK, Laurant MGH, Wensing M. Effectiveness of physical activity interventions for older adults: a review. Am J Prev Med. 2002 Feb;22(2):120–133.
    1. Smith BJ. Promotion of physical activity in primary health care: update of the evidence on interventions. J Sci Med Sport. 2004 Apr;7(1 Suppl):67–73.
    1. McAuley E, Morris KS, Motl RW, Hu L, Konopack JF, Elavsky S. Long-term follow-up of physical activity behavior in older adults. Health Psychol. 2007 May;26(3):375–380. doi: 10.1037/0278-6133.26.3.375.
    1. Greaney ML, Riebe D, Ewing GC, Rossi JS, Lees FD, Burbank PA, Nigg CR, Ferrone CL, Clark PG. Long-term effects of a stage-based intervention for changing exercise intentions and behavior in older adults. Gerontologist. 2008 Jun;48(3):358–367.
    1. Rejeski WJ, Marsh AP, Chmelo E, Prescott AJ, Dobrosielski M, Walkup MP, Espeland M, Miller ME, Kritchevsky S. The Lifestyle Interventions and Independence for Elders Pilot (LIFE-P): 2-year follow-up. J Gerontol A Biol Sci Med Sci. 2009 Apr;64(4):462–467. doi: 10.1093/gerona/gln041.
    1. Hall KS, Sloane R, Pieper CF, Peterson MJ, Crowley GM, Cowper PA, McConnell ES, Bosworth HB, Ekelund CC, Morey MC. Long-term changes in physical activity following a one-year home-based physical activity counseling program in older adults with multiple morbidities. J Aging Res. 2010 Dec 26;2011:308407. doi: 10.4061/2011/308407. doi: 10.4061/2011/308407.
    1. Hertogh EM, Vergouwe Y, Schuit AJ, Peeters PHM, Monninkhof EM. Behavioral changes after a 1-yr exercise program and predictors of maintenance. Med Sci Sports Exerc. 2010 May;42(5):886–892. doi: 10.1249/MSS.0b013e3181c4d964.
    1. Spark LC, Reeves MM, Fjeldsoe BS, Eakin EG. Physical activity and/or dietary interventions in breast cancer survivors: a systematic review of the maintenance of outcomes. J Cancer Surviv. 2013 Mar;7(1):74–82. doi: 10.1007/s11764-012-0246-6.
    1. Demark-Wahnefried W, Morey MC, Sloane R, Snyder DC, Miller PE, Hartman TJ, Cohen HJ. Reach out to enhance wellness home-based diet-exercise intervention promotes reproducible and sustainable long-term improvements in health behaviors, body weight, and physical functioning in older, overweight/obese cancer survivors. J Clin Oncol. 2012 Jul 01;30(19):2354–2361. doi: 10.1200/JCO.2011.40.0895.
    1. Short CE, James EL, Stacey F, Plotnikoff RC. A qualitative synthesis of trials promoting physical activity behaviour change among post-treatment breast cancer survivors. J Cancer Surviv. 2013 Dec;7(4):570–581. doi: 10.1007/s11764-013-0296-4.
    1. Dacey M, Baltzell A, Zaichkowsky L. Older adults' intrinsic and extrinsic motivation toward physical activity. Am J Health Behav. 2008;32(6):570–582. doi: 10.5555/ajhb.2008.32.6.570.
    1. Mata J, Silva MN, Vieira PN, Carraça EV, Andrade AM, Coutinho SR, Sardinha LB, Teixeira PJ. Motivational spill-over during weight control: increased self-determination and exercise intrinsic motivation predict eating self-regulation. Health Psychol. 2009 Nov;28(6):709–716. doi: 10.1037/a0016764.
    1. Ory MG, Jordan PJ, Bazzarre T. The Behavior Change Consortium: setting the stage for a new century of health behavior-change research. Health Educ Res. 2002 Oct;17(5):500–511.
    1. Pinto BM, Floyd A. Theories underlying health promotion interventions among cancer survivors. Semin Oncol Nurs. 2008 Aug;24(3):153–163. doi: 10.1016/j.soncn.2008.05.003.
    1. Vallance J, Plotnikoff RC, Karvinen KH, Mackey JR, Courneya KS. Understanding physical activity maintenance in breast cancer survivors. Am J Health Behav. 2010;34(2):225–236.
    1. Vallance JK, Courneya KS, Plotnikoff RC, Dinu I, Mackey JR. Maintenance of physical activity in breast cancer survivors after a randomized trial. Med Sci Sports Exerc. 2008 Jan;40(1):173–180. doi: 10.1249/mss.0b013e3181586b41.
    1. Harland J, White M, Drinkwater C, Chinn D, Farr L, Howel D. The Newcastle exercise project: a randomised controlled trial of methods to promote physical activity in primary care. BMJ. 1999 Sep 25;319(7213):828–832.
    1. Elley CR, Kerse N, Arroll B, Robinson E. Effectiveness of counselling patients on physical activity in general practice: cluster randomised controlled trial. BMJ. 2003 Apr 12;326(7393):793. doi: 10.1136/bmj.326.7393.793.
    1. Wing RR, Hamman RF, Bray GA, Delahanty L, Edelstein SL, Hill JO, Horton ES, Hoskin MA, Kriska A, Lachin J, Mayer-Davis EJ, Pi-Sunyer X, Regensteiner JG, Venditti B, Wylie-Rosett J. Achieving weight and activity goals among diabetes prevention program lifestyle participants. Obes Res. 2004 Sep;12(9):1426–1434. doi: 10.1038/oby.2004.179.
    1. Hillsdon M, Foster C, Thorogood M. Interventions for promoting physical activity. Cochrane Database Syst Rev. 2005:CD003180. doi: 10.1002/14651858.CD003180.pub2.
    1. Fry JP, Neff RA. Periodic prompts and reminders in health promotion and health behavior interventions: systematic review. J Med Internet Res. 2009;11(2):e16. doi: 10.2196/jmir.1138.
    1. Bourke L, Homer KE, Thaha MA, Steed L, Rosario DJ, Robb KA, Saxton JM, Taylor SJC. Interventions for promoting habitual exercise in people living with and beyond cancer. Cochrane Database Syst Rev. 2013 Jan;:CD010192. doi: 10.1002/14651858.CD010192.pub2.
    1. CRTC communications monitoring report: 5.0 telecommunications. [2017-07-18]. .
    1. Smyth J, Heron K. Health psychology. In: Mehl MR, Connor TS, editors. Handook of Research Methods for Studying Daily Life. New York: Guilford Press; 2011. p. 569.
    1. Boulos MNK, Wheeler S, Tavares C, Jones R. How smartphones are changing the face of mobile and participatory healthcare: an overview, with example from eCAALYX. Biomed Eng Online. 2011;10:1–15. doi: 10.1186/1475-925X-10-24.
    1. Krishna S, Boren SA, Balas EA. Healthcare via cell phones: a systematic review. Telemed J E Health. 2009 Apr;15(3):231–240. doi: 10.1089/tmj.2008.0099.
    1. Lyons EJ, Lewis ZH, Mayrsohn BG, Rowland JL. Behavior change techniques implemented in electronic lifestyle activity monitors: a systematic content analysis. J Med Internet Res. 2014;16(8):e192. doi: 10.2196/jmir.3469.
    1. Ferguson T, Rowlands AV, Olds T, Maher C. The validity of consumer-level, activity monitors in healthy adults worn in free-living conditions: a cross-sectional study. Int J Behav Nutr Phys Act. 2015;12:9. doi: 10.1186/s12966-015-0201-9.
    1. Takacs J, Pollock CL, Guenther JR, Bahar M, Napier C, Hunt MA. Validation of the Fitbit One activity monitor device during treadmill walking. J Sci Med Sport. 2014 Sep;17(5):496–500. doi: 10.1016/j.jsams.2013.10.241.
    1. Fulk GD, Combs SA, Danks KA, Nirider CD, Raja B, Reisman DS. Accuracy of 2 activity monitors in detecting steps in people with stroke and traumatic brain injury. Phys Ther. 2014 Feb;94(2):222–229. doi: 10.2522/ptj.20120525.
    1. van den Berg MH, Schoones JW, Vliet VTPM. Internet-based physical activity interventions: a systematic review of the literature. J Med Internet Res. 2007;9(3):e26. doi: 10.2196/jmir.9.3.e26.
    1. Hong Y, Dahlke DV, Ory M, Hochhalter A, Reynolds J, Purcell NP, Talwar D, Eugene N. Designing iCanFit: a mobile-enabled Web application to promote physical activity for older cancer survivors. JMIR Res Protoc. 2013;2(1):e12. doi: 10.2196/resprot.2440.
    1. Santa MD, Alibhai SMH, Matthew AG, Guglietti CL, Pirbaglou M, Trachtenberg J, Ritvo P. A randomized trial of aerobic versus resistance exercise in prostate cancer survivors. J Aging Phys Act. 2013 Oct;21(4):455–478.
    1. Alibhai SMH, Santa MD, Ritvo P, Sabiston C, Krahn M, Tomlinson G, Matthew A, Segal R, Warde P, Durbano S, O'Neill M, Culos-Reed N. A phase II RCT and economic analysis of three exercise delivery methods in men with prostate cancer on androgen deprivation therapy. BMC Cancer. 2015 Apr 25;15:312. doi: 10.1186/s12885-015-1316-8.
    1. Santa MD, Alibhai SMH, Matthew AG, Guglietti CL, Steele J, Trachtenberg J, Ritvo PG. Exercise in clinical cancer care: a call to action and program development description. Curr Oncol. 2012 Jun;19(3):e136–e144. doi: 10.3747/co.19.912.
    1. Abraham C, Michie S. A taxonomy of behavior change techniques used in interventions. Health Psychol. 2008 May;27(3):379–387. doi: 10.1037/0278-6133.27.3.379.
    1. Michie S, Ashford S, Sniehotta FF, Dombrowski SU, Bishop A, French DP. A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: the CALO-RE taxonomy. Psychol Health. 2011 Nov;26(11):1479–1498. doi: 10.1080/08870446.2010.540664.
    1. Rollnick S, Miller WR, Butler CC. Motivational Interviewing in Health Care: Helping Patients Change Behavior. New York: Guilford Press; 2007.
    1. Brewin CR. Theoretical foundations of cognitive-behavior therapy for anxiety and depression. Annu Rev Psychol. 1996;47:33–57. doi: 10.1146/annurev.psych.47.1.33.
    1. Marlatt GA, Gordon JR. Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors. New York: Guilford Press; 1985.
    1. Parks GA, Anderson BK, Marlatt GA. Relapse prevention therapy. In: Heather N, Peters T, editors. Handbook of Alcohol Dependence and Problems. Sussex: John Wiley & Sons, Ltd; 2001.
    1. Eakin EG, Lawler SP, Vandelanotte C, Owen N. Telephone interventions for physical activity and dietary behavior change: a systematic review. Am J Prev Med. 2007 May;32(5):419–434. doi: 10.1016/j.amepre.2007.01.004.
    1. Ang DC, Kaleth AS, Bigatti S, Mazzuca S, Saha C, Hilligoss J, Lengerich M, Bandy R. Research to Encourage Exercise for Fibromyalgia (REEF): use of motivational interviewing design and method. Contemp Clin Trials. 2011 Jan;32(1):59–68. doi: 10.1016/j.cct.2010.08.014.
    1. Wayne N, Perez DF, Kaplan DM, Ritvo P. Health coaching reduces HbA1c in type 2 diabetic patients from a lower-socioeconomic status community: a randomized controlled trial. J Med Internet Res. 2015;17(10):e224. doi: 10.2196/jmir.4871.
    1. Pludwinski S, Ahmad F, Wayne N, Ritvo P. Participant experiences in a smartphone-based health coaching intervention for type 2 diabetes: a qualitative inquiry. J Telemed Telecare. 2015 Jul 21;:172–178. doi: 10.1177/1357633X15595178.
    1. Wayne N, Ritvo P. Smartphone-enabled health coach intervention for people with diabetes from a modest socioeconomic strata community: single-arm longitudinal feasibility study. J Med Internet Res. 2014;16(6):e149. doi: 10.2196/jmir.3180.
    1. Miller WR, Rollnick S. Ten things that motivational interviewing is not. Behav Cogn Psychother. 2009 Mar;37(2):129–140. doi: 10.1017/S1352465809005128.
    1. Sjöling M, Lundberg K, Englund E, Westman A, Jong MC. Effectiveness of motivational interviewing and physical activity on prescription on leisure exercise time in subjects suffering from mild to moderate hypertension. BMC Res Notes. 2011 Sep 12;4:352. doi: 10.1186/1756-0500-4-352.
    1. Burke BL, Arkowitz H, Menchola M. The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. J Consult Clin Psychol. 2003 Oct;71(5):843–861. doi: 10.1037/0022-006X.71.5.843.
    1. Brodie DA, Inoue A. Motivational interviewing to promote physical activity for people with chronic heart failure. J Adv Nurs. 2005 Jun;50(5):518–527. doi: 10.1111/j.1365-2648.2005.03422.x.
    1. Smith DE, Heckemeyer CM, Kratt PP, Mason DA. Motivational interviewing to improve adherence to a behavioral weight-control program for older obese women with NIDDM. A pilot study. Diabetes Care. 1997 Jan;20(1):52–54.
    1. Butterworth S, Linden A, McClay W. Health coaching as an intervention in health management programs. Dis Manag Health Out. 2007;15(5):299–307.
    1. Bennett JA, Perrin NA, Hanson G, Bennett D, Gaynor W, Flaherty-Robb M, Joseph C, Butterworth S, Potempa K. Healthy aging demonstration project: nurse coaching for behavior change in older adults. Res Nurs Health. 2005 Jun;28(3):187–197. doi: 10.1002/nur.20077.
    1. Tse MMY, Vong SKS, Tang SK. Motivational interviewing and exercise programme for community-dwelling older persons with chronic pain: a randomised controlled study. J Clin Nurs. 2013 Jul;22(13-14):1843–1856. doi: 10.1111/j.1365-2702.2012.04317.x.
    1. Olsen JM, Nesbitt BJ. Health coaching to improve healthy lifestyle behaviors: an integrative review. Am J Health Promot. 2010;25(1):e1–e12. doi: 10.4278/ajhp.090313-LIT-101.
    1. Lundahl BW. A meta-analysis of motivational interviewing: twenty-five years of empirical studies. Res Social Work Prac. 2010;20(2):137–160.
    1. Gotay CC, Moinpour CM, Unger JM, Jiang CS, Coleman D, Martino S, Parker BJ, Bearden JD, Dakhil S, Gross HM, Lippman S, Albain KS. Impact of a peer-delivered telephone intervention for women experiencing a breast cancer recurrence. J Clin Oncol. 2007 May 20;25(15):2093–2099. doi: 10.1200/JCO.2006.07.4674.
    1. Badger T, Segrin C, Meek P, Lopez AM, Bonham E, Sieger A. Telephone interpersonal counseling with women with breast cancer: symptom management and quality of life. Oncol Nurs Forum. 2005 Mar 05;32(2):273–279. doi: 10.1188/05.ONF.273-279.
    1. Allen SM, Shah AC, Nezu AM, Nezu CM, Ciambrone D, Hogan J, Mor V. A problem-solving approach to stress reduction among younger women with breast carcinoma: a randomized controlled trial. Cancer. 2002 Jun 15;94(12):3089–3100. doi: 10.1002/cncr.10586.
    1. Marcus AC, Garrett KM, Cella D, Wenzel L, Brady MJ, Fairclough D, Pate-Willig M, Barnes D, Emsbo SP, Kluhsman BC, Crane L, Sedlacek S, Flynn PJ. Can telephone counseling post-treatment improve psychosocial outcomes among early stage breast cancer survivors? Psychooncology. 2010 Sep;19(9):923–932. doi: 10.1002/pon.1653.
    1. Wahab S, Menon U, Szalacha L. Motivational interviewing and colorectal cancer screening: a peek from the inside out. Patient Educ Couns. 2008 Aug;72(2):210–217. doi: 10.1016/j.pec.2008.03.023.
    1. Picciano J, Roffman RA, Kalichman SC, Rutledge SE, Berghuis JP. A telephone based brief intervention using motivational enhancement to facilitate HIV risk reduction among MSM: a pilot study. AIDS Behav. 2001;5(3):251–262.
    1. Walker DD, Roffman RA, Picciano JF, Stephens RS. The check-up: in-person, computerized, and telephone adaptations of motivational enhancement treatment to elicit voluntary participation by the contemplator. Subst Abuse Treat Prev Policy. 2007 Jan 08;2:2. doi: 10.1186/1747-597X-2-2.
    1. Carroll KM. Enhancing retention in clinical trials of psychosocial treatments: practical strategies. In: Onken LS, Blaine J, Boren J, editors. Beyond the Therapeutic Alliance: Keeping the Drug-Dependent Individual in Treatment. Bethesda: National Institutes of Health; 1997.
    1. Thorne S, Kirkham SR, MacDonald-Emes J. Interpretive description: a noncategorical qualitative alternative for developing nursing knowledge. Res Nurs Health. 1997 Apr;20(2):169–177.
    1. Heyward V. Advanced Fitness Assessment and Exercise Prescription. Champaign: Human Kinetics; 2002.
    1. Heyward V. Advanced Fitness Assessment and Exercise Prescription. 6th Edition. Champaign: Human Kinetics; 2010.
    1. Revicki D, Hays RD, Cella D, Sloan J. Recommended methods for determining responsiveness and minimally important differences for patient-reported outcomes. J Clin Epidemiol. 2008 Feb;61(2):102–109. doi: 10.1016/j.jclinepi.2007.03.012.
    1. Liang MH. Evaluating measurement responsiveness. J Rheumatol. 1995 Jun;22(6):1191–1192.
    1. Godin G. Godin Leisure-Time Exercise Questionnaire. Med Sci Sport Exer. 1997;29(June Supplement):S36–S38.
    1. Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, Silberman M, Yellen SB, Winicour P, Brannon J. The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. J Clin Oncol. 1993 Mar;11(3):570–579.
    1. Spielberger CD. Manual for the State-Trait Anxiety Inventory (Form Y) Palo Alto: Consulting Psychologists Press; 1983.
    1. Cella D. The Functional Assessment of Cancer Therapy-Anemia (FACT-An) Scale: a new tool for the assessment of outcomes in cancer anemia and fatigue. Semin Hematol. 1997 Jul;34(3 Suppl 2):13–19.
    1. Northouse LL. Mastectomy patients and the fear of cancer recurrence. Cancer Nurs. 1981 Jun;4(3):213–220.
    1. Estabrooks PA, Carron AV. The physical activity group environment questionnaire: an instrument for the assessment of cohesion in exercise classes. Group Dynamics. 2000;4(3):1089–2699.
    1. Cleeland CS, Ryan KM. Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singapore. 1994 Mar;23(2):129–138.
    1. Hertzog MA. Considerations in determining sample size for pilot studies. Res Nurs Health. 2008 Apr;31(2):180–191. doi: 10.1002/nur.20247.
    1. Boeije H. A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Qual Quant. 2002;36(4):391–409.
    1. Thompson B. What future quantitative social science research could look like: Confidence intervals for effect sizes. Educational Researcher. 2002;31(3):25–32.
    1. Hedges L, Olkin I. Statistical Methods for Meta-Analysis. San Diego: Academic Press; 1985.
    1. Lancaster GA, Dodd S, Williamson PR. Design and analysis of pilot studies: recommendations for good practice. J Eval Clin Pract. 2004 May;10(2):307–312. doi: 10.1111/j.2002.384.doc.x.
    1. Kavanagh T, Mertens DJ, Hamm LF, Beyene J, Kennedy J, Corey P, Shephard RJ. Prediction of long-term prognosis in 12169 men referred for cardiac rehabilitation. Circulation. 2002 Aug 06;106(6):666–671.
    1. Leon AC, Davis LL, Kraemer HC. The role and interpretation of pilot studies in clinical research. J Psychiatr Res. 2011 May;45(5):626–629. doi: 10.1016/j.jpsychires.2010.10.008.

Source: PubMed

Sponsor e collaboratori

Condizioni mediche

Interventi farmacologici

3
Sottoscrivi