An app with brief behavioural support to promote physical activity after a cancer diagnosis (APPROACH): study protocol for a pilot randomised controlled trial

Lally, Phillippa and Miller, Natalie and Roberts, Anna L. and Beeken, Rebecca and Greenfield, Diana and Potts, Henry W. W. and Counsell, Nicholas and Latimer, Nicholas and Thomas, Chloe and Smith, Lee and Gath, Jacqui and Kennedy, Fiona and Martin, Charlene and Wyld, Lynda and Fisher, Abigail (2022) An app with brief behavioural support to promote physical activity after a cancer diagnosis (APPROACH): study protocol for a pilot randomised controlled trial. Pilot and Feasibility Studies, 8. p. 74. ISSN 2055-5784

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Official URL: https://doi.org/10.1186/s40814-022-01028-w

Abstract

Background- There are multiple health benefits from participating in physical activity after a cancer diagnosis, but many people living with and beyond cancer (LWBC) are not meeting physical activity guidelines. App-based interventions offer a promising platform for intervention delivery. This trial aims to pilot a theory-driven, app-based intervention that promotes brisk walking among people living with and beyond cancer. The primary aim is to investigate the feasibility and acceptability of study procedures before conducting a larger randomised controlled trial (RCT). Methods- This is an individually randomised, two-armed pilot RCT. Patients with localised or metastatic breast, prostate, or colorectal cancer, who are aged 16 years or over, will be recruited from a single hospital site in South Yorkshire in the UK. The intervention includes an app designed to encourage brisk walking (Active 10) supplemented with habit-based behavioural support in the form of two brief telephone/video calls, an information leaflet, and walking planners. The primary outcomes will be feasibility and acceptability of the study procedures. Demographic and medical characteristics will be collected at baseline, through self-report and hospital records. Secondary outcomes for the pilot (assessed at 0 and 3 months) will be accelerometer measured and self-reported physical activity, body mass index (BMI) and waist circumference, and patient-reported outcomes of quality of life, fatigue, sleep, anxiety, depression, self-efficacy, and habit strength for walking. Qualitative interviews will explore experiences of participating or reasons for declining to participate. Parameters for the intended primary outcome measure (accelerometer measured average daily minutes of brisk walking (≥ 100 steps/min)) will inform a sample size calculation for the future RCT and a preliminary economic evaluation will be conducted. Discussion- This pilot study will inform the design of a larger RCT to investigate the efficacy and cost-effectiveness of this intervention in people LWBC. Trial registration- ISRCTN registry, ISRCTN18063498. Registered 16 April 2021.

Item Type: Journal Article
Keywords: physical activity, cancer diagnosis, application, pilot, RCT, brisk walking, habit
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 09 Mar 2022 14:21
Last Modified: 05 Apr 2022 13:26
URI: https://arro.anglia.ac.uk/id/eprint/707388

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