The Streaming Web-Based Exercise at Home Study for Breast and Prostate Cancer Survivors: A Feasibility Study Protocol

Background: Despite the known benefits of physical activity in cancer survivors, adherence to exercise guidelines remains low. Known barriers to adhering to guidelines include a lack of time and an unwillingness to return to treatment facilities. Virtual exercise programming could assist in mitigating these barriers. This protocol presents a single arm pilot study exploring the feasibility of personalized Zoom-delivered exercise training for breast and prostate cancer survivors. A secondary objective is to determine the preliminary efficacy of participation on body composition, estimated VO2max, hand grip, one repetition maximum leg press, resting heart rate, resting blood pressure, exercise self-efficacy, and intentions to remain active. Methods: Breast (n = 10) and prostate (n = 10) cancer survivors will participate in a 24-week feasibility study, including (1) 12 weeks of one-on-one virtual personal training with an exercise physiologist (EP) via Zoom, and (2) individual exercise for a 12-week follow-up period using recordings of Zoom sessions for guidance. Physical assessments and surveys will be implemented at baseline, 12 weeks, and at the end of the study (24 weeks from baseline). Conclusions: While virtual exercise programming became popularized during the pandemic, evidence is still required to understand whether it can successfully address barriers and promote participation.

[1]  D. West,et al.  28481 Risk for nonmelanoma second primary malignancy in malignant melanoma survivors: A nationwide report from the National Cancer Institute Surveillance, Epidemiology, and End Results program , 2021 .

[2]  D. Sisti,et al.  Effects of a Home-Based Lifestyle Intervention Program on Cardiometabolic Health in Breast Cancer Survivors during the COVID-19 Lockdown , 2021, Journal of clinical medicine.

[3]  J. Ho,et al.  Two weeks of detraining reduces cardiopulmonary function and muscular fitness in endurance athletes , 2021, European journal of sport science.

[4]  M. McDonough,et al.  Social support and physical activity for cancer survivors: a qualitative review and meta-study , 2020, Journal of Cancer Survivorship.

[5]  I. Dimauro,et al.  New Strategy of Home-Based Exercise during Pandemic COVID-19 in Breast Cancer Patients: A Case Study , 2020, Sustainability.

[6]  Virginia Braun,et al.  One size fits all? What counts as quality practice in (reflexive) thematic analysis? , 2020, Qualitative Research in Psychology.

[7]  C. Matthews,et al.  Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable , 2019, Medicine and science in sports and exercise.

[8]  Virginia Braun,et al.  Reflecting on reflexive thematic analysis , 2019, Qualitative Research in Sport, Exercise and Health.

[9]  H. Bosworth,et al.  Higher symptom burden is associated with lower function in women taking adjuvant endocrine therapy for breast cancer. , 2019, Journal of geriatric oncology.

[10]  A. Moon,et al.  Sex Differences in Cancer: Epidemiology, Genetics and Therapy , 2018, Biomolecules & therapeutics.

[11]  E. McAuley,et al.  Physical activity programming and counseling preferences among cancer survivors: a systematic review , 2018, International Journal of Behavioral Nutrition and Physical Activity.

[12]  K. Shuval,et al.  Physical Activity in Cancer Survivors During “Re-Entry” Following Cancer Treatment , 2018, Preventing chronic disease.

[13]  K. Winters-Stone,et al.  A Systematic Review of Exercise Systematic Reviews in the Cancer Literature (2005‐2017) , 2017, PM & R : the journal of injury, function, and rehabilitation.

[14]  O. Cho,et al.  Functional Assessment of Cancer Therapy–General; Korean Version , 2017 .

[15]  G. Godin,et al.  The use of the Godin-Shephard Leisure-Time Physical Activity Questionnaire in oncology research: a systematic review , 2015, BMC Medical Research Methodology.

[16]  Gaston Godin,et al.  The Godin-Shephard Leisure-Time Physical Activity Questionnaire: Validity Evidence Supporting its Use for Classifying Healthy Adults into Active and Insufficiently Active Categories , 2015, Perceptual and motor skills.

[17]  L. Elting,et al.  Self-Reported Physical Activity Among Middle-Aged Cancer Survivors in the United States: Behavioral Risk Factor Surveillance System Survey, 2009 , 2014, Preventing chronic disease.

[18]  W. K. Mummery,et al.  A comparison of physical activity correlates across breast, prostate and colorectal cancer survivors in Nova Scotia, Canada , 2014, Supportive Care in Cancer.

[19]  N. Mutrie,et al.  Understanding barriers to exercise implementation 5-year post-breast cancer diagnosis: a large-scale qualitative study. , 2013, Health education research.

[20]  C. Friedenreich,et al.  Medical, demographic and social cognitive correlates of physical activity in a population-based sample of colorectal cancer survivors. , 2012, European journal of cancer care.

[21]  D. Warburton,et al.  Validation of the PAR-Q+ and ePARmed-X+ , 2011 .

[22]  K. Courneya,et al.  American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. , 2010, Medicine and science in sports and exercise.

[23]  R. Speck,et al.  An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis , 2010, Journal of cancer survivorship : research and practice.

[24]  K. Courneya,et al.  Cancer survivors' adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society's SCS-II. , 2008, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[25]  C. Friedenreich,et al.  Physical activity and cancer control. , 2007, Seminars in oncology nursing.

[26]  J. Rowland,et al.  Health behaviors of cancer survivors: examining opportunities for cancer control intervention. , 2005, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[27]  E. Coups,et al.  A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. , 2005, Preventive medicine.

[28]  J. Cashy,et al.  General Population and Cancer Patient Norms for the Functional Assessment of Cancer Therapy-General (FACT-G) , 2005, Evaluation & the health professions.

[29]  B. Hankey,et al.  Surveillance, Epidemiology, and End Results Program , 1999 .

[30]  B. Cardinal,et al.  Evaluation of the revised physical activity readiness questionnaire in older adults. , 1995, Medicine and science in sports and exercise.

[31]  P. Thompson,et al.  ACSM's Guidelines for Exercise Testing and Prescription , 1995 .

[32]  D. Tulsky,et al.  The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. , 1993, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[33]  V. Heyward,et al.  Advanced Fitness Assessment and Exercise Prescription , 2019 .

[34]  Robert Pettott Exercise physiology laboratory manual , 2009 .

[35]  S. Fleck Detraining: Its Effects on Endurance and Strength , 1994 .