Promoting Physical Activity in Young Adult Cancer Survivors Using mHealth and Adaptive Tailored Feedback Strategies
IMPACT
2 other identifiers
interventional
280
1 country
1
Brief Summary
To date, few interventions have been designed specifically to promote physical activity in young adult cancer survivors, nor used novel technologies for delivery; none have been successful in promoting long-term adherence to PA. The purpose of this randomized controlled trial is to test the efficacy of a theory-based, mobile physical activity intervention with adaptive goal-setting and tailored feedback that is aimed at increasing physical activity among young adult cancer survivors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2018
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 21, 2018
CompletedFirst Posted
Study publicly available on registry
June 26, 2018
CompletedStudy Start
First participant enrolled
August 23, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 29, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
January 29, 2021
CompletedApril 1, 2021
March 1, 2021
2.4 years
May 21, 2018
March 30, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Minutes of total physical activity at 6 months: objective
Change in objective levels of physical activity, as measured by accelerometry (ActiGraph), from baseline to 6 months. Participants will wear an accelerometer on their wrist during a 7 day period.
Baseline, 6 months
Secondary Outcomes (17)
Minutes of total physical activity at 6 months: self-report
Baseline, 6 months
Minutes of total physical activity at 12 months: objective
Baseline, 6 months, 12 months
Minutes of total physical activity at 12 months: self-report
Baseline, 6 months, 12 months
Minutes of light-intensity physical activity: objective
Baseline, 6 months, 12 months
Minutes of light-intensity physical activity: self-report
Baseline, 6 months, 12 months
- +12 more secondary outcomes
Other Outcomes (4)
Mood
Baseline, 3 months, 6 months, 12 months
Depressive symptoms
Baseline, 3 months, 6 months, 12 months
Adherence to physical activity monitoring
Through study completion, 12 months
- +1 more other outcomes
Study Arms (2)
Self-help
ACTIVE COMPARATORParticipants will receive an individual session, Fitbit activity tracker, and access to a secret Facebook group.
Intervention
EXPERIMENTALParticipants will receive an individual session, Fitbit activity tracker, and access to a secret Facebook group, behavioral lessons, adaptive physical activity goals, tailored feedback summaries, and text messages.
Interventions
Participants will receive an individual session, Fitbit activity tracker, and access to a secret Facebook group.
Participants will receive an individual session, Fitbit activity tracker, and access to a secret Facebook group with the addition of behavioral lessons, adaptive physical activity goals, tailored feedback summaries, and text messages.
Eligibility Criteria
You may qualify if:
- Currently age 18-39
- Diagnosed with invasive malignancy between the ages of 18-39 years
- Diagnosed with invasive malignancy in the last 10 years with no evidence of progressive disease or second primary cancers
- Completed active cancer directed therapy (cytotoxic chemotherapy, radiation therapy and/or definitive surgical intervention), except may be receiving "maintenance" therapy to prevent recurrences
- Have the ability to read, write and speak English
- No pre-existing medical condition(s) that preclude adherence to an unsupervised exercise program, including cardiovascular disease, congestive heart failure, pulmonary conditions, renal disease, and severe orthopedic conditions
- Not adhering to the American College of Sports Medicine recommendation of at least 150 moderate-to-vigorous physical activity minutes/week
- Have access to the Internet on at least a weekly basis
- Possession and usage of an Internet e-mail address or willingness to sign up for a free email account (e.g., gmail)
- Have mobile phone with text messaging plan
- Willing to be randomized to either arm
- Successful completion of accelerometer-assessed activity (i.e., at least 10 hours/day on 4 of 7 days) and return of the accelerometer in a pre-paid envelope at baseline
You may not qualify if:
- History of heart attack or stroke within past 6 months
- Untreated hypertension, hyperlipidemia, or diabetes, unless permission is provided by their health care provider
- Health problems which preclude ability to walk for physical activity
- Report a diagnosis of psychiatric diseases (schizophrenia, bipolar disorder, depression leading to hospitalization in the past year), drug or alcohol dependency.
- Report a past diagnosis of or treatment for a DSM-IV-TR eating disorder (anorexia nervosa or bulimia nervosa)
- Current participation in another physical activity or weight control program
- Currently using prescription weight loss medications
- Currently pregnant, pregnant within the past 6 months, or planning to become pregnant within the next 6 months
- Currently exercising \> 150 minutes/week of moderate-to-vigorous intensity physical activity
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- UNC Lineberger Comprehensive Cancer Centerlead
- University of South Carolinacollaborator
- National Cancer Institute (NCI)collaborator
Study Sites (1)
Lineberger Comprehensive Cancer Center at University of North Carolina, Chapel Hill
Chapel Hill, North Carolina, 27599, United States
Related Publications (4)
Valle CG, Heiling HM, Deal AM, Diamond MA, Hales DP, Nezami BT, Rini CM, Pinto BM, LaRose JG, Tate DF. Examining sociodemographic and health-related characteristics as moderators of an mHealth intervention on physical activity outcomes in young adult cancer survivors. J Cancer Surviv. 2025 Oct;19(5):1611-1622. doi: 10.1007/s11764-024-01577-4. Epub 2024 Apr 12.
PMID: 38607515DERIVEDValle CG, Diamond MA, Heiling HM, Deal AM, Hales DP, Nezami BT, Pinto BM, LaRose JG, Rini CM, Tate DF. Effect of an mHealth intervention on physical activity outcomes among young adult cancer survivors: The IMPACT randomized controlled trial. Cancer. 2023 Feb 1;129(3):461-472. doi: 10.1002/cncr.34556. Epub 2022 Nov 29.
PMID: 36444676DERIVEDValle CG, Camp LN, Diamond M, Nezami BT, LaRose JG, Pinto BM, Tate DF. Recruitment of young adult cancer survivors into a randomized controlled trial of an mHealth physical activity intervention. Trials. 2022 Apr 4;23(1):254. doi: 10.1186/s13063-022-06148-5.
PMID: 35379294DERIVEDValle CG, Pinto BM, LaRose JG, Diamond M, Horrell LN, Nezami BT, Hatley KE, Coffman EM, Polzien K, Hales DP, Deal AM, Rini CM, Rosenstein DL, Tate DF. Promoting physical activity in young adult cancer survivors using mHealth and adaptive tailored feedback strategies: Design of the Improving Physical Activity after Cancer Treatment (IMPACT) randomized controlled trial. Contemp Clin Trials. 2021 Apr;103:106293. doi: 10.1016/j.cct.2021.106293. Epub 2021 Jan 27.
PMID: 33515784DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Carmina G. Valle, PhD, MPH
University of North Carolina, Chapel Hill
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 21, 2018
First Posted
June 26, 2018
Study Start
August 23, 2018
Primary Completion
January 29, 2021
Study Completion
January 29, 2021
Last Updated
April 1, 2021
Record last verified: 2021-03