FitEx for Endometrial Cancer Survivors
The Feasibly, Efficacy, and Acceptability of FitEx for Endometrial Cancer Survivors: A Pilot Randomized Controlled Trial of Walking With or Without Yoga
1 other identifier
interventional
20
1 country
1
Brief Summary
The purpose of this study is to determine whether a physical activity tracking program called FitEx would be useful to endometrial cancer survivors. Each interested endometrial cancer survivor will recruit 1 to 5 additional friends/family members to participate in the intervention with them, forming a team. Each team will be randomized to FitExEC (control group) that receives FitEx for endometrial cancer survivors, or FitExEC+yoga (experimental group) that receives FitEx for endometrial cancer survivors plus yoga cueing. FitExEC is based on FitEx, a program used to encourage adults to improve their fruit and vegetable intake while increasing their physical activity. FitEx works by having participants join a team with their friends and loved ones, so they can support one another in meeting their goals. In this study, teams of endometrial cancer survivors/support members will receive watches that track how much they walk. Each day, participants record how much exercise, how many fruits, and how many vegetables they've eaten that day for a total of 8 weeks. Participants will be encouraged to attend a virtual session 15 minutes per week that will focus on 1-mile worth of exercise points (all control) or 15 minutes of yoga (all experimental) followed by 15 minutes of support (endometrial cancer survivors only \[control and experimental survivors in different groups\]). Participation in the study lasts roughly 10 weeks, and participants will be followed for 6 months afterward. The investigators think that FitEx may help people with endometrial cancer improve their daily physical activity and slowly improve their health and quality of life. The investigators hypothesize this intervention is feasible and acceptable to Carilion Clinic endometrial cancer survivors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable quality-of-life
Started Jul 2021
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 28, 2021
CompletedFirst Submitted
Initial submission to the registry
August 2, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 30, 2021
CompletedFirst Posted
Study publicly available on registry
February 10, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
May 30, 2022
CompletedFebruary 8, 2023
February 1, 2023
3 months
August 2, 2021
February 6, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Feasibility and Acceptability as measured by recruitment rate and program completion
Our primary aims are program adherence, measured as the percentage of participants who complete the 8 week program, and recruitment rate, measured as the percentage of participants who join the study out of the total participants who are approached about the study. These outcomes will be used to assess the feasibility and acceptability of the study among participants who enroll in the study and percentage of participants who complete the program.
8 weeks
Secondary Outcomes (5)
Changes to self-reported physical activity levels as measured by L-Cat questionnaire
6 months
Changes to Quality of Life as measured by FACT-En questionnaire
6 months
Changes to Yoga Self-Efficacy as measured by Yoga Self Efficacy questionnaire
6 months
Self reported physical activity measured via steps per day on pedometer
6 months
Changes to Fear of Cancer Recurrence measured by Fear of Cancer Recurrence Inventory questionnaire
6 months
Study Arms (2)
Walking
ACTIVE COMPARATORThe walking group will receive a tailored FitEx for endometrial cancer survivors, including cancer specific newsletters.
Walking Plus Yoga
EXPERIMENTALThe walking group will receive a tailored FitEx for endometrial cancer survivors with yoga cuing and yoga-based newsletters.
Interventions
FitEx is an 8 week goal-setting, behavior tracking, physical activity intervention with a low dose of social support which will be delivered virtually.
30 minutes of optional guided yoga online led by a 500 hour yoga teacher once a week for participants in the walking plus yoga arm. Also accompanied by a yoga based newsletter.
30 minutes of optional guided movement online led by a 500 hour yoga teacher once a week for participants in the walking arm. Also accompanied by a movement based newsletter.
Eligibility Criteria
You may qualify if:
- Diagnosed with early stage (I-II) endometrial cancer, any histology
- Received cancer care at Carilion Clinic after 1/1/2010
- At least 18 years of age
- Have adequate comprehension (reading and writing) of the English language
- Have a BMI ≥ 30 kg/m\^2 at screening
- Have stable internet access or access to a smartphone with internet
- Meet the requirements of the Physical Activity Readiness Questionnaire (PARQ)
- Have the capacity to provide informed consent and are willing to provide informed consent
You may not qualify if:
- History of recurrent endometrial cancer TARGET - Vital status: deceased
- Are meeting physical activity guidelines set forth by the American Cancer Society at screening (greater than 150 minutes/week of moderate physical activity, or greater than 75 minutes/week of vigorous physical activity)
- Have functional limitations requiring a walker, wheelchair, scooter, or other walking aid which limits their capacity to engage in the intervention safely
- Healthy volunteers can be either gender with criteria below:
- Were identified by a participant with endometrial cancer as a member of their support system
- Are at least 18 years of age
- Have adequate comprehension (reading and writing) of the English language
- Have stable internet access or access to a smartphone with internet capabilities
- Meet the requirements of the Physical Activity Readiness Questionnaire(PARQ)
- Have the capacity to provide informed consent and are willing to provide informed consent
- Have functional limitations requiring a walker, wheelchair, scooter, or 6 other walking aid which limits their capacity to engage in the intervention safely
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Carilion Clinic
Roanoke, Virginia, 24016, United States
Related Publications (1)
Agnew H, Kitson S, Crosbie EJ. Interventions for weight reduction in obesity to improve survival in women with endometrial cancer. Cochrane Database Syst Rev. 2023 Mar 27;3(3):CD012513. doi: 10.1002/14651858.CD012513.pub3.
PMID: 36971688DERIVED
Related Links
- Implementation Science
- Lancet
- Complementary Therapies in Medicine
- PeerJ
- Gynecologic Oncology
- American Psychological Association
- The Journal of Steroid Biochemistry and Molecular Biology
- Nature Reviews Cancer
- Cancer of the Endometrium - Cancer Stat Facts
- American Journal of Preventive Medicine
- Breast Cancer Research and Treatment
- Gynecologic Oncology
- Complementary Therapies in Clinical Practice
- FitEx
- British Journal of Sports Medicine
- Frontiers in Public Health
- Medicine and Science in Sports and Exercise
- Journal of Nutrition Education and Behavior
- Frontiers in Public Health
- JMIR MHealth and UHealth
- International Journal of Behavioral Nutrition and Physical Activity
- Key Statistics for Endometrial Cancer
- International Journal of Obesity
- Cochrane Database of Systematic Reviews
- BMJ Open
- Oncology Nursing Forum
- Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
- American Journal of Obstetrics and Gynecology
- Journal of Behavioral Medicine
- Gynecologic Oncology
- Mindfulness
- Journal of Behavioral Medicine
- Complementary Therapies in Medicine
- The Journal of Steroid Biochemistry and Molecular Biology
- Gynecologic Oncology
- RE-AIM - Reach Effectiveness Adoption Implementation Maintenance
- Hormones and Cancer
- Gynecologic Oncology
- Journal of Gynecologic Oncology
- Preventive Medicine
- International Journal of Behavioral Nutrition and Physical Activity
- American Journal of Obstetrics and Gynecology
- Gynecologic Oncology
- The International Journal of Behavioral Nutrition and Physical Activity
- International Journal of Behavioral Nutrition and Physical Activity
- BMC Medicine
- BMC Geriatrics
- Uterine Cancer - Statistics
- American Journal of Obstetrics and Gynecology
- Obstetrics \& Gynecology
- Gynecologic Oncology
- Supportive Care in Cancer
- Journal of Molecular Endocrinology
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Shannon Armbruster, MD, MPH
Carilion Clinic Physician
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 2, 2021
First Posted
February 10, 2022
Study Start
July 28, 2021
Primary Completion
October 30, 2021
Study Completion
May 30, 2022
Last Updated
February 8, 2023
Record last verified: 2023-02
Data Sharing
- IPD Sharing
- Will not share