Utilizing Novel Information Technology to Promote Exercise and Well-Being in Adolescents and Young Adults With Cancer (AYA-UNITE)
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.|
|ClinicalTrials.gov Identifier: NCT03778658|
Recruitment Status : Recruiting
First Posted : December 19, 2018
Last Update Posted : July 28, 2021
|Condition or disease||Intervention/treatment||Phase|
|Adolescent Young Adult Cancer Physical Activity Psychological Distress Social Isolation||Behavioral: Physical Activity Intervention||Not Applicable|
Adolescents and young adults (AYAs) with cancer comprise a unique population within the larger cancer community. This is primarily due to distinct differences in disease biology compared to older and younger patients, as well as their unique psychosocial needs. AYAs with cancer historically have unmet needs relating to management of their mental health and treatment-related symptoms. One particular area of unmet need is distress management during cancer treatment, reported in nearly one third of AYAs with newly diagnosed cancer. Reasons for distress are multifactorial, including lack of medical information, worries about future life goals and fertility, and social isolation from peers and family. Proactively addressing and preventing this distress is critical for forestalling the high rates of depression, anxiety, and post-traumatic stress seen in AYAs. One promising but under explored intervention with the potential to mitigate distress is group-based physical activity. Multiple studies cite physical activity's benefits for patients with cancer, while oncology and sports medicine societies recommend including physical activity as part of comprehensive cancer care. Group physical activity intervention models have been successful in creating sustainable improvements in physical and psychosocial health in other populations with cancer, though can present transportation and scheduling barriers. Additionally, medical providers and participants undergoing treatment for cancer may be hesitant to engage in group-based physical activity interventions during times of neutropenia given infection risk.
Dr. Rao's mentors have extensive preliminary data that guided her project's development. The theoretical model for this study's intervention delivery is based on Dr. Rovniak's Social Networks for Activity Promotion (SNAP) model, and targets optimizing the physical environment where physical activity is received, as well as the importance of social network environments and interactions. Dr. Schmitz has been at the forefront of the movement to incorporate physical activity into the care of patients with cancer and cancer survivors. She has led multiple trials, including a large randomized controlled trial to assess the safety of upper body exercise among breast cancer survivors with and without lymphedema (Physical Activity and Lymphedema Trial [PAL]). Dr. Sciamanna's work has evaluated the implementation of a group strength training intervention in elderly patients, which has been found to be safe and effective, as well socially beneficial to its participants. Dr. Williams is the founder and president of Hip Hop for Public Health (HHPH) a non-profit organization which has successfully utilized hip-hop music to deliver sustainable health messages pertaining to nutrition and physical activity in youth.
The preliminary data as noted above set the foundation for this project, which builds on the importance of social network environments and interactions in encouraging physical activity. This is particularly true for adolescents as a whole, as social support has been found to be an especially important factor in the promotion of physical activity. Specifically for AYAs with cancer, physical activity has been cited as an area of preferred clinical program focus for AYAs with cancer and those who have completed treatment. Thus, a group-based physical activity intervention among AYAs with cancer could address an area of unmet need that potentially improves the psychosocial health of this patient population. Delivery using a virtual platform is culturally appropriate for AYAs with cancer, a unique patient population that is technologically savvy, and interested in using social media platforms to create a sense of belonging and community.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||10 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Supportive Care|
|Official Title:||AYA-UNITE (Utilizing Novel Information Technology to Promote Exercise and Well-Being)|
|Actual Study Start Date :||December 15, 2020|
|Estimated Primary Completion Date :||December 2021|
|Estimated Study Completion Date :||December 2021|
Experimental: Outpatient Physical Activity Program
The intervention will investigate a multi modal outpatient physical activity program incorporating both strength training utilizing resistance bands, as well as an aerobic activity based on hip-hop dancing.
Behavioral: Physical Activity Intervention
Participants will engage in a multimodal aerobic and strength training intervention.
- Safety [ Time Frame: Weekly during 12 week study ]Proportion of participants experiencing musculoskeletal (MSK) impairment, adverse effects requiring treatment alterations, and injury rate for MSK injuries (defined as symptoms lasting 1 week or longer and/or requiring attention of provider)
- Feasibility [ Time Frame: At end of 12 week study ]Physical activity intervention arm will be considered feasible if at least 50% of the participants complete 80% of the training sessions.
- Acceptability [ Time Frame: At end of 12 week study ]The physical activity intervention will be considered acceptable if more than 50% of the approached participants agree to receive at least the first session of the physical activity intervention.
- Physical function assessments: Arm curl test of dominant arm (tests upper body strength) [ Time Frame: Baseline and at end of 12 week study ]Arm curl test assessment will be performed on all participants using free weights of 5 lb and 8 lb (or household alternative object)
- Physical function assessments: 30-second Chair Stand (tests leg strength and endurance) [ Time Frame: Baseline and at end of 12 week study ]The 30-second Chair Stand will be performed on all participants
- Physical function assessments: Timed Up and Go (tests mobility) [ Time Frame: Baseline and at end of 12 week study ]The Timed Up and Go test will be performed on all participants
- Physical function assessments: 4-Stage Balance (tests balance) [ Time Frame: Baseline and at end of 12 week study ]The 4-Stage Balance will be performed on all participants
- Physical function assessments: Patient reported physical function [ Time Frame: Baseline and at end of 12 week study ]Physical function: The Patient-Reported Outcomes Measurement Information System (PROMIS)
- Psychosocial measurements: Distress [ Time Frame: Baseline and at end of 12 week study ]Distress: The Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Psychological Stress Experiences Form will be used.
- Psychosocial measurements: Social Isolation [ Time Frame: Baseline and at end of 12 week study ]Social Isolation: The Patient-Reported Outcomes Measurement Information System (PROMIS) Item Bank Social Isolation Short Form 8a will be used.
- Psychosocial measurements: Fatigue [ Time Frame: Baseline and at end of 12 week study ]Fatigue: The Patient-Reported Outcomes Measurement Information System (PROMIS) Cancer Item Bank v1.0- Fatigue will be used.
- Psychosocial measurements: Quality of Life [ Time Frame: Baseline and at end of 12 week study ]Quality of Life: The Patient-Reported Outcomes Measurement Information System (PROMIS) PROMIS-29 Profile will be used.
- Patient-reported symptoms [ Time Frame: All participants will be given this instrument once prior to study initiation, and once every 3 weeks during the study. ]PRO-CTCAE will be used to collect and measure information of patient-PRO-CTCAE will be used to collect and measure information of patient-reported symptoms.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03778658
|Contact: Pooja Rao, MD MSCEfirstname.lastname@example.org|
|United States, Pennsylvania|
|Milton S. Hershey Medical Center||Recruiting|
|Hershey, Pennsylvania, United States, 17033|
|Principal Investigator:||Pooja Rao, MD MSCE||Milton S. Hershey Medical Center|