Designing a Dyad-Based MHealth Intervention to Improve Adherence to Lifestyle Recommendations in Colorectal Cancer Survivors and Their Family Caregivers
Designing a Dyad-Based MHealth Intervention to Improve Adherence to Lifestyle Recommendations in Colorectal Cancer Survivors and Their Family Caregivers: Human-Centered Study
Ohio State University Comprehensive Cancer Center
70 participants
May 3, 2024
INTERVENTIONAL
Conditions
Summary
This clinical trial develops and tests a mobile health (mHealth) intervention to improve adherence to lifestyle recommendations in colorectal cancer (CRC) survivors and their family caregivers. The current challenge for cancer survivorship is identifying novel approaches to help adhere to the lifestyle recommendations that have been shown to improve symptom burden, health outcomes, and health-related quality of life (HRQoL). The development of a digital health intervention specifically for CRC survivors and family caregivers may improve adherence to the American Cancer Society Nutrition and Physical Activity Guideline for Cancer Survivors and improve family health.
Eligibility
Inclusion Criteria13
- Adults (18 years of age or older)
- Diagnosis of stage I-III colon or rectal cancer
- Undergone curative-intent complete surgical resection (patients who have received non-operative management for rectal cancer may be eligible)
- Completed treatment (i.e., neo-adjuvant, adjuvant cytotoxic chemotherapy, radiation, or surgical resection) at least six months prior
- Own a smartphone with internet access and can receive text messages
- Able to speak, read, and understand English
- Self-report ability to independently engage in physical activity determined by the Physical Activity Readiness questionnaire (PAR-Q), and if indicated obtain physician clearance
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 determined via medical chart review
- Presence of a family caregiver (i.e., informal or formal caregiver) willing support the patient and participate in the study
- Able to provide informed consent
- Any adult that resides in the same household as the patient
- Willing to participate in all aspects of the intervention and in the assessments required for those in the wait-list control condition if applicable
- Medical, radiation, and surgical oncologists; advanced practice providers, registered nurses; dietitians; exercise physiologists; physical therapists, patient navigators and champions/advocates, and social workers with at least 12 months of experience working with CRC survivors
Exclusion Criteria10
- People with potential contraindications to exercise based on the PAR-Q, for those we are unable to obtain physician clearance
- Planned major surgery during the study period
- Scheduled to receive any form of cancer therapy during study participation
- Concurrent, actively treated other cancer (except non-melanoma skin cancer, in situ cervical cancer or localized prostate cancer treated with surveillance only)
- Self-reported history of severe cardiovascular, respiratory, musculoskeletal disease, or joints problems that preclude moderate physical activity (PA)
- Self-reported history of psychiatric disorders that preclude participation in the study intervention or prevent the patient from giving informed consent
- Concurrent participation in another weight loss, PA, or dietary intervention clinical trial
- Currently pregnant or trying to become pregnant during the study period
- living outside the United States (US) during the study period
- Currently a prisoner
Interventions
Participate in think-aloud sessions
Receive health coaching
Use Healthy Buckeyes app
Watch videos
Complete semi-structured interview
Wear Fitbiit and use exercise bands
Ancillary studies
Receive caregiver support
Complete surveys
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06746012