scholarly journals Development of a Web Portal for Physical Activity and Symptom Tracking in Oncology Patients: Protocol for a Prospective Cohort Study (Preprint)

2017 ◽  
Author(s):  
Michael Marthick ◽  
Haryana M Dhillon ◽  
Jennifer A Alison ◽  
Birinder S Cheema ◽  
Tim Shaw

BACKGROUND Significant benefits accrue from increasing physical activity levels in people with a history of cancer. Physical activity levels can be increased using behavioral change interventions in this population. Access to Web portals and provision of activity monitors to provide feedback may support behavior change by encouraging patient engagement in physical therapy. The Web portal evaluated in this study will provide a system to monitor physical activity and sleep, for use by both clinician and patient, along with symptom and health-related quality of life tracking capabilities. OBJECTIVE The aim of this study was to outline a protocol for a feasibility study focused on a Web-based portal that provides activity monitoring and personalized messaging to increase physical activity in people with cancer. METHODS Using a longitudinal cohort design, people with cancer will be serially allocated to 3 intervention cohorts of 20 participants each and followed for 10 weeks. Cohort 1 will be provided a wearable activity monitor and access to a Web-based portal. Cohort 2 will receive the same content as Cohort 1 and in addition will receive a weekly activity summary message. Cohort 3 will receive the same content as Cohorts 1 and 2 and in addition will receive a personalized weekly coaching message. Feasibility of the use of the portal is the primary outcome. RESULTS Results are expected in early 2018. Outcome measures will include goal attainment and completion rate. CONCLUSIONS This study will provide information about the feasibility of investigating eHealth initiatives to promote physical activity in people with cancer. REGISTERED REPORT IDENTIFIER RR1-10.2196/9586

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020659 ◽  
Author(s):  
Friedrich C Jassil ◽  
Alisia Carnemolla ◽  
Helen Kingett ◽  
Bruce Paton ◽  
Aidan G O’Keeffe ◽  
...  

IntroductionRoux-en-Y gastric bypass and sleeve gastrectomy are the two most common bariatric surgery performed in the UK that result in comparable weight loss and remission of obesity-associated comorbidities. However, there is a paucity of studies examining the impact of these procedures on body composition, physical activity levels, sedentary behaviour, physical function and strength, dietary intake, health-related quality of life and costs.Methods and analysisThe BARI-LIFESTYLE observational study is a 1-year prospective, longitudinal cohort study within a real-world routine clinical care setting aiming to recruit 100 patients with severe obesity undergoing either primary Roux-en-Y gastric bypass or sleeve gastrectomy from two bariatric centres in London, UK. Participants will be followed up four times during the study period; presurgery baseline (T0) and at 3 (T1), 6 (T2) and 12 months (T3) postsurgery. In addition to the standard follow-up investigations, assessments including dual-energy X-ray absorptiometry scan, bioelectric impedance analysis, 6 min walk test, sit-to-stand test and handgrip test will be undertaken together with completion of questionnaires. Physical activity levels and sedentary behaviour will be assessed using accelerometer, and dietary intake will be recorded using a 3-day food diary. Outcome measures will include body weight, body fat mass, lean muscle mass, bone mineral density, physical activity levels, sedentary behaviour, physical function and strength, dietary intake, health-related quality of life, remission of comorbidities, healthcare resource utilisation and costs.Ethics and disseminationThis study has been reviewed and given a favourable ethical opinion by London-Dulwich Research Ethics Committee (17/LO/0950). The results will be presented to stakeholder groups locally, nationally and internationally and published in peer-reviewed medical journals. The lay-person summary of the findings will be published on the Centre for Obesity Research, University College London website (http://www.ucl.ac.uk/obesity).


Lupus ◽  
2016 ◽  
Vol 26 (7) ◽  
pp. 690-697 ◽  
Author(s):  
T Dassouki ◽  
F B Benatti ◽  
A J Pinto ◽  
H Roschel ◽  
F R Lima ◽  
...  

Objective The objectives of this paper are to objectively measure habitual physical activity levels in patients with primary Sjögren’s syndrome (pSS) with mild disease activity and to determine to which extent it may be associated with physical capacity and function and clinical features. Methods In this cross-sectional study, 29 women with pSS were objectively assessed for habitual physical activity levels (using accelerometry) and compared with 20 healthy women (CTRL) frequency-matched for physical activity levels, age, body mass index, and body fat percentage with regard to physical capacity and function, fatigue, depression, pain, and health-related quality of life. Results pSS showed 8.5 min/day of moderate-to-vigorous physical activity (MVPA) when only MVPA accumulated in bouts ≥ 10 min was considered; when considering total MVPA (including bouts < 10 min), average levels were 26.3 min/day, with 62% of pSS patients achieving the recommendation (≥ 21.4 min/day). Moreover, pSS showed lower VO2peak, lower muscle strength and function, higher fatigue, and poorer health-related quality of life when compared with CTRL ( p < 0.05). These differences (except for aerobic capacity) were sustained even when only individuals achieving the minimum of 21.4 min/day of total MVPA in both groups were compared. Finally, MVPA time was significantly correlated with aerobic conditioning, whereas total counts and sedentary time were associated with lower-body muscle strength and the bodily-pain domain of SF-36 in patients with pSS. Conclusion When compared to physical activity-matched healthy controls, pSS patients showed reduced physical capacity and function, increased fatigue and pain, and reduced health-related quality of life. Except for aerobic conditioning, these differences were sustained when only more physically active participants were compared, indicating that minimum recommended levels of physical activity for the general population may not be sufficient to counteract pSS comorbidities.


2018 ◽  
Author(s):  
Michael Marthick ◽  
Haryana M Dhillon ◽  
Jennifer A Alison ◽  
Bobby S Cheema ◽  
Tim Shaw

BACKGROUND Physical activity levels typically decline during cancer treatment and often do not return to prediagnosis or minimum recommended levels. Interventions to promote physical activity are needed. Support through the use of digital health tools may be helpful in this situation. OBJECTIVE The goal of the research was to evaluate the feasibility, usability, and acceptability of an interactive Web portal developed to support patients with cancer to increase daily physical activity levels. METHODS A Web portal for supportive cancer care which was developed to act as a patient-clinician information and coaching tool focused on integrating wearable device data and remote symptom reporting. Patients currently receiving or who had completed intensive anticancer therapy were recruited to 3 cohorts. All cohorts were given access to the Web portal and an activity monitor over a 10-week period. Cohort 2 received additional summative messaging, and cohort 3 received personalized coaching messaging. Qualitative semistructured interviews were completed following the intervention. The primary outcome was feasibility of the use of the portal assessed as both the number of log-ins to the portal to record symptoms and the completion of post-program questionnaires. RESULTS Of the 49 people were recruited, 40 completed the intervention. Engagement increased with more health professional contact and was highest in cohort 3. The intervention was found to be acceptable by participants. CONCLUSIONS The portal was feasible for use by people with a history of cancer. Further research is needed to determine optimal coaching methods.


2019 ◽  
Vol 12 (11) ◽  
pp. 178
Author(s):  
Barış Gürol ◽  
Gülsün Güven ◽  
Dilek Yalız-Solmaz

The aim of this research was to determine the effects of physical activity levels of teacher candidates on the sub-dimensions of health-related quality of life. In the research among the quantitative research methods, relational survey model was used. A total of 90 teacher candidates participated in this research. The International Physical Activity Questionnaire-Short Form (IPAQ-SF) and the 36-Item Short Form Health Survey (SF-36) were used in this study. In the data analysis, “percentage, frequencies, standard deviation, mean, Product-Moment Correlation coefficients and Multiple regression” were used. According to the results, role functioning/emotional, pain and general health sub-dimensions are important predictors on physical activity levels. However, physical functioning, emotional well-being, vitality, social functioning, role functioning/physical, sub-dimensions have not an important impact on physical activity levels statistically. As a conclusion, participation in physical activity can be said to have a negative effect on emotional problems and pain, and a positive effect on general health status.


2020 ◽  
Vol 12 (3) ◽  
pp. 103-113
Author(s):  
NEVZAT DEMIRCI ◽  
PERVIN TOPTAŞ DEMIRCI ◽  
OKTAY ZIRHLI

Background: Chronic diseases are the leading cause of death worldwide with increasing prevalence in the population aged 65 years and above. This study aimed to evaluate the relationship between physical activity level and health-related quality of life in elderly individuals. Material and methods: The participants aged 65 years and older (46 males and 35 females) were divided into 3 groups according to their physical activity levels: low physical activity (<150 minutes/week), moderate physical activity (150–300 minutes/week) and high physical activity level (>300 minutes/week). Health-related quality of life (HRQoL) was calculated using EQ-5D scale. Spearman's correlation coefficient was used to determine the relationship between physical activity level and HRQoL scores in elderly individuals. Results: A significant relationship and differences were found between high, moderate and low physical activity levels and HQQoL dimensions (P<0.05). The moderate and high physical activity groups were found to be significantly higher in all dimensions compared to the low physical activity group according to HRQoL scores (P<0.001). Conclusions: It has been concluded that high and moderate physical activity levels have a great positive relationship with HRQoL in individuals aged 65 years and older with a chronic disease.


Menopause ◽  
2020 ◽  
Vol 27 (4) ◽  
pp. 437-443
Author(s):  
Nuria Marín-Jiménez ◽  
Pedro Jesús Ruiz-Montero ◽  
Marta De la Flor-Alemany ◽  
Pilar Aranda ◽  
Virginia A. Aparicio

2020 ◽  
Vol 19 ◽  
pp. 153473542095288
Author(s):  
Ting Lu ◽  
Linda Denehy ◽  
Yuejiao Cao ◽  
Qirui Cong ◽  
En Wu ◽  
...  

Objective: To assess the feasibility, safety, and preliminary effect of a 12-week multi-modal rehabilitation program targeted at improving health-related quality of life and physical activity levels of patients with lung cancer following treatment. Methods: Patients with stage I to IIIA non-small cell lung cancer were included 6 to 12 weeks following completion of treatment. The intervention comprised of aerobic exercise (brisk walking), resistance training and 8-style Tai Chi. The 12-week program included 2 supervised center-based sessions per week of 90 minutes duration and home-based exercise. The primary outcomes were the feasibility and safety of the intervention. Secondary outcomes (assessed pre and post program) were physical and patient-reported outcomes. Results: Seventy-eight patients were approached during the 6-month recruitment period and 17 (22%) consented to the study. Eight participants (47%) met the definition of adherence to the program (attending at least 70% of supervised sessions). No serious adverse events occurred. A significant reduction in anxiety and depression was observed post-program. In addition, improvements in respiratory function, sleep quality, and some health-related quality of life domains were observed post-program. There were no significant differences in functional capacity or physical activity levels. Conclusion: This multi-modal exercise training program was safe, although the feasibility of the program in its current state is not supported given the low consent rate and low adherence to the intervention.


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