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| ID | Type | Description | Link |
|---|---|---|---|
| P20NR015339 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| Froedtert Hospital | OTHER |
| Children's Hospital and Health System Foundation, Wisconsin | OTHER |
| Medical College of Wisconsin | OTHER |
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The purpose of the study is to determine the impact of a physical activity intervention on the self-management of fatigue in young adults receiving chemotherapy. Half of the participants will receive an intervention which includes education and resources to set physical activity goals and monitor progress toward goals.
Interventions to increase physical activity have been shown to relieve fatigue in patients receiving chemotherapy, but no studies have tested a physical activity intervention to improve fatigue in young adults receiving chemotherapy. This study will determine the impact of a physical activity intervention on the self-management process variables of self-efficacy and self-regulation and their relationships to physical activity and fatigue severity in young adults receiving chemotherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Step-Up Intervention Group | Experimental | Participants assigned to the Step-up intervention group will receive a 12-week physical activity intervention which includes components of education, negotiated collaboration to set individual physical activity goals during chemotherapy cycles, and tools for self-monitoring of physical activity. |
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| Attention Control Group | No Intervention | Participants assigned to the attention control group will receive usual guidance about maintaining physical activity during chemotherapy from their oncology providers. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Step-Up Intervention | Behavioral | Intervention group participants will meet with a study facilitator during 5 regularly scheduled visits for chemotherapy. The facilitator will provide education about the benefits of physical activity and strategies to overcome barriers to physical activity, help the participants to set physical activity goals based on ability and preferences, and educate the participant on using a physical activity tracker. |
| Measure | Description | Time Frame |
|---|---|---|
| Self-efficacy for Physical Activity | Physical Activity Assessment Inventory (Haas & Northam, 2010) The scale measures confidence to be physically active under various conditions. Scores range from 0=cannot do at all to 100=certain can do. | Completion of post-study measures (average 15 weeks) |
| Self-regulation of Physical Activity | Index of Self-Regulation (Yeom et al., 2011) The scale measures self-regulation skills, including processing information, monitoring performance, and taking action to meet goals. Scores range from 1 to 6, with higher scores indicating agreement that the individual has these skills. | Completion of post-study measures (average 15 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Steps Per Day | Measured by accelerometer | Completion of post-study measures (average 15 weeks) |
| Fatigue Severity | Measured with PROMIS - Fatigue Short Form Fatigue severity is measured over the past 7 days from 1=never to 5=always. The raw scores are converted to T-scores, where 50=average fatigue in the general population. Higher scores indicate greater fatigue severity. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rachel Schiffman, PhD | University of Wisconsin, Milwaukee | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Froedtert Hospital | Milwaukee | Wisconsin | 53226 | United States | ||
| Children's Hospital of Wisconsin |
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Of 471 screened participants, 67 met inclusion criteria and were invited to participate in the study. 47 agreed to participate. 25 were randomized to the Step-Up intervention group, and 22 were randomized to the attention control group.
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| ID | Title | Description |
|---|---|---|
| FG000 | Step-up Intervention Group | Participants assigned to the intervention group will receive a 12-week physical activity intervention which includes components of education, negotiated collaboration to set individual physical activity goals during chemotherapy cycles, and tools for self-monitoring of physical activity. Step-Up Intervention: Intervention group participants will meet with a study facilitator during 5 regularly scheduled visits for chemotherapy. The facilitator will provide education about the benefits of physical activity and strategies to overcome barriers to physical activity, help the participants to set physical activity goals based on ability and preferences, and educate the participant on using a physical activity tracker. |
| FG001 | Attention Control Group | Participants assigned to the attention control group will receive usual guidance about maintaining physical activity during chemotherapy from their oncology providers. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Step-Up Intervention Group | Participants assigned to the Step-Up intervention group will receive a 12-week physical activity intervention which includes components of education, negotiated collaboration to set individual physical activity goals during chemotherapy cycles, and tools for self-monitoring of physical activity. Step-Up Intervention: Intervention group participants will meet with a study facilitator during 5 regularly scheduled visits for chemotherapy. The facilitator will provide education about the benefits of physical activity and strategies to overcome barriers to physical activity, help the participants to set physical activity goals based on ability and preferences, and educate the participant on using a physical activity tracker. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Self-efficacy for Physical Activity | Physical Activity Assessment Inventory (Haas & Northam, 2010) The scale measures confidence to be physically active under various conditions. Scores range from 0=cannot do at all to 100=certain can do. | Posted | Mean | Standard Deviation | score on a scale | Completion of post-study measures (average 15 weeks) |
|
Data related to adverse events were collected over the duration of the time each participant was on study. Participants were considered on study from the date of enrollment through the completion of completion of post-study data collection. The average time for each participant to be on study was 15 weeks, but ranged from 10-23 weeks due to variations in the timing of their chemotherapy as well as completion of post-study measures.
Adverse events were defined as serious or not serious.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Step-up Intervention Group | Participants assigned to the Step-up intervention group will receive a 12-week physical activity intervention which includes components of education, negotiated collaboration to set individual physical activity goals during chemotherapy cycles, and tools for self-monitoring of physical activity. Step-Up Intervention: Intervention group participants will meet with a study facilitator during 5 regularly scheduled visits for chemotherapy. The facilitator will provide education about the benefits of physical activity and strategies to overcome barriers to physical activity, help the participants to set physical activity goals based on ability and preferences, and educate the participant on using a physical activity tracker. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jeanne M. Erickson, PhD, RN | University of Wisconsin-Milwaukee | 414-229-6920 | ericksoj@uwm.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Aug 16, 2017 | Sep 30, 2020 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Completion of end-of-study measures (average 15 weeks) |
| Milwaukee |
| Wisconsin |
| 53233 |
| United States |
| BG001 | Attention Control Group | Participants assigned to the attention control group will receive usual guidance about maintaining physical activity during chemotherapy from their oncology providers. |
| BG002 | Total | Total of all reporting groups |
| years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Fatigue | PROMIS Fatigue Short form. Participants self-report their fatigue over the past 7 days using the 8-item PROMIS Fatigue Short Form. The response scale is a 5-point Likert scale (1-never to 5-always). Raw scores can range from 8-40. Raw scores are converted to standardized T-scores, with higher scores indicating greater fatigue severity. T-Scores range from 33.1 - 77.8. A T-score of 50 represents the average fatigue severity of a national sample of the general US population. A score over 50 represents a person with more than average fatigue while a score under 50 is less than average fatigue. | Mean | Standard Deviation | units on a scale |
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| Light Intensity Physical Activity | As measured with a waist-worn accelerometer. The accelerometer counts the number of times a person moves forward in a certain time period (counts per minute). Accelerometer data was analyzed using the ActiLife software (v13.3). Freedson adult cutpoints in counts per minute (cpm) were applied to assess time spent in sedentary (0-99 cpm), light (100-2019 cpm), moderate (2020-5998 cpm), and vigorous (>5999 cpm) physical activity. The intensity of physical activity corresponds to the energy expended by that individual. Light intensity physical activity requires the least amount of effort. | Mean | Standard Deviation | minutes/day |
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| Moderate intensity physical activity | As measured by waist-worn accelerometer. The accelerometer counts the number of times a person moves forward in a time points. Accelerometer data was analyzed using the ActiLife software. Freedson adult cutpoints in counts per minute (cpm) were applied to assess time spent in sedentary (0-99 cpm), light (100-2019 cpm), moderate (2020-5998 cpm), and vigorous (>5999 cpm) physical activity. The intensity of physical activity corresponds to the energy expended by that individual. Moderate intensity physical activity requires medium effort, such as walking fast. | Mean | Standard Deviation | minutes/day |
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| Steps/day | As measured by a waist-worn accelerometer. Steps per day were calculated using algorithms that were based on records of accelerations (forward movements) that occur during ambulation (walking). Around 10,000 steps/day is a reasonable number of steps recommended as activity for healthy adults. | Mean | Standard Deviation | steps/day |
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| Self-efficacy for Physical Activity | As measured by the Physical Activity Assessment Inventory (PAAI).The PAAI is a 13-item scale and was developed to measure confidence to be physically active under various conditions. Responses are measured on a 100-point scale, ranging from 0 ("cannot do at all") to 100 ("certain can do"). An average score is calculated, and a higher score indicates greater self-efficacy. Higher scores that mean more confidence in the ability to be physically active in various conditions would be a positive outcome. | Mean | Standard Deviation | units on a scale |
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| Self-regulation for Physical Activity | As measured by the Index of Self-Regulation (ISR).The ISR is a 9-item scale that measures levels of self-regulation, which includes ability to process information, monitor performance, and take action in relation to goals. Responses are measured on a 6-point Likert scale (1=strongly disagree to 6=strongly agree), and scores can range from 9-54. An average score is calculated, and a higher score indicates a higher level of self-regulation. Higher scores indicating a higher level of self-regulation is a positive outcome. | Mean | Standard Deviation | units on a scale |
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| OG001 | Attention Control Group | Participants assigned to the attention control group will receive usual guidance about maintaining physical activity during chemotherapy from their oncology providers. |
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| Primary | Self-regulation of Physical Activity | Index of Self-Regulation (Yeom et al., 2011) The scale measures self-regulation skills, including processing information, monitoring performance, and taking action to meet goals. Scores range from 1 to 6, with higher scores indicating agreement that the individual has these skills. | Posted | Mean | Standard Deviation | score on a scale | Completion of post-study measures (average 15 weeks) |
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| Secondary | Steps Per Day | Measured by accelerometer | Posted | Mean | Standard Deviation | steps per day | Completion of post-study measures (average 15 weeks) |
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| Secondary | Fatigue Severity | Measured with PROMIS - Fatigue Short Form Fatigue severity is measured over the past 7 days from 1=never to 5=always. The raw scores are converted to T-scores, where 50=average fatigue in the general population. Higher scores indicate greater fatigue severity. | Posted | Mean | Standard Deviation | score on a scale | Completion of end-of-study measures (average 15 weeks) |
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| 0 |
| 25 |
| 0 |
| 25 |
| 0 |
| 25 |
| EG001 | Attention Control Group | Participants assigned to the attention control group will receive usual guidance about maintaining physical activity during chemotherapy from their oncology providers. | 0 | 22 | 0 | 22 | 0 | 22 |
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