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The goal of this preference-based pilot study will be to assess the feasibility and acceptability, and impact of a 12-week exercise intervention on oncology care provider burnout. Participants self-select to participate into one of two exercise groups. Group assignment will be based on participant preference.
Group 1: Supervised circuit-based resistance exercise
Group 2: Nature-based walking
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Circuit-based resistance exercise | Experimental | 12-week, supervised circuit-based resistance training program (2-3 times/week). |
|
| Nature Walking | Active Comparator | 12-weeks self-paced walking in nature (2-3 times/week). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Circuit-based Resistance Training | Behavioral | Participants will engage in a 12-week circuit-based resistance training program 2-3 times/week. Each supervised session will last about 30 minutes and will consist of 5 resistance exercises. Each exercise will be completed for 1 minute for a total of 5 minutes followed by a 1-minute rest. The circuit will then repeated 3 additional times (total of 4 circuits). All resistance sessions will be supervised by a certified fitness professionals. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility - Participant Fidelity (Intervention Adherence) | Participant adherence to prescribed exercise intervention | Through study completion (about 2 years) |
| Feasibility - Safety | Adverse and serious adverse events | Through study completion (about 2 years) |
| Feasibility - Retention/Attrition | Percentage of participants who complete the 12-week intervention | Through study completion (about 2 years) |
| Feasibility - Attendance | Attendance is calculated as the percentage of exercise sessions completed by the total number of available exercise sessions over the 12-week intervention. | Through study completion (about 2 years) |
| Feasibility - Recruitment | Participant accrual as defined as the number of eligible participants who express an interest in participation divided by the number of participants who consent to participate. | Through study completion (about 2 years) |
| Feasibility - Participant Experience | Interviews with a diverse group of participants will be used to assess factors influencing participant selection of intervention type/setting, adherence to and satisfaction with the selected intervention. | Through study completion (about 2 years) |
| Measure | Description | Time Frame |
|---|---|---|
| Maslach Burnout Inventory (MBI) for Medical Personnel (MP) | The MBI-MP is used to assess burnout in medical professionals. The 22-item, 7-point Likert scale (0 = never to 6 = everyday) assesses burnout across three dimensions: emotional exhaustion (9 items), personal accomplishment (8 items), and depersonalization (5-items). | Baseline, mid-program (6-weeks), and post intervention (12-weeks). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Melanie Keats, PhD | Contact | 902-494-7173 | melanie.keats@dal.ca |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Physical Activity and Cancer (PAC) Lab | Recruiting | Halifax | Nova Scotia | B3H 2Y9 | Canada |
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| ID | Term |
|---|---|
| D000084802 | Caregiver Burden |
| D000068376 | Compassion Fatigue |
| D000077062 | Burnout, Psychological |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D005222 | Mental Fatigue |
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| Nature-based Walking | Behavioral | Participants will be asked to engage in 30 minutes of self-paced walking in nature 2-3 days/week. Participants will be provided with a list of resources that direct them to walkable nature/green spaces close to their home or workplace. |
|
| Physical Activity Behavior - Self-reported | Self-reported physical activity is assessed by the Godin Leisure Time Exercise Questionnaire. Higher scores indicate higher levels of physical activity. Participants reporting moderate-to-strenuous Leisure Score Index ≥ 24 are classified as active; those reporting moderate-to-strenuous Leisure Score Index ≤ 23 are classified as insufficiently active. | Baseline, mid-program (6-weeks), and post intervention (12-weeks). |
| Resting heart rate | Resting heart rate | Pre to post intervention (12-week change) |
| Resting Blood Pressure | Resting systolic and diastolic blood pressure | Pre to post intervention (12-week change) |
| Aerobic fitness | The six-minute walk test is used to assess aerobic capacity. | Pre to post intervention (12-week change) |
| Upper Body Strength | A hand-held dynamometer is used to assess upper body strength. | Pre to post intervention (12-week change) |
| Muscular Endurance | The 30-second sit-to-stand is used to assess lower body muscular endurance. | Pre to post intervention (12-week change) |
| Body Mass Index | Height and weight is used to assess body mass index | Pre to post intervention (12-week change) |
| Physical Activity and Cancer (PAC) Lab | Recruiting | Halifax | Nova Scotia | B3H 4R2 | Canada |
|
| D005221 |
| Fatigue |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000073397 | Occupational Stress |