Chad W. Wagoner , Julianna Dreger , Melanie R. Keats , Margaret L. McNeely , Colleen Cuthbert , Lauren C. Capozzi , George J. Francis , Linda Trinh , Kristin Campbell , Daniel Sibley , Jodi Langley , S. Nicole Culos-Reed
{"title":"为癌症患者和癌症晚期患者提供运动和行为改变支持：EXCEL 研究的中期结果和项目满意度","authors":"Chad W. Wagoner , Julianna Dreger , Melanie R. Keats , Margaret L. McNeely , Colleen Cuthbert , Lauren C. Capozzi , George J. Francis , Linda Trinh , Kristin Campbell , Daniel Sibley , Jodi Langley , S. Nicole Culos-Reed","doi":"10.1016/j.jsampl.2024.100055","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>Examine the impact of the EXercise for Cancer to Enhance Living Well's (EXCEL) 10–12-week exercise and behaviour change support intervention on secondary effectiveness outcomes, including patient-reported outcomes, physical function, and program satisfaction.</p></div><div><h3>Methods</h3><p>Individuals with cancer up to 3 years post treatment with any tumour type were eligible. Outcomes were measured at baseline and immediately following the 10–12-week intervention. Patient-reported outcomes included participant characteristics, overall well-being, cognition, fatigue, symptom severity, exercise barrier self-efficacy, and program satisfaction. Physical function included shoulder flexion, 30-s sit to stand, sit and reach, 2-min step test or 6-min walk test (in-person only), and single leg balance. Wilcoxon signed-rank tests were used to assess changes in patient-reported outcomes and physical function assessments from baseline to 12-weeks.</p></div><div><h3>Results</h3><p>A total of 804 participants enrolled in the study in the first 2.5-years, with 699 completing the intervention. Wilcoxon signed rank tests and Rosenthal coefficients (<em>r</em>) showed significant (<em>p</em> < 0.05) small improvements in well-being (<em>r</em> = 0.10), fatigue (<em>r</em> = 0.25), symptom severity (<em>r</em> = 0.17), and self-efficacy (<em>r</em> = 0.11). Significant (<em>p</em> < 0.01) moderate to large improvements were observed for the 30-s sit to stand <em>(r</em> = 0.54), sit and reach (left: <em>r</em> = 0.46; right: <em>r</em> = 0.41), 2-min step test (<em>r</em> = 0.66), 6-min walk test (<em>r</em> = 0.52), and single leg balance (left: <em>r</em> = 0.32; right: <em>r</em> = 0.34) assessments. Participants reported high satisfaction with program staff (average = 4.5/5) and that the program was beneficial and enjoyable (average = 4.6/5).</p></div><div><h3>Conclusion</h3><p>EXCEL's group-based exercise program with behaviour change support, delivered in an online supervised setting to individuals living with cancer, may improve patient-reported outcomes and physical function and is associated with high participant satisfaction.</p></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"3 ","pages":"Article 100055"},"PeriodicalIF":0.0000,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772696724000036/pdfft?md5=e4d6e94fa2d8b80b00af4cb959c0d824&pid=1-s2.0-S2772696724000036-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Exercise and behaviour change support for individuals living with and beyond cancer: Interim results and program satisfaction of the EXCEL study\",\"authors\":\"Chad W. Wagoner , Julianna Dreger , Melanie R. Keats , Margaret L. McNeely , Colleen Cuthbert , Lauren C. Capozzi , George J. Francis , Linda Trinh , Kristin Campbell , Daniel Sibley , Jodi Langley , S. Nicole Culos-Reed\",\"doi\":\"10.1016/j.jsampl.2024.100055\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>Examine the impact of the EXercise for Cancer to Enhance Living Well's (EXCEL) 10–12-week exercise and behaviour change support intervention on secondary effectiveness outcomes, including patient-reported outcomes, physical function, and program satisfaction.</p></div><div><h3>Methods</h3><p>Individuals with cancer up to 3 years post treatment with any tumour type were eligible. Outcomes were measured at baseline and immediately following the 10–12-week intervention. Patient-reported outcomes included participant characteristics, overall well-being, cognition, fatigue, symptom severity, exercise barrier self-efficacy, and program satisfaction. Physical function included shoulder flexion, 30-s sit to stand, sit and reach, 2-min step test or 6-min walk test (in-person only), and single leg balance. Wilcoxon signed-rank tests were used to assess changes in patient-reported outcomes and physical function assessments from baseline to 12-weeks.</p></div><div><h3>Results</h3><p>A total of 804 participants enrolled in the study in the first 2.5-years, with 699 completing the intervention. Wilcoxon signed rank tests and Rosenthal coefficients (<em>r</em>) showed significant (<em>p</em> < 0.05) small improvements in well-being (<em>r</em> = 0.10), fatigue (<em>r</em> = 0.25), symptom severity (<em>r</em> = 0.17), and self-efficacy (<em>r</em> = 0.11). Significant (<em>p</em> < 0.01) moderate to large improvements were observed for the 30-s sit to stand <em>(r</em> = 0.54), sit and reach (left: <em>r</em> = 0.46; right: <em>r</em> = 0.41), 2-min step test (<em>r</em> = 0.66), 6-min walk test (<em>r</em> = 0.52), and single leg balance (left: <em>r</em> = 0.32; right: <em>r</em> = 0.34) assessments. Participants reported high satisfaction with program staff (average = 4.5/5) and that the program was beneficial and enjoyable (average = 4.6/5).</p></div><div><h3>Conclusion</h3><p>EXCEL's group-based exercise program with behaviour change support, delivered in an online supervised setting to individuals living with cancer, may improve patient-reported outcomes and physical function and is associated with high participant satisfaction.</p></div>\",\"PeriodicalId\":74029,\"journal\":{\"name\":\"JSAMS plus\",\"volume\":\"3 \",\"pages\":\"Article 100055\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-02-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2772696724000036/pdfft?md5=e4d6e94fa2d8b80b00af4cb959c0d824&pid=1-s2.0-S2772696724000036-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JSAMS plus\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772696724000036\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JSAMS plus","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772696724000036","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Exercise and behaviour change support for individuals living with and beyond cancer: Interim results and program satisfaction of the EXCEL study
Purpose
Examine the impact of the EXercise for Cancer to Enhance Living Well's (EXCEL) 10–12-week exercise and behaviour change support intervention on secondary effectiveness outcomes, including patient-reported outcomes, physical function, and program satisfaction.
Methods
Individuals with cancer up to 3 years post treatment with any tumour type were eligible. Outcomes were measured at baseline and immediately following the 10–12-week intervention. Patient-reported outcomes included participant characteristics, overall well-being, cognition, fatigue, symptom severity, exercise barrier self-efficacy, and program satisfaction. Physical function included shoulder flexion, 30-s sit to stand, sit and reach, 2-min step test or 6-min walk test (in-person only), and single leg balance. Wilcoxon signed-rank tests were used to assess changes in patient-reported outcomes and physical function assessments from baseline to 12-weeks.
Results
A total of 804 participants enrolled in the study in the first 2.5-years, with 699 completing the intervention. Wilcoxon signed rank tests and Rosenthal coefficients (r) showed significant (p < 0.05) small improvements in well-being (r = 0.10), fatigue (r = 0.25), symptom severity (r = 0.17), and self-efficacy (r = 0.11). Significant (p < 0.01) moderate to large improvements were observed for the 30-s sit to stand (r = 0.54), sit and reach (left: r = 0.46; right: r = 0.41), 2-min step test (r = 0.66), 6-min walk test (r = 0.52), and single leg balance (left: r = 0.32; right: r = 0.34) assessments. Participants reported high satisfaction with program staff (average = 4.5/5) and that the program was beneficial and enjoyable (average = 4.6/5).
Conclusion
EXCEL's group-based exercise program with behaviour change support, delivered in an online supervised setting to individuals living with cancer, may improve patient-reported outcomes and physical function and is associated with high participant satisfaction.
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