Harm L Ormel, Elizabeth H van Zutphen, Gabriela G F van der Schoot, Jourik A Gietema, Annemiek M E Walenkamp
{"title":"智能手机应用程序自我监测体育活动结合物理治疗指导对癌症患者的影响：一项随机对照试验（SMART-COACH试验）","authors":"Harm L Ormel, Elizabeth H van Zutphen, Gabriela G F van der Schoot, Jourik A Gietema, Annemiek M E Walenkamp","doi":"10.1007/s11764-025-01862-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Regardless of the compelling evidence showing that facility-based exercise effectively improves cancer treatment outcome, exercise programs are confronted with low participation and adherence rates. This study aimed to investigate a low-threshold modality to improve self-reported leisure-time physical activity (LTPA).</p><p><strong>Methods: </strong>In this single-centre, prospective randomised controlled trial, patients living with or beyond cancer were randomised to use the smartphone application \"RunKeeper\" to self-monitor LTPA with remote physiotherapy coaching for 12 weeks or usual care. The primary endpoint was between-group difference in LTPA at 12 weeks. Secondary endpoints were LTPA measured at 6 and 26 weeks, adhering to the national physical activity guideline, quality of life, cancer-specific functioning and symptoms, self-efficacy, and exercise motivation.</p><p><strong>Results: </strong>In total, 63 patients with a median age of 46.0 range [34.0 to 57.0] were included. No significant between-group differences were found in LTPA. Significant between-group differences in favour of the group that self-monitored LTPA were found in emotional functioning (P = .044), insomnia (P = .029) (week 12) and self-efficacy (P = .040) (week 26).</p><p><strong>Conclusions: </strong>Self-monitoring LTPA with RunKeeper and remote physiotherapy coaching did not significantly improve LTPA compared to usual care. The intervention did positively affect self-efficacy, emotional functioning, and insomnia.</p><p><strong>Implications for cancer survivors: </strong>Further research is needed to study the effectiveness of self-monitoring LTPA with remote physiotherapy coaching in a more homogeneous sample of patients with cancer.</p><p><strong>Trial registration: </strong>(NCT03128333).</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":2.9000,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of self-monitoring physical activity with a smartphone application combined with physiotherapy coaching in patients with cancer: a randomised controlled trial (SMART-COACH trial).\",\"authors\":\"Harm L Ormel, Elizabeth H van Zutphen, Gabriela G F van der Schoot, Jourik A Gietema, Annemiek M E Walenkamp\",\"doi\":\"10.1007/s11764-025-01862-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Regardless of the compelling evidence showing that facility-based exercise effectively improves cancer treatment outcome, exercise programs are confronted with low participation and adherence rates. This study aimed to investigate a low-threshold modality to improve self-reported leisure-time physical activity (LTPA).</p><p><strong>Methods: </strong>In this single-centre, prospective randomised controlled trial, patients living with or beyond cancer were randomised to use the smartphone application \\\"RunKeeper\\\" to self-monitor LTPA with remote physiotherapy coaching for 12 weeks or usual care. The primary endpoint was between-group difference in LTPA at 12 weeks. Secondary endpoints were LTPA measured at 6 and 26 weeks, adhering to the national physical activity guideline, quality of life, cancer-specific functioning and symptoms, self-efficacy, and exercise motivation.</p><p><strong>Results: </strong>In total, 63 patients with a median age of 46.0 range [34.0 to 57.0] were included. No significant between-group differences were found in LTPA. Significant between-group differences in favour of the group that self-monitored LTPA were found in emotional functioning (P = .044), insomnia (P = .029) (week 12) and self-efficacy (P = .040) (week 26).</p><p><strong>Conclusions: </strong>Self-monitoring LTPA with RunKeeper and remote physiotherapy coaching did not significantly improve LTPA compared to usual care. The intervention did positively affect self-efficacy, emotional functioning, and insomnia.</p><p><strong>Implications for cancer survivors: </strong>Further research is needed to study the effectiveness of self-monitoring LTPA with remote physiotherapy coaching in a more homogeneous sample of patients with cancer.</p><p><strong>Trial registration: </strong>(NCT03128333).</p>\",\"PeriodicalId\":15284,\"journal\":{\"name\":\"Journal of Cancer Survivorship\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2025-07-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Cancer Survivorship\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11764-025-01862-w\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cancer Survivorship","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11764-025-01862-w","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
Effects of self-monitoring physical activity with a smartphone application combined with physiotherapy coaching in patients with cancer: a randomised controlled trial (SMART-COACH trial).
Purpose: Regardless of the compelling evidence showing that facility-based exercise effectively improves cancer treatment outcome, exercise programs are confronted with low participation and adherence rates. This study aimed to investigate a low-threshold modality to improve self-reported leisure-time physical activity (LTPA).
Methods: In this single-centre, prospective randomised controlled trial, patients living with or beyond cancer were randomised to use the smartphone application "RunKeeper" to self-monitor LTPA with remote physiotherapy coaching for 12 weeks or usual care. The primary endpoint was between-group difference in LTPA at 12 weeks. Secondary endpoints were LTPA measured at 6 and 26 weeks, adhering to the national physical activity guideline, quality of life, cancer-specific functioning and symptoms, self-efficacy, and exercise motivation.
Results: In total, 63 patients with a median age of 46.0 range [34.0 to 57.0] were included. No significant between-group differences were found in LTPA. Significant between-group differences in favour of the group that self-monitored LTPA were found in emotional functioning (P = .044), insomnia (P = .029) (week 12) and self-efficacy (P = .040) (week 26).
Conclusions: Self-monitoring LTPA with RunKeeper and remote physiotherapy coaching did not significantly improve LTPA compared to usual care. The intervention did positively affect self-efficacy, emotional functioning, and insomnia.
Implications for cancer survivors: Further research is needed to study the effectiveness of self-monitoring LTPA with remote physiotherapy coaching in a more homogeneous sample of patients with cancer.
期刊介绍：
Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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