(Cost-)effectiveness of an internet-based physical activity support program (with and without physiotherapy counselling) on physical activity levels of breast and prostate cancer survivors: design of the PABLO trial

Abstract Background Higher levels of physical activity (PA) after treatment are associated with beneficial effects on physical and psychosocial functioning of cancer survivors. However, survivors often do not meet the recommended levels of PA. In order to promote PA, we developed a closed internet-b...

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Main Authors: H. J. van de Wiel, M. M. Stuiver, A. M. May, S. van Grinsven, N. K. Aaronson, V. P. Retèl, H. S. A. Oldenburg, H. G. van der Poel, S. Horenblas, W. H. van Harten, W. G. Groen
Format: Article
Language:English
Published: BMC 2018-11-01
Series:BMC Cancer
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12885-018-4927-z
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author H. J. van de Wiel
M. M. Stuiver
A. M. May
S. van Grinsven
N. K. Aaronson
V. P. Retèl
H. S. A. Oldenburg
H. G. van der Poel
S. Horenblas
W. H. van Harten
W. G. Groen
author_facet H. J. van de Wiel
M. M. Stuiver
A. M. May
S. van Grinsven
N. K. Aaronson
V. P. Retèl
H. S. A. Oldenburg
H. G. van der Poel
S. Horenblas
W. H. van Harten
W. G. Groen
author_sort H. J. van de Wiel
collection DOAJ
description Abstract Background Higher levels of physical activity (PA) after treatment are associated with beneficial effects on physical and psychosocial functioning of cancer survivors. However, survivors often do not meet the recommended levels of PA. In order to promote PA, we developed a closed internet-based program. The aim of the study is to evaluate the (cost-)effectiveness of an internet-based PA-promotion program, alone or combined with physiotherapy counselling, compared to usual care, on PA-levels of breast or prostate cancer survivors. In this multicenter randomised controlled trial (RCT), breast or prostate cancer survivors who completed their primary treatment 3–12 months earlier, will be randomised to either 6-months access to a fully-automated internet-based intervention alone, an internet-based intervention plus remote support by a physiotherapist, or a control group. The intervention is based on the Transtheoretical Model and includes personalized feedback, information, video’s and assignments. Additionally, in a second arm, physiotherapy counselling is provided through monthly scheduled and on-demand telephone calls. The control group will receive usual care and a leaflet with PA guidelines. Methods At baseline, 6 and 12 months, the primary outcome (PA) will be measured during 7 consecutive days by accelerometers. Secondary outcomes are self-reported PA, fatigue, mood, health-related quality of life, and costs. The group differences for primary and secondary outcomes will be analyzed using linear mixed models. Discussion If proven to be (cost)effective, this internet-based intervention, either alone or in combination with telephone support, will be a welcome addition to previous RCT’s. Trial registration Netherlands trial register (NTR6911), Date of trial registration: December 21, 2017.
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spelling doaj.art-e0ea453a865d4520812863bdc6349cc12022-12-22T02:01:34ZengBMCBMC Cancer1471-24072018-11-0118111310.1186/s12885-018-4927-z(Cost-)effectiveness of an internet-based physical activity support program (with and without physiotherapy counselling) on physical activity levels of breast and prostate cancer survivors: design of the PABLO trialH. J. van de Wiel0M. M. Stuiver1A. M. May2S. van Grinsven3N. K. Aaronson4V. P. Retèl5H. S. A. Oldenburg6H. G. van der Poel7S. Horenblas8W. H. van Harten9W. G. Groen10Division of Psychosocial Research and Epidemiology, The Netherlands Cancer InstituteCenter for Quality of Life, The Netherlands Cancer InstituteJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht of UniversityRijnstate HospitalDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer InstituteDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer InstituteDivision of Surgical Oncology, The Netherlands Cancer InstituteDepartment of Urology, The Netherlands Cancer InstituteDivision of Surgical Oncology, The Netherlands Cancer InstituteDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer InstituteDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer InstituteAbstract Background Higher levels of physical activity (PA) after treatment are associated with beneficial effects on physical and psychosocial functioning of cancer survivors. However, survivors often do not meet the recommended levels of PA. In order to promote PA, we developed a closed internet-based program. The aim of the study is to evaluate the (cost-)effectiveness of an internet-based PA-promotion program, alone or combined with physiotherapy counselling, compared to usual care, on PA-levels of breast or prostate cancer survivors. In this multicenter randomised controlled trial (RCT), breast or prostate cancer survivors who completed their primary treatment 3–12 months earlier, will be randomised to either 6-months access to a fully-automated internet-based intervention alone, an internet-based intervention plus remote support by a physiotherapist, or a control group. The intervention is based on the Transtheoretical Model and includes personalized feedback, information, video’s and assignments. Additionally, in a second arm, physiotherapy counselling is provided through monthly scheduled and on-demand telephone calls. The control group will receive usual care and a leaflet with PA guidelines. Methods At baseline, 6 and 12 months, the primary outcome (PA) will be measured during 7 consecutive days by accelerometers. Secondary outcomes are self-reported PA, fatigue, mood, health-related quality of life, and costs. The group differences for primary and secondary outcomes will be analyzed using linear mixed models. Discussion If proven to be (cost)effective, this internet-based intervention, either alone or in combination with telephone support, will be a welcome addition to previous RCT’s. Trial registration Netherlands trial register (NTR6911), Date of trial registration: December 21, 2017.http://link.springer.com/article/10.1186/s12885-018-4927-zPhysical activityInternet-based interventionBreast cancer survivorsProstate cancer survivorsRCT
spellingShingle H. J. van de Wiel
M. M. Stuiver
A. M. May
S. van Grinsven
N. K. Aaronson
V. P. Retèl
H. S. A. Oldenburg
H. G. van der Poel
S. Horenblas
W. H. van Harten
W. G. Groen
(Cost-)effectiveness of an internet-based physical activity support program (with and without physiotherapy counselling) on physical activity levels of breast and prostate cancer survivors: design of the PABLO trial
BMC Cancer
Physical activity
Internet-based intervention
Breast cancer survivors
Prostate cancer survivors
RCT
title (Cost-)effectiveness of an internet-based physical activity support program (with and without physiotherapy counselling) on physical activity levels of breast and prostate cancer survivors: design of the PABLO trial
title_full (Cost-)effectiveness of an internet-based physical activity support program (with and without physiotherapy counselling) on physical activity levels of breast and prostate cancer survivors: design of the PABLO trial
title_fullStr (Cost-)effectiveness of an internet-based physical activity support program (with and without physiotherapy counselling) on physical activity levels of breast and prostate cancer survivors: design of the PABLO trial
title_full_unstemmed (Cost-)effectiveness of an internet-based physical activity support program (with and without physiotherapy counselling) on physical activity levels of breast and prostate cancer survivors: design of the PABLO trial
title_short (Cost-)effectiveness of an internet-based physical activity support program (with and without physiotherapy counselling) on physical activity levels of breast and prostate cancer survivors: design of the PABLO trial
title_sort cost effectiveness of an internet based physical activity support program with and without physiotherapy counselling on physical activity levels of breast and prostate cancer survivors design of the pablo trial
topic Physical activity
Internet-based intervention
Breast cancer survivors
Prostate cancer survivors
RCT
url http://link.springer.com/article/10.1186/s12885-018-4927-z
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