Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive

Abstract Background Cancer and cancer treatment coincide with substantial negative physical, psychological and psychosocial problems. Physical activity (PA) can positively affect the negative effects of cancer and cancer treatment and thereby increase quality of life in CPS. Nevertheless, only a min...

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Main Authors: R. H. J. Golsteijn, C. Bolman, E. Volders, D. A. Peels, H. de Vries, L. Lechner
Format: Article
Language:English
Published: BMC 2017-06-01
Series:BMC Cancer
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12885-017-3397-z
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author R. H. J. Golsteijn
C. Bolman
E. Volders
D. A. Peels
H. de Vries
L. Lechner
author_facet R. H. J. Golsteijn
C. Bolman
E. Volders
D. A. Peels
H. de Vries
L. Lechner
author_sort R. H. J. Golsteijn
collection DOAJ
description Abstract Background Cancer and cancer treatment coincide with substantial negative physical, psychological and psychosocial problems. Physical activity (PA) can positively affect the negative effects of cancer and cancer treatment and thereby increase quality of life in CPS. Nevertheless, only a minority of CPS meet PA guidelines. We developed the OncoActive (OncoActief in Dutch) intervention: a computer-tailored PA program to stimulate PA in prostate and colorectal CPS, because to our knowledge there are only a few PA interventions for these specific cancer types in the Netherlands Methods The OncoActive intervention was developed through systematic adaptation of a proven effective, evidence-based, computer-tailored PA intervention for adults over fifty, called Active Plus. The Intervention Mapping (IM) protocol was used to guide the systematic adaptation. A literature study and interviews with prostate and colorectal CPS and health care professionals revealed that both general and cancer-specific PA determinants are important and should be addressed. Change objectives, theoretical methods and applications and the actual program content were adapted to address the specific needs, beliefs and cancer-related issues of prostate and colorectal CPS. Intervention participants received tailored PA advice three times, on internet and with printed materials, and a pedometer to set goals to improve PA. Pre- and pilot tests showed that the intervention was highly appreciated (target group) and regarded safe and feasible (healthcare professionals). The effectiveness of the intervention is being evaluated in a randomized controlled trial (RCT) (n = 428), consisting of an intervention group and a usual care waiting-list control group, with follow-up measurements at three, six and twelve months. Participants are recruited from seventeen hospitals and with posters, flyers and calls in several media. Discussion Using the Intervention Mapping protocol resulted in a systematically adapted, theory and evidence-based intervention providing tailored PA advice to prostate and colorectal CPS. If the intervention turns out to be effective in increasing PA, as evaluated in a RCT, possibilities for nationwide implementation and extension to other cancer types will be explored. Trial registration The study is registered in the Dutch Trial Register (NTR4296) on November 23rd 2013 and can be accessed at http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4296 .
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spelling doaj.art-ef061f67523f4622a11e80e5cb731c142022-12-21T19:48:17ZengBMCBMC Cancer1471-24072017-06-0117111910.1186/s12885-017-3397-zDevelopment of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActiveR. H. J. Golsteijn0C. Bolman1E. Volders2D. A. Peels3H. de Vries4L. Lechner5Department of Psychology and Educational Sciences, Open University of the NetherlandsDepartment of Psychology and Educational Sciences, Open University of the NetherlandsDepartment of Psychology and Educational Sciences, Open University of the NetherlandsDepartment of Psychology and Educational Sciences, Open University of the NetherlandsDepartment of Health Promotion, Maastricht UniversityDepartment of Psychology and Educational Sciences, Open University of the NetherlandsAbstract Background Cancer and cancer treatment coincide with substantial negative physical, psychological and psychosocial problems. Physical activity (PA) can positively affect the negative effects of cancer and cancer treatment and thereby increase quality of life in CPS. Nevertheless, only a minority of CPS meet PA guidelines. We developed the OncoActive (OncoActief in Dutch) intervention: a computer-tailored PA program to stimulate PA in prostate and colorectal CPS, because to our knowledge there are only a few PA interventions for these specific cancer types in the Netherlands Methods The OncoActive intervention was developed through systematic adaptation of a proven effective, evidence-based, computer-tailored PA intervention for adults over fifty, called Active Plus. The Intervention Mapping (IM) protocol was used to guide the systematic adaptation. A literature study and interviews with prostate and colorectal CPS and health care professionals revealed that both general and cancer-specific PA determinants are important and should be addressed. Change objectives, theoretical methods and applications and the actual program content were adapted to address the specific needs, beliefs and cancer-related issues of prostate and colorectal CPS. Intervention participants received tailored PA advice three times, on internet and with printed materials, and a pedometer to set goals to improve PA. Pre- and pilot tests showed that the intervention was highly appreciated (target group) and regarded safe and feasible (healthcare professionals). The effectiveness of the intervention is being evaluated in a randomized controlled trial (RCT) (n = 428), consisting of an intervention group and a usual care waiting-list control group, with follow-up measurements at three, six and twelve months. Participants are recruited from seventeen hospitals and with posters, flyers and calls in several media. Discussion Using the Intervention Mapping protocol resulted in a systematically adapted, theory and evidence-based intervention providing tailored PA advice to prostate and colorectal CPS. If the intervention turns out to be effective in increasing PA, as evaluated in a RCT, possibilities for nationwide implementation and extension to other cancer types will be explored. Trial registration The study is registered in the Dutch Trial Register (NTR4296) on November 23rd 2013 and can be accessed at http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4296 .http://link.springer.com/article/10.1186/s12885-017-3397-zProstate cancerColorectal cancerPhysical activityeHealthComputer tailoringIntervention mapping
spellingShingle R. H. J. Golsteijn
C. Bolman
E. Volders
D. A. Peels
H. de Vries
L. Lechner
Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive
BMC Cancer
Prostate cancer
Colorectal cancer
Physical activity
eHealth
Computer tailoring
Intervention mapping
title Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive
title_full Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive
title_fullStr Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive
title_full_unstemmed Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive
title_short Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive
title_sort development of a computer tailored physical activity intervention for prostate and colorectal cancer patients and survivors oncoactive
topic Prostate cancer
Colorectal cancer
Physical activity
eHealth
Computer tailoring
Intervention mapping
url http://link.springer.com/article/10.1186/s12885-017-3397-z
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