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. 2023 May 12;9(1):82.
doi: 10.1186/s40814-023-01316-z.

The online delivery of exercise oncology classes supported with health coaching: a parallel pilot randomized controlled trial

Maximilian Eisele  1 , Andrew J Pohl  2 , Meghan H McDonough  2 , Margaret L McNeely  3 , Manuel Ester  2 , Julia T Daun  2 , Rosie Twomey  2   4 , S Nicole Culos-Reed  2   5   6
Affiliations

The online delivery of exercise oncology classes supported with health coaching: a parallel pilot randomized controlled trial

Maximilian Eisele et al. Pilot Feasibility Stud. .

Abstract

Purpose: The primary objective was to investigate the feasibility of a synchronous, online-delivered, group-based, supervised, exercise oncology maintenance program supported with health coaching.

Methods: Participants had previously completed a 12-week group-based exercise program. All participants received synchronous online delivered exercise maintenance classes, and half were block randomized to receive additional weekly health coaching calls. A class attendance rate of ≥ 70%, a health coaching completion rate of ≥ 80%, and an assessment completion rate of ≥ 70% were set as markers of feasibility. Additionally, recruitment rate, safety, and fidelity of the classes and health coaching calls were reported. Post-intervention interviews were performed to further understand the quantitative feasibility data. Two waves were conducted - as a result of initial COVID-19 delays, the first wave was 8 weeks long, and the second wave was 12 weeks long, as intended.

Results: Forty participants (n8WK = 25; n12WK = 15) enrolled in the study with 19 randomized to the health coaching group and 21 to the exercise only group. The recruitment rate (42.6%), attrition (2.5%), safety (no adverse events), and feasibility were confirmed for health coaching attendance (97%), health coaching fidelity (96.7%), class attendance (91.2%), class fidelity (92.6%), and assessment completion (questionnaire = 98.8%; physical functioning = 97.5%; Garmin wear-time = 83.4%). Interviews highlighted that convenience contributed to participant attendance, while the diminished ability to connect with other participants was voiced as a drawback compared to in-person delivery.

Conclusion: The synchronous online delivery and assessment of an exercise oncology maintenance class with health coaching support was feasible for individuals living with and beyond cancer. Providing feasible, safe, and effective exercise online to individuals living with cancer may support increased accessibility. For example, online may provide an accessible alternative for those living in rural/remote locations as well as for those who may be immunocompromised and cannot attend in-person classes. Health coaching may additionally support individuals' behavior change to a healthier lifestyle.

Trial registration: The trial was retrospectively registered (NCT04751305) due to the rapidly evolving COVID-19 situation that precipitated the rapid switch to online programming.

Keywords: Cancer survivors; Exercise; Health coaching; Maintenance; Online delivery; Physical activity; mHealth.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Timeline of the 8- and 12-week intervention. Notes: Intervention in the current study began with the maintenance exercise program, with or without the randomized inclusion of health coaching. Two cohorts of varying durations (due to pandemic restrictions) occurred, with 8-week and 12-week interventions
Fig. 2
Fig. 2
Flow of participant recruitment, randomization, and attrition
See this image and copyright information in PMC

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References

    1. Hall G, Laddu DR, Phillips SA, Lavie CJ, Arena R. A tale of two pandemics: How will COVID-19 and global trends in physical inactivity and sedentary behavior affect one another? Progress in cardiovascular diseases. 2020;64:108-10. - PMC - PubMed
    1. Macmillan Cancer Support. The importance of physical activity for people living with and beyond cancer: a concise evidence review. 2011.
    1. Ferrer RA, Acevedo AM, Agurs-Collins TD. COVID-19 and social distancing efforts—implications for cancer control. JAMA Oncol. 2021;7(4):503–504. doi: 10.1001/jamaoncol.2020.6786. - DOI - PubMed
    1. Al-Shamsi HO, Alhazzani W, Alhuraiji A, Coomes EA, Chemaly RF, Almuhanna M, et al. A practical approach to the management of cancer patients during the novel coronavirus disease 2019 (COVID-19) pandemic: an international collaborative group. Oncologist. 2020;25(6):e936. doi: 10.1634/theoncologist.2020-0213. - DOI - PMC - PubMed
    1. Meneses-Echavez JF, Gonzalez-Jimenez E, Ramirez-Velez R. Supervised exercise reduces cancer-related fatigue: a systematic review. J Physiother. 2015;61(1):3–9. doi: 10.1016/j.jphys.2014.08.019. - DOI - PubMed

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