(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 11 Medical and Health Sciences 1117 Public Health and Health Services

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

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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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.

Original languageEnglish
Article number1073
JournalBMC cancer
Volume18
Issue number1
DOIs
Publication statusPublished - 6 Nov 2018

Keywords

  • Breast cancer survivors
  • Internet-based intervention
  • Physical activity
  • Prostate cancer survivors
  • RCT

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