A pilot feasibility randomized controlled trial adding behavioral counseling to supervised physical activity in prostate
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A pilot feasibility randomized controlled trial adding behavioral counseling to supervised physical activity in prostate cancer survivors: behavior change in prostate cancer survivors trial (BOOST) Linda Trinh1 · Arthur F. Kramer2,5 · Kendrith Rowland3 · Dominick A. Strom4 · Jaime N. Wong4 · Edward McAuley4,5 Received: 25 February 2020 / Accepted: 16 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract The purpose of this study was to evaluate the feasibility of delivering a supervised physical activity program plus standard exercise counseling (PA + EC) versus a supervised physical activity plus motivationally-enhanced behavioral counseling (PA + BC) in prostate cancer survivors. Secondary outcomes included objectively assessed PA, quality of life, body composition, cardiorespiratory fitness, cognitive functioning, and physical function. Twenty-six prostate cancer survivors were randomized to a 12-week supervised PA program plus standard exercise counseling or a 12-week supervised PA plus behavioral counseling based on the Multi-Process Action Control framework. Feasibility was determined through enrolment rate, measurement completion rate, loss-to-follow-up, adherence to the intervention, adverse events, and program evaluation items assessing Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10865-020-00185-8) contains supplementary material, which is available to authorized users. * Linda Trinh [email protected] 1
Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord Street, Toronto, ON M5S 2W6, Canada
2
Department of Psychology, Northeastern University, 619 ISEC (Interdisciplinary Science and Engineering Complex), Boston, MA 02115, USA
3
Carle Foundation Hospital, 611 W Park St, Urbana, IL 61801, USA
4
Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, 906 South Goodwin Ave, Urbana, IL 61801, USA
5
Beckman Institute, University of Illinois, 405 N. Mathews Ave, Urbana, IL 61801, USA
burden and satisfaction. Of the 26 prostate cancer survivors enrolled (Mage = 65.6 ± 6.8), 96% completed the intervention. Measurement completion rates for the study measures were 88.5%. Adherence to the supervised PA sessions was 92% (completed 11/12 supervised PA sessions) and 100% (completed 12/12 supervised PA sessions) in the PA + EC and PA + BC group, respectively. Adherence to the homebased PA sessions was 70% (completed 7/10 home-based sessions) and 90% (completed 9/10 home-based sessions) in the PA + EC and PA + BC group, respectively. Overall, prostate cancer survivors were highly satisfied with the intervention components and found it rewarding, useful for research helping others, and useful for them personally. The patterns in the secondary outcomes were consistent with a positive impact of the intervention, favoring the PA + BC group. Preliminary evidence suggests that adding behavioral counseling to supervised PA in prostate cancer
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