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CanWalk: a feasibility study with embedded randomised controlled trial pilot of a walking intervention for people with recurrent or metastatic cancer

Creator:

BMJ Open

Set: Chronic Conditions
Conditions
Cancer
Type: Article
Region: Republic of Ireland
Northern Ireland
Description:

Objectives Walking is an adaptable, inexpensive and accessible form of physical activity. However, its impact on quality of life (QoL) and symptom severity in people with advanced cancer is unknown. This study aimed to assess the feasibility and acceptability of a randomised controlled trial (RCT) of a community-based walking intervention to enhance QoL in people with recurrent/metastatic cancer.

Design We used a mixed-methods design comprising a 2-centre RCT and nested qualitative interviews.

Participants Patients with advanced breast, prostate, gynaecological or haematological cancers randomised 1:1 between intervention and usual care.

Intervention The intervention comprised Macmillan's â?~Move Moreâ?T information, a short motivational interview with a recommendation to walk for at least 30â?.min on alternate days and attend a volunteer-led group walk weekly.

Outcomes We assessed feasibility and acceptability of the intervention and RCT by evaluating study processes (rates of recruitment, consent, retention, adherence and adverse events), and using end-of-study questionnaires and qualitative interviews. Patient-reported outcome measures (PROMs) assessing QoL, activity, fatigue, mood and self-efficacy were completed at baseline and 6, 12 and 24â?.weeks.

Results We recruited 42 (38%) eligible participants. Recruitment was lower than anticipated (goal n=60), the most commonly reported reason being unable to commit to walking groups (n=19). Randomisation procedures worked well with groups evenly matched for age, sex and activity. By week 24, there was a 45% attrition rate. Most PROMs while acceptable were not sensitive to change and did not capture key benefits.

Conclusions The intervention was acceptable, well tolerated and the study design was judged acceptable and feasible. Results are encouraging and demonstrate that exercise was popular and conveyed benefit to participants. Consequently, an effectiveness RCT is warranted, with some modifications to the intervention to include greater tailoring and more appropriate PROMs selected.

Date:

23/02/2017

Rights: Public
Suggested citation:

BMJ Open. (2017) CanWalk: a feasibility study with embedded randomised controlled trial pilot of a walking intervention for people with recurrent or metastatic cancer [Online]. Available from: http://www.thehealthwell.info/node/1070713 [Accessed: 23rd September 2017].

  

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Contributor:

Northern Ireland Cancer Network (NICaN)
 
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