Development of A Tailored Home-Based Exercise Program for Low-Income Cancer Survivors with Multiple Chronic Conditions: A Pilot Study

Abstract

Background:The established benefits of physical activity for managing chronic illnesses underscore the importance of addressing this in low-income cancer survivors with Multiple Chronic Conditions (MCC). However, increasing physical activity in this population presents challenges. This paper reports on the initial phase of a clinical trial (clinical.gov: NCT3874754) evaluating the feasibility of a home-based exercise program, employing mobile technologies and tailored exercises for this population. Methods:Conducted as an open-label one-group pre-post test pilot study, the intervention involved four home visits, daily use of a physical activity tracker, and a phone application over four weeks. Cancer survivors with at least one additional chronic condition and annual incomes below $50,000, were assessed for program feasibility through recruitment and retention rates, implementation duration, compliance, adverse events, and participant perceptions. Questionnaires measured well-being, symptoms, and resilience at baseline (week 1) and program completion (week 4). Descriptive statistics analyzed the data. Results: Nine participants were recruited, with a 78% retention rate and 71% adherence to weekly exercise goals and daily surveys. Physical activity tracking device compliance was satisfactory, and no adverse events were reported. Quantitative analysis revealed a 7-40% increase in weekly average steps for most participants. Participants reported reduced pain (6%) and fatigue (7%), with improved resilience (11%) and well-being in both physical (8%) and mental components (2%). Conclusion: The study supports the feasibility of the program. While acknowledging the small sample size, the findings demonstrate promising impacts on physical activity and symptom management, warranting further exploration with potential adjustments.