Outcomes of a text message, Fitbit, and coaching intervention on physical activity maintenance among cancer survivors: a randomized control pilot trial

Gell, Nancy; Grover, Kristin W.; Savard, Liliane; Dittus, Kim

doi:10.1007/s11764-019-00831-4

Cited by 52 publications

(107 citation statements)

References 40 publications

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“…Patients also found the Fitbit™ device to be motivating and to provide nudges to reach their daily goals. The use of self-monitoring devices such as the Fitbit™ device has been shown in multiple studies to motivate participants to take on healthy active behaviors, when paired with additional behavior change interventions [ 69 , 70 , 71 , 72 ]. Fitbits™ have been found to be especially beneficial when used in conjunction with other program elements [ 71 ].…”

Section: Discussionmentioning

confidence: 99%

CaRE @ Home: Pilot Study of an Online Multidimensional Cancer Rehabilitation and Exercise Program for Cancer Survivors

MacDonald

Chafranskaia

Lopez

et al. 2020

JCM

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Background: Although facility-based cancer rehabilitation and exercise programs exist, patients are often unable to attend due to distance, cost, and other competing obligations. There is a need for scalable remote interventions that can reach and serve a larger population. Methods: We conducted a mixed methods pilot study to assess the feasibility, acceptability and impact of CaRE@Home: an 8-week online multidimensional cancer rehabilitation and exercise program. Feasibility and acceptability data were captured by attendance and adherence metrics and through qualitative interviews. Preliminary estimates of the effects of CaRE@Home on patient-reported and physically measured outcomes were calculated. Results: A total of n = 35 participated in the study. Recruitment (64%), retention (83%), and adherence (80%) rates, along with qualitative findings, support the feasibility of the CaRE@Home intervention. Acceptability was also high, and participants provided useful feedback for program improvements. Disability (WHODAS 2.0) scores significantly decreased from baseline (T1) to immediately post-intervention (T2) and three months post-intervention (T3) (p = 0.03 and p = 0.008). Physical activity (GSLTPAQ) levels significantly increased for both Total LSI (p = 0.007 and p = 0.0002) and moderate to strenuous LSI (p = 0.003 and p = 0.002) from baseline to T2 and T3. Work productivity (iPCQ) increased from T1 to T3 (p = 0.026). There was a significant increase in six minute walk distance from baseline to T2 and T3 (p < 0.001 and p = 0.010) and in grip strength from baseline to T2 and T3 (p = 0.003 and p < 0.001). Conclusions: Results indicate that the CaRE@Home program is a feasible and acceptable cancer rehabilitation program that may help cancer survivors regain functional ability and decrease disability. In order to confirm these findings, a controlled trial is required.

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Section: Discussionmentioning

confidence: 99%

CaRE @ Home: Pilot Study of an Online Multidimensional Cancer Rehabilitation and Exercise Program for Cancer Survivors

MacDonald

Chafranskaia

Lopez

et al. 2020

JCM

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“…The sample sizes in the 28 middle adulthood studies ranged from 11 to 2113 participants. Most of the studies were RCTs (17/28, 61%), and 20 interventions used technology (eg, texts, apps, and social media) for intervention delivery [57,58,61,63,64,66,67,[70][71][72][73][74][75][76][77][80][81][82][83]93]. The most common behavior change techniques used were self-monitoring, social support, behavioral counseling, and goal setting.…”

Section: General Study Characteristicsmentioning

confidence: 99%

“…RenderX used the same criterion to report that participants were adherent to the criterion on 6 days per week on average [75]. A minimum criterion of 10 hours per day was also used in another study to report 5%-9% of days on which participants did not meet the criterion on average [82].…”

Section: Xsl • Fomentioning

confidence: 99%

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Use of Fitbit Devices in Physical Activity Intervention Studies Across the Life Course: Narrative Review

Fleur¹,

George²,

Leite³

et al. 2021

JMIR Mhealth Uhealth

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Background Commercial off-the-shelf activity trackers (eg, Fitbit) allow users to self-monitor their daily physical activity (PA), including the number of steps, type of PA, amount of sleep, and other features. Fitbits have been used as both measurement and intervention tools. However, it is not clear how they are being incorporated into PA intervention studies, and their use in specific age groups across the life course is not well understood. Objective This narrative review aims to characterize how PA intervention studies across the life course use Fitbit devices by synthesizing and summarizing information on device selection, intended use (intervention vs measurement tool), participant wear instructions, rates of adherence to device wear, strategies used to boost adherence, and the complementary use of other PA measures. This review provides intervention scientists with a synthesis of information that may inform future trials involving Fitbit devices. Methods We conducted a search of the Fitabase Fitbit Research Library, a database of studies published between 2012 and 2018. Of the 682 studies available on the Fitabase research library, 60 interventions met the eligibility criteria and were included in this review. A supplemental search in PubMed resulted in the inclusion of 15 additional articles published between 2019 and 2020. A total of 75 articles were reviewed, which represented interventions conducted in childhood; adolescence; and early, middle, and older adulthood. Results There was considerable heterogeneity in the use of Fitbit within and between developmental stages. Interventions for adults typically required longer wear periods, whereas studies on children and adolescents tended to have more limited device wear periods. Most studies used developmentally appropriate behavior change techniques and device wear instructions. Regardless of the developmental stage and intended Fitbit use (ie, measurement vs intervention tool), the most common strategies used to enhance wear time included sending participants reminders through texts or emails and asking participants to log their steps or synchronize their Fitbit data daily. The rates of adherence to the wear time criteria were reported using varying metrics. Most studies supplemented the use of Fitbit with additional objective or self-reported measures for PA. Conclusions Overall, the heterogeneity in Fitbit use across PA intervention studies reflects its relative novelty in the field of research. As the use of monitoring devices continues to expand in PA research, the lack of uniformity in study protocols and metrics of reported measures represents a major issue for comparability purposes. There is a need for increased transparency in the prospective registration of PA intervention studies. Researchers need to provide a clear rationale for the use of several PA measures and specify the source of their main PA outcome and how additional measures will be used in the context of Fitbit-based interventions.

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“…In addition to the barriers to physical activity experienced by the general population, cancer survivors report fatigue and pain related to cancer, as well as the challenge of adjusting to family and work related obligations following cancer diagnosis and treatment (Hong et al, 2007). Cancer survivors enrolled in a multi-component (tailored text messages, a self-monitoring app and telephone coaching) extended contact program following an exercise-based rehabilitation program identified the health coaching sessions as important for problem-solving when faced with barriers to exercise (Gell et al, 2019b, Gell et al, 2019a. It has been suggested that interventionist contact is an integral component of successful extended contact interventions , Perri et al, 1984a, Wing et al, 1996, Perri et al, 1987.…”

Section: Tailoring Interview Delivery-staff Skillsmentioning

confidence: 99%

Evaluating text message-delivered, extended contact interventions targeting healthy weight, diet and physical activity behaviour

Job¹

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Maintaining diet and physical activity behaviour changes, and preventing weight regain following weight loss programs remains a challenge. Cost-effective, broadreach interventions are required to extend contact with participants to provide support for continued weight management. Extended contact, text messagedelivered interventions have shown potential, however the literature supporting these interventions has yet to be consolidated. Beyond the effectiveness, there is much to be learnt from detailed process evaluation of these interventions. This data will inform the effective components of these interventions, the development of these programs in collaboration with community agencies, and facilitate the integration of this form of extended contact into practice.

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Outcomes of a text message, Fitbit, and coaching intervention on physical activity maintenance among cancer survivors: a randomized control pilot trial

Cited by 52 publications

References 40 publications

CaRE @ Home: Pilot Study of an Online Multidimensional Cancer Rehabilitation and Exercise Program for Cancer Survivors

CaRE @ Home: Pilot Study of an Online Multidimensional Cancer Rehabilitation and Exercise Program for Cancer Survivors

Use of Fitbit Devices in Physical Activity Intervention Studies Across the Life Course: Narrative Review

Evaluating text message-delivered, extended contact interventions targeting healthy weight, diet and physical activity behaviour

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