Evidence map›Paper›PMID 30376857›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2018

Short-term efficacy of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: a randomized controlled trial.

Rianne Henrica Johanna Golsteijn, Catherine Bolman, Esmee Volders, Denise Astrid Peels, Hein de Vries, Lilian Lechner

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 18 pooled it
4.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 18 syntheses or guidelines pooled it, 126 citations in OpenAlex.

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  16. Supporting colorectal cancer survivors using eHealth: a systematic review and framework suggestion.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
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  18. Depression and Objectively Measured Physical Activity: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Rianne Henrica Johanna GolsteijnDepartment of Psychology and Educational Sciences, Open University of the Netherlands, PO Box 2960, 6401 DL, Heerlen, The Netherlands. rianne.golsteijn@ou.nl.ORCID 0000-0002-8493-9976
Catherine BolmanDepartment of Psychology and Educational Sciences, Open University of the Netherlands, PO Box 2960, 6401 DL, Heerlen, The Netherlands.
Esmee VoldersDepartment of Psychology and Educational Sciences, Open University of the Netherlands, PO Box 2960, 6401 DL, Heerlen, The Netherlands.
Denise Astrid PeelsDepartment of Psychology and Educational Sciences, Open University of the Netherlands, PO Box 2960, 6401 DL, Heerlen, The Netherlands.
Hein de VriesDepartment of Health Promotion, Maastricht University, Maastricht, The Netherlands.
Lilian LechnerDepartment of Psychology and Educational Sciences, Open University of the Netherlands, PO Box 2960, 6401 DL, Heerlen, The Netherlands.
Open University of the Netherlands · NLMaastricht University · NL

Funding

KWF Kankerbestrijding NOU2012-5585
6 · The paper itself

Abstract

backgroundPhysical activity (PA) is beneficial in improving negative physical and psychological effects of cancer and cancer treatment, but adherence to PA guidelines is low. Computer-tailored PA interventions can reach large populations with little resources. They match with patients' preference for home-based, unsupervised PA programs and are thus promising for the growing population of cancer survivors. The current study assessed the efficacy of a computer-tailored PA intervention in (four subgroups of) prostate and colorectal cancer survivors.

methodsProstate and colorectal cancer patients and survivors were randomized to the OncoActive intervention group (N = 249), or a usual-care waiting-list control group (N = 229). OncoActive participants received a pedometer and computer-tailored PA advice, both Web-based via an interactive website and with printed materials. Minutes moderate-to-vigorous PA (MVPA) and days ≥30 min PA were assessed with an accelerometer (ActiGraph) at baseline and 6 months. Further, questionnaires were used to assess self-reported PA, fatigue, distress, and quality of life at baseline, 3 and 6 months. Differences between both groups were assessed using linear regression analyses (complete cases and intention-to-treat). In addition, efficacy in relation to age, gender, education, type of cancer, and time since treatment was examined.

resultsThree months after baseline OncoActive participants significantly increased their self-reported PA (PA days: d = 0.46; MVPA: d = 0.23). Physical functioning (d = 0.23) and fatigue (d = - 0.21) also improved significantly after three months. Six months after baseline, self-reported PA (PA days: d = 0.51; MVPA: d = 0.37) and ActiGraph MVPA (d = 0.27) increased significantly, and ActiGraph days (d = 0.16) increased borderline significantly (p = .05; d = 0.16). Furthermore, OncoActive participants reported significantly improvements in physical functioning (d = 0.14), fatigue (d = - 0.23) and depression (d = - 0.32). Similar results were found for intention-to-treat analyses. Higher increases in PA were found for colorectal cancer participants at 3 months, and for medium and highly educated participants' PA at 6 months. Health outcomes at 6 months were more prominent in colorectal cancer participants and in women.

conclusionsThe OncoActive intervention was effective at increasing PA in prostate and colorectal cancer patients and survivors. Health-related effects were especially apparent in colorectal cancer participants. The intervention provides opportunities to accelerate cancer recovery. Long-term follow-up should examine further sustainability of these effects.

trial registrationThe study was registered in the Dutch Trial Register ( NTR4296 ) on October 17 2018.

Indexed as

Cancer SurvivorsExercise TherapyActigraphyAgedColorectal NeoplasmsDepressionFatigueFemaleFollow-Up StudiesHumansMaleMiddle AgedProstatic NeoplasmsQuality of LifeSample SizeSocioeconomic FactorsAccelerometerCancer survivorshipColorectal cancerComputer tailoringDepressioneHealthFatiguePhysical activityProstate CancerQuality of life

Identifiers

PMID30376857
PMCPMC6208119
OpenAlexW2899321973

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.