382 Participants Needed

Physical Activity Coaching for Lung Cancer

Recruiting at 12 trial locations
DR
Overseen ByDan Raz, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: City of Hope Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.

What data supports the effectiveness of this treatment for lung cancer patients?

Research shows that exercise programs before lung cancer surgery can improve lung function, reduce hospital stay, and lower the risk of complications after surgery. This suggests that physical activity coaching and similar interventions may help lung cancer patients recover better after surgery.12345

Is physical activity coaching safe for lung cancer patients?

The studies reviewed focus on the feasibility and effectiveness of physical activity programs for lung cancer patients, but they do not report any specific safety concerns, suggesting that these programs are generally considered safe for participants.12567

How is the Physical Activity Coaching treatment for lung cancer different from other treatments?

This treatment is unique because it focuses on increasing physical activity through self-monitoring and telephone-based coaching, which can be done at home without supervision, making it more accessible and convenient compared to traditional in-person exercise programs.12358

What is the purpose of this trial?

This trial compares telephone-based exercise coaching to self-monitored exercise for older adults having lung cancer surgery. The goal is to see if coaching helps improve their physical function more than just giving them written instructions. The coaching involves personalized exercise plans and motivational support.

Research Team

DR

Dan Raz

Principal Investigator

City of Hope Medical Center

Eligibility Criteria

This trial is for older adults scheduled for lung cancer surgery and their caregivers. It aims to see if phone coaching or self-monitoring can help maintain physical function during this time. Participants should be able to perform basic exercises and have access to a telephone.

Inclusion Criteria

Agreement to wear pedometer during study duration
I am 65 years old or older.
I can read and understand English or Spanish and am willing to complete surveys about my health.
See 6 more

Exclusion Criteria

My lung surgery is scheduled within the next 2 weeks.
Prospective participants who, in the opinion of the investigator, may not be able to comply with all study procedures (including exercise program and compliance issues related to feasibility/logistics)

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-Surgery Coaching

Patients attend telephone-based coaching sessions 7-14 days before surgery

1-2 weeks
1 session (virtual)

Post-Surgery Coaching

Patients attend telephone-based coaching sessions at days 7, 14, 21, and 51 post-discharge

8 weeks
4 sessions (virtual)

Follow-up

Participants are monitored for functional capacity and quality of life at 30, 60, and 180 days post-discharge

6 months

Treatment Details

Interventions

  • Self Monitored Physical Activity
  • Telephone-based Physical Activity Coaching
Trial Overview The study tests two methods: one where participants receive regular phone calls from a coach who guides them through physical activities, and another where they monitor their own exercise routine without guidance.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Arm I (Telephone-based coaching session)Experimental Treatment6 Interventions
Patients attend telephone-based coaching sessions over 20-50 minutes once 7-14 days before standard of care surgery, and then at days 7, 14, 21, and 51 post-discharge, for a total of 5 sessions. Patients also receive a personalized physical activity program and set fitness goals. FCGs also receive coaching and serve as a walking buddy for their patient. Patients and FCGs also wear an activity monitor throughout the trial.
Group II: Arm II (Written education)Active Control5 Interventions
Patients receive written educational materials on physical activity and cancer survivorship. Patients and FCGs also wear an activity monitor throughout the trial.

Find a Clinic Near You

Who Is Running the Clinical Trial?

City of Hope Medical Center

Lead Sponsor

Trials
614
Recruited
1,924,000+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Findings from Research

Only 23-28% of surgical lung cancer patients met the recommended physical activity guidelines of 150 minutes per week, indicating a significant gap in pre- and post-operative physical activity levels.
Physical activity levels decreased after surgery, with patients averaging fewer daily steps (3934-8863) in the first 1-3 months post-surgery compared to preoperative levels, suggesting a need for interventions to enhance recovery and improve health outcomes.
Physical activity in surgical lung cancer patients: a systematic review.Zhou, W., Webster, KE., Smith, EL., et al.[2022]
In a study of 34 patients who underwent lung resection, those who received accelerometer-based exercise instruction significantly increased their daily steps to an average of 8039 steps compared to 4887 steps in the control group two months post-surgery.
The intervention group also showed greater improvements in light intensity physical activity (LPA) and moderate-vigorous intensity physical activity (MVPA), indicating that accelerometer-based guidance effectively enhances physical activity levels after lung surgery.
The effectiveness of an accelerometer-based physical activity enhancement intervention for patients undergoing lung resection - A pilot randomized controlled trial.Sunahara, M., Matsuzawa, R., Nakagawa, F., et al.[2023]
Postoperative exercise interventions for surgical lung cancer patients have high to moderate-quality evidence showing they can significantly improve exercise capacity and muscle strength, which are crucial for recovery.
Preoperative exercise interventions may also enhance exercise capacity and pulmonary function, reduce the risk of postoperative complications, and shorten hospital stays, although the evidence quality is lower.
Effects of perioperative exercise interventions on lung cancer patients: An overview of systematic reviews.Zhou, W., Woo, S., Larson, JL.[2021]

References

Physical activity in surgical lung cancer patients: a systematic review. [2022]
The effectiveness of an accelerometer-based physical activity enhancement intervention for patients undergoing lung resection - A pilot randomized controlled trial. [2023]
Effects of perioperative exercise interventions on lung cancer patients: An overview of systematic reviews. [2021]
Functional and postoperative outcomes after preoperative exercise training in patients with lung cancer: a systematic review and meta-analysis. [2022]
CAPACITY: A physical activity self-management program for patients undergoing surgery for lung cancer, a phase I feasibility study. [2019]
Feasibility and acceptability of a physical activity behavioural modification tele-coaching intervention in lung transplant recipients. [2022]
Physical behavior and associations with health outcomes in operable NSCLC patients: A prospective study. [2019]
Effect of a postoperative home-based exercise and self-management programme on physical function in people with lung cancer (CAPACITY): protocol for a randomised controlled trial. [2022]
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