Remotely Delivered Physical Activity Pathways for Breast Cancer Survivors

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The trial explores the feasibility of a randomized pathway where participants with less than 150 minutes of moderate-to-vigorous physical activity at week 6 are assigned to either a standard exercise promotion or a step-up intervention. It uses affect- and effort-based exercise prescriptions delivered remotely, with activity measured by accelerometry and self-reports via app-based surveys. Key outcomes include enrollment into the intervention phase, retention and engagement differences between arms, and changes in weekly MVPA from week 6 to week 12. The study is conducted among adults with a history of early to mid-stage breast cancer who are within five years of completing treatment. Primary site is Dartmouth-Hitchcock Medical Center, with remote data collection and no listed collaborating sites.

Why it matters

Who can join: the full rules

Inclusion Criteria:

-≥18 years old

* Within 5 years of completing primary cancer treatment (surgery, chemotherapy, and radiation) for Stage 0-III breast cancer
* \<60 mins/week moderate-vigorous physical activity (MVPA) with no major changes for the past 6- months
* Own an Android or iPhone smartphone (or tablet) and willing to use it to complete app-based surveys during assessment periods
* Willing to wear the ActiGraph monitor during assessment periods
* Access to internet to complete REDCap survey assessments

Exclusion Criteria:

* Non-English speaking/not able to read English
* Evidence of major contraindications for exercise (informed by the 2020 Physical Activity Readiness-Questionnaire (PAR-Q)+)
* Currently pregnant
* History of severe mental illness or currently taking mood stabilizing medications (antipsychotics, anticonvulsants, or lithium)
* Evidence of moderate-severe depressive symptoms (indicated by a score≥ 10 on the Patient Health Questionnaire-8)
* Evidence of moderate-severe cognitive impairment (indicated by a score \< 3 on a 6-item cognitive screener)
* Evidence of clinically significant substance use as indicated by a score of ≥ 2 on the CAGE- AID screener.

Where it's running

• Dartmouth-Hitchcock Clinic
  Lebanon, New Hampshire, United States Recruiting

Study contacts

• Study coordinator: Courtney J Stevens, PhD
• Email: courtney.j.stevens@dartmouth.edu
• Phone: 6036509643

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.