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Motivational Interviewing to Increase Physical Activity Behaviour in Cancer Patients

ABSTRACT: Physical activity is not only efficient for primary prevention of several cancer types, but it also plays an important role in cancer survivors. Physical activity after a cancer diagnosis has been associated with reduced overall and cancer-specific mortality. It has significant positive effects on physical fitness and several cancer-related symptoms including fatigue, sleep disturbance, depression and anxiety. The evidence is considerable and consistent for breast, colorectal and endometrial cancers. However, patients are generally insufficiently active, and participation rates in physical activity opportunities offered by specialized organizations are low. This pilot study will evaluate the feasibility, efficacy and cost-effectiveness of an intervention seeking to increase active lifestyle and physical activity participation of cancer patients. To encourage this behavioural change, motivational interviewing will be used, a patient-centred approach aimed at increasing the patients’ motivation for a behavioural change through open-ended discussions. Seventy patients with breast, colorectal or endometrial cancer will be recruited within a time period of 12 months. Patients will be randomly assigned to an intervention or a control group. The intervention group will receive standard care alongside 12 motivational interviewing sessions within 12 weeks. The control group will receive standard care only. Physical activity behaviour (3D-accelerometer) and physical fitness (cardiovascular and strength fitness) will be measured in the week preceding and following the intervention. Additionally, a subgroup from both study arms will be assessed 12 weeks after the completion of the intervention. The investigators hypothesize that sedentary time will decrease and time spent in moderate and vigorous physical activity, physical fitness and quality of life of cancer survivors will increase to a greater extent in the intervention group than in the control group. Furthermore, health-related quality of life and resource use (intervention and healthcare costs, out of pocket costs) will be measured to evaluate the cost-effectiveness of the intervention.

DISEASE(S): Endometrial Cancer,Cancer, Breast,Endometrial Neoplasms,Breast Neoplasms,Cancer Of Colon,Colonic Neoplasms,Cancer

PROVIDER: 2248752 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR

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Project description:Intervention 1: Group A is comprised of eleven male participants in group therapy, motivational interviewing on Saturdays for 5 weeks, they leave behind. Intervention 2: Conducted five sessions of group motivational interviewing intervention groups. Each group will have five sessions.) Self-esteem and quality of life questionnaire before and 4 months after an intervention in both intervention and control groups Comparing the results obtained in the two groups. Intervention 3: Group B consisted of 12 participants will be women who will pass on Monday 5 sessions of motivational counseling. Intervention 4: Group C consisted of six male and six female participants who will be attending on Wednesdays for five sessions of motivational counseling team will leave behind. Intervention 5: Society ostomy care than the control group who received no intervention will not receive. Intervals prior to the intervention group questionnaires, one month and four months for the control group filled out.;Group A is comprised of eleven male participants in group therapy, motivational interviewing on Saturdays for 5 weeks, they leave behind.;Conducted five sessions of group motivational interviewing intervention groups. Each group will have five sessions.) Self-esteem and quality of life questionnaire before and 4 months after an intervention in both intervention and control groups Comparing the results obtained in the two groups;Group B consisted of 12 participants will be women who will pass on Monday 5 sessions of motivational counseling.;Group C consisted of six male and six female participants who will be attending on Wednesdays for five sessions of motivational counseling team will leave behind.;Society ostomy care than the control group who received no intervention will not receive. Intervals prior to the intervention group questionnaires, one month and four months for the control group filled out. Primary outcome(s): Quality of Life. Timepoint: Before - one and four months later. Method of measurement: Ostomy patients’ quality of life questionnaire.;Self- esteem. Timepoint: Before - one and four months later. Method of measurement: Esteem Scale. Study Design: Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive.

Project description:Colorectal cancer is the 2nd leading cause of cancer mortality in France. However this cancer is preventable in the majority of cases by early detection of adenomas. In France, there is organized colorectal cancer screening, which relies on general practitioners (GPs). Tests delivered by GPs are performed in 89% of cases. However, GPs do not systematically offer the test, for time management and communication reasons. Patients expect their GPs to offer the test and to focus on their expectations. A previous study conducted on GPs showed that training in communication and motivational interviewing increases the number of tests performed by 12.2%. In order to facilitate the promotion of screening, the investigators would like to develop a training programme for GPs focusing on the application of Motivational Interviewing (MI) techniques to the promotion of colorectal cancer screening. Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. This study is a multicenter trial in general medicine. In this randomized trial the 902 subjects will be included prospectively by the general practitioners (GP) participating in the study. As a first step, general practitioners who have never participated in Motivational Interviewing training will be recruited and split into 2 groups by randomization, an intervention group and a control group. The interventional group will then undergo a 3 times 2-day training in Motivational Interviewing. In a second step, the patients will be included by those GP and a self-questionnaire will be send at the inclusion and after 6, 12 and 24 months. The evaluation of the number of tests performed and the analyse of the Health Belief Model (HBM) self-questionnaire will be carried out. At 24 months, there will be an evaluation of the denial motivation questionnaire for patients who have not participated in organized colorectal cancer screening.

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Motivational Interviewing to Increase Physical Activity Behaviour in Cancer Patients

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