Abstract：
BACKGROUND: Symptoms during cancer treatment cause burden, diminished physical functioning, and poor quality of life. Exercise is recommended during treatment to mitigate symptoms; however, interventions are difficult to translate into clinical care due to the lack of patient uptake and clinical implementation barriers. We evaluated the uptake, acceptability, and impact of an automated ePRO exercise module triggered by three patient-reported symptoms: nausea/vomiting, fatigue, and anxiety, during chemotherapy.
METHODS: We conducted a secondary analysis of an exercise module intervention imbedded in the cancer symptom monitoring and management platform, Symptom Care at Home (SCH). Utilizing behavioral economics principles, the exercise module was triggered when any of the three symptoms were reported. Once triggered, participants were coached on exercise benefits for symptom reduction and then offered the opportunity to set weekly exercise goals plus tracking of the goal outcomes and receive further encouragement. We examined uptake, exercise goal setting and attainment, and symptom impact.
RESULTS: Of 180 SCH participants receiving the SCH intervention, 170 (94.4%) triggered the exercise module and 102 of the 170 (60%) accepted the module, setting goals on average for 6.3 weeks. Of 102 participants, 82 (80.4%) achieved one or more exercise goals, exercising on average 79.8 min/week. Participants who achieved a higher proportion of goals had statistically significant lower overall symptom severity and lower severity of the triggered symptom.
CONCLUSIONS: An automated mHealth exercise coaching intervention, aimed to nudge those receiving chemotherapy to initiate an exercise routine had significant uptake, is acceptable and may reduce symptom severity.
BACKGROUND: NCT01973946.
METHODS: We conducted a secondary analysis of an exercise module intervention imbedded in the cancer symptom monitoring and management platform, Symptom Care at Home (SCH). Utilizing behavioral economics principles, the exercise module was triggered when any of the three symptoms were reported. Once triggered, participants were coached on exercise benefits for symptom reduction and then offered the opportunity to set weekly exercise goals plus tracking of the goal outcomes and receive further encouragement. We examined uptake, exercise goal setting and attainment, and symptom impact.
RESULTS: Of 180 SCH participants receiving the SCH intervention, 170 (94.4%) triggered the exercise module and 102 of the 170 (60%) accepted the module, setting goals on average for 6.3 weeks. Of 102 participants, 82 (80.4%) achieved one or more exercise goals, exercising on average 79.8 min/week. Participants who achieved a higher proportion of goals had statistically significant lower overall symptom severity and lower severity of the triggered symptom.
CONCLUSIONS: An automated mHealth exercise coaching intervention, aimed to nudge those receiving chemotherapy to initiate an exercise routine had significant uptake, is acceptable and may reduce symptom severity.
BACKGROUND: NCT01973946.
摘要：
背景：癌症治疗期间的症状会造成负担，身体功能减弱，和生活质量差。建议在治疗期间进行运动以减轻症状；但是，由于缺乏患者接受和临床实施障碍,干预措施难以转化为临床护理.我们评估了吸收，可接受性,以及由三个患者报告的症状触发的自动ePRO运动模块的影响：恶心/呕吐，疲劳,和焦虑，在化疗期间。
方法：我们对嵌入癌症症状监测和管理平台的运动模块干预进行了二次分析，家庭症状护理（SCH）。利用行为经济学原理，当报告三种症状中的任何一种时,就触发了运动模块.一旦触发,对参与者进行了关于运动对减轻症状的益处的指导,然后提供了设定每周运动目标以及跟踪目标结果的机会,并获得进一步的鼓励.我们检查了摄取，锻炼目标的设定和实现，和症状影响。
结果：在接受SCH干预的180名SCH参与者中，170（94.4％）触发了锻炼模块，而170（60％）中的102个接受了该模块，设定目标平均为6.3周。在102名参与者中，82（80.4％）实现了一个或多个锻炼目标，平均每周锻炼79.8分钟。达到较高比例目标的参与者在统计学上显着较低的总体症状严重程度和较低的触发症状严重程度。
结论：自动mHealth锻炼教练干预，旨在推动那些接受化疗的人开始锻炼，是可以接受的，可以减轻症状的严重程度。
背景：NCT01973946。
方法：我们对嵌入癌症症状监测和管理平台的运动模块干预进行了二次分析，家庭症状护理（SCH）。利用行为经济学原理，当报告三种症状中的任何一种时,就触发了运动模块.一旦触发,对参与者进行了关于运动对减轻症状的益处的指导,然后提供了设定每周运动目标以及跟踪目标结果的机会,并获得进一步的鼓励.我们检查了摄取，锻炼目标的设定和实现，和症状影响。
结果：在接受SCH干预的180名SCH参与者中，170（94.4％）触发了锻炼模块，而170（60％）中的102个接受了该模块，设定目标平均为6.3周。在102名参与者中，82（80.4％）实现了一个或多个锻炼目标，平均每周锻炼79.8分钟。达到较高比例目标的参与者在统计学上显着较低的总体症状严重程度和较低的触发症状严重程度。
结论：自动mHealth锻炼教练干预，旨在推动那些接受化疗的人开始锻炼，是可以接受的，可以减轻症状的严重程度。
背景：NCT01973946。
