Remote Monitoring With Health-Coaching for Lifestyle Changes in Patients With Lung Cancer Related Fatigue
Study Details
Study Description
Brief Summary
This clinical trial investigates the effectiveness of a remote monitoring program for lifestyle changes in patients with lung cancer related fatigue (CRF). Fatigue is a common symptom of lung cancer and a side-effect of cancer treatments. CRF has a negative impact on patients' quality of life, daily activities, employment, social relationships and mood. Health coaches enable patients to develop and achieve self-determined wellness goals and assist patients to use their insight, personal strengths, goal setting, action steps, and accountability toward achieving healthy lifestyle changes. Remote monitoring with health-coaching may help relieve lung cancer related fatigue and increase the quality of life in cancer patients.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
PRIMARY OBJECTIVE:
- To assess the effect of the remote-monitoring program on patient reported fatigue by administering the Brief Fatigue Inventory (BFI), Functional Assessment of Cancer Therapy Fatigue (FACT-F), Functional Assessment of Cancer Therapy- Lung (FACT-L) and the Modified Fatigue Impact Scale (MFIS).
OUTLINE:
Patients undergo routine exercise using a remote monitoring system (Garmin Vívofit activity monitor, Nonin 3150 WristOx2 pulse oximeter, and an Android tablet) over 30 minutes at least 6 days per week and complete daily questionnaires over 20 minutes for 12 weeks. Patients also receive health coaching telephone calls over 5-20 minutes once a week for 12 weeks. At the end of the 12 weeks, patients complete an audio taped telephone interview.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Supportive care (remote monitoring with health coaching) Patients undergo routine exercise using a remote monitoring system (Garmin Vívofit activity monitor, Nonin 3150 WristOx2 pulse oximeter, and an Android tablet) over 30 minutes at least 6 days per week and complete daily questionnaires over 20 minutes for 12 weeks. Patients also receive health coaching telephone calls over 5-20 minutes once a week for 12 weeks. At the end of the 12 weeks, patients complete an audio taped telephone interview. |
Other: Exercise Counseling
Receive call from health coach
Other: Exercise Intervention
Undergo routine exercise
Other: Internet-Based Intervention
Receive Android tablet
Other: Interview
Complete a qualitative interview
Other: Medical Device Usage and Evaluation
Wear Garmin Vivofit and Nonin 3150 WristOx2 pulse oximeter
Other: Questionnaire Administration
Ancillary studies
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Outcome Measures
Primary Outcome Measures
- Fatigue [Baseline to 3 months]
The BFI is a nine item questionnaire with a 10 point numeric scale measuring fatigue level and it's interference with daily life. The higher the score the more fatigue.
Secondary Outcome Measures
- Quality of life fatigue assessement [Baseline to 3 months]
The functional assessment is a 50 item questionnaire that measures self-reported fatigue and its impact on daily living using a Likert scale from Not at all (0) to Very Much (4).The higher the score the more symptoms interfere with daily living.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Diagnosed with advanced lung non-small cell carcinoma (NSCLC) being treated with any line of non-curative intent, systemic treatment.
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Eastern Cooperative Oncology Group (ECOG) Performance Status from 0 (asymptomatic) to
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The ability to read and respond to questions in English or Spanish
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Receiving primary cancer care at Mayo Clinic, Rochester or Mayo Clinic Health System (MCHS).
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Age > 18 years.
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Life expectancy at least 6 months.
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Moderate or higher fatigue (>= 4) on a scale of 0-10 based on fatigue rating to question: Rate your average fatigue over the last week, where 0 is no fatigue and 10 is extreme fatigue.
Exclusion Criteria:
- They have cognitive or psychiatric conditions as determined by the treating oncologist to prohibit study consent or participation.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Mayo Clinic in Rochester | Rochester | Minnesota | United States | 55905 |
Sponsors and Collaborators
- Mayo Clinic
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Roberto P Benzo, Mayo Clinic in Rochester
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 21-013228
- NCI-2022-02155
- 21-013228
- P30CA015083