Making Healthy Choices: Does Having an Online Health Coach Help?
Study Details
Study Description
Brief Summary
Participating in regular physical activity and consuming a diet high in fruits and vegetables can aid in the management of various acute and chronic side effects of cancer treatment; however, few rural-dwelling young adult cancer survivors are active enough and consume enough fruits and vegetables to accrue benefits. Telehealth interventions show promise for helping these young adults increase their motivation to participate in these behaviours by addressing barriers associated with accessing face-to-face behaviour counselling services (e.g., time commitment, travel distance). Yet, few researchers have examined the feasibility and acceptability of a telehealth intervention that provides motivational support grounded in self-determination theory for these health behaviours in rural-dwelling young adult cancer survivors. Based on previous research, the researchers reasoned that rural-dwelling young adult cancer survivors' physical activity and fruit and vegetable consumption would be more likely to increase if they participated in a telehealth intervention therefore, the researchers aim to test the feasibility, acceptability, and preliminary efficacy of the intervention. The researchers also aim to assess if changes in perceived basic psychological need satisfaction, behaviour regulation, and perceived autonomy support are associated with changes in physical activity and fruit and vegetable consumption.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Intervention Group (1) 12 weekly interactive sessions with a health coach to help them set goals and make changes toward becoming physically active and consuming the recommended number of fruits and vegetables. |
Behavioral: interactive sessions
This arm will receive personalized health coaching (behaviour change counseling)
|
Outcome Measures
Primary Outcome Measures
- Physical activity behaviour: International Physical Activity Questionnaire Short Form (IPAQ-S; Booth, 2000). [Baseline (week 0) and post-intervention (week 12)]
Change in self-reported physical activity (over the past 7 days) from baseline to post-intervention, with higher scores representing a better outcome.
- Fruit and vegetable intake behaviour: Behavioural Risk Factor Surveillance System Fruit and Vegetable section (BRFSS-FV; Trowbridge, Wong, Byers, & Serdula, 1990) [Baseline (week 0) and post-intervention (week 12)]
Change in self-reported fruit and vegetable intake (over the past 7 days) from baseline to post-intervention, with higher scores representing a better outcome.
Secondary Outcome Measures
- Basic psychological needs satisfaction for physical activity: Psychological Need Satisfaction in Exercise Scale (PNSE; Wilson, Rogers, Rodgers, & Wild, 2006) [Baseline (week 0) and post-intervention (week 12)]
Change in basic psychological need satisfaction for physical activity from baseline to post-intervention, using a 1 (false) to 6 (true) scale with higher scores representing a better outcome.
- Basic psychological need satisfaction for fruit and vegetable consumption: Psychological Need Satisfaction questionnaire (PNS; Deci, Ryan, Gagne, Leone, Usunov, & Kornazheva, 2001) [Baseline (week 0) and post-intervention (week 12)]
Change in basic psychological need satisfaction for fruit and vegetable consumption from baseline to post-intervention, using a 1 (strongly disagree) to 7 (strongly agree) scale with higher scores representing a better outcome.
- Motivational regulations for physical activity: Exercise Treatment Self-Regulation Questionnaire (TSRQ-E; Williams, Deci, & Ryan, 1998) [Baseline (week 0) and post-intervention (week 12)]
Change in motivational regulations for physical activity from baseline to post-intervention, using a 1 (not at all true) to 7 (very true) scale with higher scores representing a better outcome.
- Motivational regulations for fruit and vegetable consumption: Dietary Self-Regulation questionnaire (DSR; Williams, Deci, & Ryan, 1998) [Baseline (week 0) and post-intervention (week 12)]
Change in motivational regulations for fruit and vegetable consumption from baseline to post-intervention, using a 1 (not at all true) to 7 (very true) scale with higher scores representing a better outcome.
- Perceived autonomy support: Health Care Climate Questionnaire (HCCQ; Williams, Grow, Freedman, Ryan, & Deci, 1996) [Post-intervention (week 12)]
Level of perceived autonomy support for health behaviours post-intervention, using a 1 (strongly disagree) to 7 (strongly agree) scale with higher scores representing a better outcome.
- Recruitment rates [Duration of recruitment and intervention phase (12 weeks)]
The number of eligible participants who enrol in the study out of the number assessed for eligibility
- Retention rates for intervention [Duration of recruitment and intervention phase (12 weeks)]
The number of participants completing the 12-week intervention.
- Adherence rates for intervention [Duration of recruitment and intervention phase (12 weeks)]
The number of eligible participants completing ≥ 70% of the intervention sessions (i.e., 8/12)
- Acceptability of intervention: Semi-structured interviews [Post-intervention (12 weeks)]
Participants will be asked what they liked, disliked, and experienced during the intervention
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Are between the ages of 20-39 years
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Live in a rural area (i.e., areas with <35,000 inhabitants)
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Have completed primary treatment for non-metastatic cancer
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Are not currently meeting the American Cancer Society guidelines for physical activity and fruit and vegetable consumption
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Have access to the Internet and to audio-visual devices
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Are willing to provide informed consent to participate in this study and willing to follow study protocol
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Able to read and understand English
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Are ambulatory
Exclusion Criteria:
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Have a serious condition that precludes safe participation in physical activity
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Have symptomatic heart or vascular diseases (angina, peripheral vascular disease, congestive heart failure)
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Have severe hypertension
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Have had a recent stroke
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Have a chronic obstructive pulmonary disease
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Have severe insulin-dependent diabetes mellitus
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Have renal disease
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Have liver disease
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Ottawa | Ottawa | Ontario | Canada | K1N6N5 |
Sponsors and Collaborators
- University of Ottawa
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Booth M. Assessment of physical activity: an international perspective. Res Q Exerc Sport. 2000 Jun;71(2 Suppl):S114-20.
- Deci, E. L., Ryan, R.M., Gagne, M., Leone, D.R., Usunov, J., & Kornazheva, B.P. (2001). Need satisfaction, motivation, and well-being in the work organizations of a former eastern bloc country: A cross-sectional study of self-determination. Journal of Personality and Social Psychology, 27(8), 930-942.
- Trowbridge FL, Wong FL, Byers TE, Serdula MK. Methodological issues in nutrition surveillance: the CDC experience. J Nutr. 1990 Nov;120 Suppl 11:1512-8. doi: 10.1093/jn/120.suppl_11.1512. Review.
- Williams GC, Grow VM, Freedman ZR, Ryan RM, Deci EL. Motivational predictors of weight loss and weight-loss maintenance. J Pers Soc Psychol. 1996 Jan;70(1):115-26.
- Williams, G. C., Deci, E. L., & Ryan, R. M. (1998). Building health-care partnerships by supporting autonomy: Promoting maintained behavior change and positive health outcomes. In A. L. Suchman, P. Hinton-Walker, & R. Botelho (Ed.), Partnerships in healthcare: Transforming relational process (pp. 67-87). Rochester, NY: University of Rochester Press.
- Wilson, P. M., Rogers, W. T., Rodgers, W. M., & Wild, T. C. (2006). Psychological need satisfaction in exercise scale. Journal of Sport & Exercise Psychology, 28, 231-251.
- H08-18-882