A randomized controlled trial adding behavioral counseling to supervised physical activity in people living with and beyond cancer (BOOST-UP-): a study protocol for a live remotely-delivered behavior change intervention
Abstract Background For many people living with and beyond cancer (LWBC), physical activity (PA) declines significantly after supervised PA interventions. The effect of short-term, supervised PA interventions on motivational outcomes and longer-term PA in people LWBC is limited, especially theoretic...
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2025-05-01
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| Online Access: | https://doi.org/10.1186/s12885-025-13904-8 |
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| author | Linda Trinh Ryan E. Rhodes Shabbir M. H. Alibhai Kristin L. Campbell David M. Langelier Eugene Chang Tracey Colella Brian Chan Daniel Santa Mina Paul Oh Edward McAuley |
| author_facet | Linda Trinh Ryan E. Rhodes Shabbir M. H. Alibhai Kristin L. Campbell David M. Langelier Eugene Chang Tracey Colella Brian Chan Daniel Santa Mina Paul Oh Edward McAuley |
| author_sort | Linda Trinh |
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| description | Abstract Background For many people living with and beyond cancer (LWBC), physical activity (PA) declines significantly after supervised PA interventions. The effect of short-term, supervised PA interventions on motivational outcomes and longer-term PA in people LWBC is limited, especially theoretically-based approaches to identify key motivational outcomes for behavior change. The purpose of this study is to compare the effects of a 6-month virtual supervised PA group plus standard exercise counseling (PA + EC) versus a virtual supervised PA plus motivationally-enhanced behavioral counseling (PA + BC) group on moderate-to-vigorous intensity PA (MVPA) in people LWBC. Methods This study is a two-armed, multi-site randomized controlled trial (RCT). People LWBC will be recruited and randomized to a 6-month virtual supervised PA intervention plus standard exercise counseling (PA + EC group; n = 118) or a 6-month virtual supervised PA plus behavioral counseling based on the Multi-Process Action Control (M-PAC) framework (PA + BC group; n = 118). Supervised PA will be delivered via synchronous Zoom classes that tapers to a home-based protocol at the end of the study. The goal of both groups is to gradually increase PA to the cancer PA guidelines (e.g., 90 min of MVPA/week). The PA + BC group will receive twelve behavioral counseling sessions with a qualified exercise professional (QEP), and the corresponding counseling session will be delivered bi-weekly. The behavioral counseling sessions will be based on the M-PAC’s reflective, regulatory, and reflexive processes. In addition to the supervised PA classes, the PA + EC (i.e., attention control group) will receive twelve standard PA counseling sessions based on PA training principles. People LWBC will complete measures at baseline, midpoint, post-intervention (6-months), at 6-months follow-up, and 1-year follow-up. Self-reported measures include quality of life (QoL), motivational outcomes, health economics, and patient satisfaction. Objective measures include PA via accelerometry. Multilevel modelling will examine change in the primary (i.e., PA) and secondary outcomes (i.e., motivational outcomes from the M-PAC, physical function, QoL) at the five time points. Discussion This study will create greater understanding on efficacious programming to support PA maintenance that can be used by clinical and community-based organizations as a low-cost, supportive care tool to improve health outcomes for people LWBC. Trial registration Clinicaltrials.gov ID NCT06624930. |
| format | Article |
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| institution | Kabale University |
| issn | 1471-2407 |
| language | English |
| publishDate | 2025-05-01 |
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| spelling | doaj-art-5385b37993cc4ff6b3d154d20f6223cf2025-08-20T03:53:22ZengBMCBMC Cancer1471-24072025-05-0125111510.1186/s12885-025-13904-8A randomized controlled trial adding behavioral counseling to supervised physical activity in people living with and beyond cancer (BOOST-UP-): a study protocol for a live remotely-delivered behavior change interventionLinda Trinh0Ryan E. Rhodes1Shabbir M. H. Alibhai2Kristin L. Campbell3David M. Langelier4Eugene Chang5Tracey Colella6Brian Chan7Daniel Santa Mina8Paul Oh9Edward McAuley10Faculty of Kinesiology and Physical Education, University of TorontoSchool of Exercise Science, Physical and Health Education, University of VictoriaDepartment of Supportive Care, Princess Margaret Cancer CentreDepartment of Physical Therapy, University of British ColumbiaDepartment of Supportive Care, Princess Margaret Cancer CentreMultisystem and Musculoskeletal Rehabilitation Program, Toronto Rehabilitation Institute, University Health NetworkToronto Rehabilitation Institute, KITE Research InstituteToronto Rehabilitation Institute, KITE Research InstituteFaculty of Kinesiology and Physical Education, University of TorontoCardiovascular Rehabilitation Prevention and Rehabilitation Program, Toronto Rehabilitation InstituteDepartment of Health and Kinesiology, University of Illinois at Urbana-ChampaignAbstract Background For many people living with and beyond cancer (LWBC), physical activity (PA) declines significantly after supervised PA interventions. The effect of short-term, supervised PA interventions on motivational outcomes and longer-term PA in people LWBC is limited, especially theoretically-based approaches to identify key motivational outcomes for behavior change. The purpose of this study is to compare the effects of a 6-month virtual supervised PA group plus standard exercise counseling (PA + EC) versus a virtual supervised PA plus motivationally-enhanced behavioral counseling (PA + BC) group on moderate-to-vigorous intensity PA (MVPA) in people LWBC. Methods This study is a two-armed, multi-site randomized controlled trial (RCT). People LWBC will be recruited and randomized to a 6-month virtual supervised PA intervention plus standard exercise counseling (PA + EC group; n = 118) or a 6-month virtual supervised PA plus behavioral counseling based on the Multi-Process Action Control (M-PAC) framework (PA + BC group; n = 118). Supervised PA will be delivered via synchronous Zoom classes that tapers to a home-based protocol at the end of the study. The goal of both groups is to gradually increase PA to the cancer PA guidelines (e.g., 90 min of MVPA/week). The PA + BC group will receive twelve behavioral counseling sessions with a qualified exercise professional (QEP), and the corresponding counseling session will be delivered bi-weekly. The behavioral counseling sessions will be based on the M-PAC’s reflective, regulatory, and reflexive processes. In addition to the supervised PA classes, the PA + EC (i.e., attention control group) will receive twelve standard PA counseling sessions based on PA training principles. People LWBC will complete measures at baseline, midpoint, post-intervention (6-months), at 6-months follow-up, and 1-year follow-up. Self-reported measures include quality of life (QoL), motivational outcomes, health economics, and patient satisfaction. Objective measures include PA via accelerometry. Multilevel modelling will examine change in the primary (i.e., PA) and secondary outcomes (i.e., motivational outcomes from the M-PAC, physical function, QoL) at the five time points. Discussion This study will create greater understanding on efficacious programming to support PA maintenance that can be used by clinical and community-based organizations as a low-cost, supportive care tool to improve health outcomes for people LWBC. Trial registration Clinicaltrials.gov ID NCT06624930.https://doi.org/10.1186/s12885-025-13904-8People living with and beyond cancerPhysical activityRandomized controlled trialDistance-basedBehavior changeMulti-process action control framework |
| spellingShingle | Linda Trinh Ryan E. Rhodes Shabbir M. H. Alibhai Kristin L. Campbell David M. Langelier Eugene Chang Tracey Colella Brian Chan Daniel Santa Mina Paul Oh Edward McAuley A randomized controlled trial adding behavioral counseling to supervised physical activity in people living with and beyond cancer (BOOST-UP-): a study protocol for a live remotely-delivered behavior change intervention BMC Cancer People living with and beyond cancer Physical activity Randomized controlled trial Distance-based Behavior change Multi-process action control framework |
| title | A randomized controlled trial adding behavioral counseling to supervised physical activity in people living with and beyond cancer (BOOST-UP-): a study protocol for a live remotely-delivered behavior change intervention |
| title_full | A randomized controlled trial adding behavioral counseling to supervised physical activity in people living with and beyond cancer (BOOST-UP-): a study protocol for a live remotely-delivered behavior change intervention |
| title_fullStr | A randomized controlled trial adding behavioral counseling to supervised physical activity in people living with and beyond cancer (BOOST-UP-): a study protocol for a live remotely-delivered behavior change intervention |
| title_full_unstemmed | A randomized controlled trial adding behavioral counseling to supervised physical activity in people living with and beyond cancer (BOOST-UP-): a study protocol for a live remotely-delivered behavior change intervention |
| title_short | A randomized controlled trial adding behavioral counseling to supervised physical activity in people living with and beyond cancer (BOOST-UP-): a study protocol for a live remotely-delivered behavior change intervention |
| title_sort | randomized controlled trial adding behavioral counseling to supervised physical activity in people living with and beyond cancer boost up a study protocol for a live remotely delivered behavior change intervention |
| topic | People living with and beyond cancer Physical activity Randomized controlled trial Distance-based Behavior change Multi-process action control framework |
| url | https://doi.org/10.1186/s12885-025-13904-8 |
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