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A single-arm pilot study of a mobile health exercise intervention (GO-EXCAP) in older patients with myeloid neoplasms.

Blood advances
January 1, 1970
Kah Poh Loh et al. (17 authors)
Clinical TrialJournal ArticleResearch Support, Non-U.S. Gov'tResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to assess the feasibility and usability of a mobile app-integrated home-based walking and resistance exercise program (GO-EXCAP) for older patients with myeloid neoplasms undergoing outpatient chemotherapy.

Results Summary

The study found that GO-EXCAP was feasible and usable, with 82% of patients entering exercise data on the app at least half of the study days. Patients showed increased daily steps (from 2848 to 3184) and performed resistance exercises 26.2 minutes per day, 2.9 days per week.

Population

Older patients (mean age 72 years) with myeloid neoplasms undergoing outpatient chemotherapy.

Effective Dosage

Progressive aerobic walking and resistance exercises (26.2 minutes per day, 2.9 days per week at low intensity).

Duration

2 cycles of treatment (exact duration not specified).

Interactions

None mentioned.

Extracted Claims (15)
InterventionDirectionEndpointPopulationDosageImpactClaim #
a home-based, progressive aerobic walking and resistance exercise program (EXCAP)
increase
physical and psychological outcomes
patients with cancer
-
improved
#1
GO-EXCAP (mobile app integrated with EXCAP)
neutral
feasibility and usability
older patients with myeloid neoplasms undergoing outpatient chemotherapy
-
was assessed for feasibility and usability
#2
GO-EXCAP intervention
neutral
2 cycles of treatment
-
2 cycles
lasts for
#3
GO-EXCAP
neutral
data reporting on the app
-
-
feasibility metric was
#4
GO-EXCAP
neutral
system usability scale (SUS)
-
-
usability was evaluated via
#5
GO-EXCAP
neutral
recruitment rate
-
64%
recruitment rate was
#6
GO-EXCAP
neutral
retention rate
-
88%
retention rate was
#7
GO-EXCAP
neutral
exercise data reporting
-
82% (18/22)
entered some exercise data on the app at least half of the study days
#8
GO-EXCAP
neutral
daily steps at baseline
-
2848
averaged daily steps were
#9
GO-EXCAP
increase
daily steps after intervention
-
3184
averaged daily steps were
#10
GO-EXCAP
neutral
resistance exercise minutes per day
-
26.2 minutes
performed resistance exercises
#11
GO-EXCAP
neutral
resistance exercise days per week
-
2.9 days
performed resistance exercises
#12
GO-EXCAP
neutral
rate of perceived exertion
-
3.8/10
performed resistance exercises at
#13
GO-EXCAP
neutral
system usability scale (SUS) score
-
70.3
usability was
#14
GO-EXCAP
neutral
feasibility and usability
older patients with myeloid neoplasms undergoing outpatient chemotherapy
-
is feasible and usable for
#15
Abstract

Many older patients with myeloid neoplasms experience treatment-related toxicities. We previously demonstrated that a home-based, progressive aerobic walking and resistance exercise program (EXCAP) improved physical and psychological outcomes in patients with cancer. However, older patients have more difficulty adhering to exercise than younger patients. Reasons may include low motivation, difficulty with transportation, and limited access to exercise professionals. To improve exercise adherence, we integrated a mobile app with EXCAP (GO-EXCAP) and assessed its feasibility and usability in a single-arm pilot study among older patients with myeloid neoplasms undergoing outpatient chemotherapy. GO-EXCAP intervention lasts for 2 cycles of treatment, and the primary feasibility metric was data reporting on the app. Usability was evaluated via the system usability scale (SUS). Patients were interviewed at mid and postintervention to elicit their feedback, and deductive thematic analysis was applied to the transcripts. Twenty-five patients (mean age, 72 years) were recruited. Recruitment and retention rates were 64% and 88%, respectively. Eighty-two percent (18/22) of patients entered some exercise data on the app at least half of the study days, excluding hospitalization (a priori, we considered 70% as feasible). Averaged daily steps were 2848 and 3184 at baseline and after intervention, respectively. Patients also performed resistance exercises 26.2 minutes per day, 2.9 days per week at low intensity (rate of perceived exertion 3.8/10). Usability was above average (SUS, 70.3). In qualitative analyses, 3 themes were identified, including positive experience with the intervention, social interactions, and flexibility. The GO-EXCAP intervention is feasible and usable for older patients with myeloid neoplasms undergoing outpatient chemotherapy. This trial was registered at www.clinicaltrials.gov as #NCT04035499.

Medical Subject Headings (MeSH)
AgedExercise TherapyHumansNeoplasmsPilot ProjectsTelemedicine
Study Links
Quality Scores
Safety85
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations17
Citations/Year5.7
Relative Citation Ratio2.49
NIH Percentile80.7%
Research Impact Scores
APT Score0.95
Weight Score1.72
Normalized Score0.80
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