Trial Summary
What is the purpose of this trial?This trial compares telephone-based exercise coaching to self-monitored exercise for older adults having lung cancer surgery. The goal is to see if coaching helps improve their physical function more than just giving them written instructions. The coaching involves personalized exercise plans and motivational support.
What data supports the idea that Physical Activity Coaching for Lung Cancer is an effective treatment?The available research shows that Physical Activity Coaching for Lung Cancer can be effective. One study found that preoperative exercise-based training improved lung function and reduced the number of days patients stayed in the hospital after surgery. It also lowered the risk of complications after surgery. This suggests that engaging in physical activity before surgery can help patients recover better and faster. Compared to not doing these exercises, patients who participated in the physical activity program had better outcomes.13468
Do I have to stop taking my current medications for this trial?The trial protocol does not specify whether you need to stop taking your current medications. It seems focused on physical activity, so you may not need to stop, but it's best to consult with the study team or your doctor.
Is the treatment of self-monitored physical activity and telephone-based physical activity coaching effective for lung cancer patients?Yes, this treatment is promising because it helps lung cancer patients increase their physical activity levels, which is important for their recovery and overall health. Studies show that such programs are feasible and can improve physical function after surgery.34568
What safety data exists for physical activity coaching in lung cancer treatment?The provided research does not directly address safety data for physical activity coaching in lung cancer treatment. However, studies like CAPACITY and others focus on feasibility, effectiveness, and acceptability, which indirectly suggest that these interventions are generally considered safe. The absence of reported adverse events in these studies implies a favorable safety profile, but specific safety data is not detailed in the abstracts.23678
Eligibility Criteria
This trial is for older adults scheduled for lung cancer surgery and their caregivers. It aims to see if phone coaching or self-monitoring can help maintain physical function during this time. Participants should be able to perform basic exercises and have access to a telephone.Inclusion Criteria
I am 65 years old or older.
I am scheduled for lung surgery with the aim to cure lung cancer.
I am 18 years old or older.
I can read and understand English or Spanish and am willing to complete surveys about my health.
I have been diagnosed with lung cancer.
Exclusion Criteria
My lung surgery is scheduled within the next 2 weeks.
Treatment Details
The study tests two methods: one where participants receive regular phone calls from a coach who guides them through physical activities, and another where they monitor their own exercise routine without guidance.
2Treatment groups
Experimental Treatment
Active Control
Group I: Arm I (Telephone-based coaching session)Experimental Treatment6 Interventions
Patients attend telephone-based coaching sessions over 20-50 minutes once 7-14 days before standard of care surgery, and then at days 7, 14, 21, and 51 post-discharge, for a total of 5 sessions. Patients also receive a personalized physical activity program and set fitness goals. FCGs also receive coaching and serve as a walking buddy for their patient. Patients and FCGs also wear an activity monitor throughout the trial.
Group II: Arm II (Written education)Active Control5 Interventions
Patients receive written educational materials on physical activity and cancer survivorship. Patients and FCGs also wear an activity monitor throughout the trial.
Find a clinic near you
Research locations nearbySelect from list below to view details:
University of Mississippi Medical CenterJackson, MS
Massachusetts General Hospital (MGH) / HarvardBoston, MA
City of Hope Medical CenterDuarte, CA
Standard UniversityStandford, CA
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Who is running the clinical trial?
City of Hope Medical CenterLead Sponsor
National Cancer Institute (NCI)Collaborator
References
Functional and postoperative outcomes after preoperative exercise training in patients with lung cancer: a systematic review and meta-analysis. [2022]Lung cancer is the leading cause of cancer-related death worldwide. For early stages of the disease, lung resection surgery remains the best treatment with curative intent, but significant morbidity is associated, especially among patients with poor pulmonary function and cardiorespiratory fitness. In those cases, the implementation of a preoperative exercise-based intervention could optimize patient's functional status before surgery and improve postoperative outcomes and enhance recovery. The aim of this systematic review is to provide the current body of knowledge regarding the effectiveness of a preoperative exercise-based intervention on postoperative and functional outcomes in patients with lung cancer submitted to lung resection surgery. A systematic review of the literature using CINAHL, EMBASE, MEDLINE, Pubmed, PEDro and SCOPUS was undertaken in September 2015 yielding a total of 1656 references. Two independent reviewers performed the assessment of the potentially eligible records against the inclusion criteria and finally, 21 articles were included in the review. Articles were included if they examined the effects of an exercise-based intervention on at least one of the selected outcomes: pulmonary function, (functional) exercise capacity, health-related quality of life (HRQoL) and postoperative outcomes (length of stay and postoperative complications). Fourteen studies were further selected for a meta-analysis to quantify the mean effect of the intervention and generate 95% confidence intervals (CIs) using the Cochrane Review Manager 5.0.25. For two of the outcomes included (exercise capacity and HRQoL), studies showed large heterogeneity and thus, a meta-analysis was considered inappropriate. Pulmonary function (forced vital capacity and forced expiratory volume in 1 s) was significantly enhanced after the intervention [standardized mean difference (SMD) = 0.38; 95% CI 0.14, 0.63 and SMD = 0.27, 95% CI 0.11, 0.42, respectively]. In comparison with the patients in the control groups, patients in the experimental groups spent less days in the hospital (mean difference = -4.83, 95% CI -5.9, -3.76) and had a significantly reduced risk for developing postoperative complications (risk ratios = 0.45; 95% CI 0.28, 0.74). In conclusion, preoperative exercise-based training improves pulmonary function before surgery and reduces in-hospital length of stay and postoperative complications after lung resection surgery for lung cancer.
Physical behavior and associations with health outcomes in operable NSCLC patients: A prospective study. [2019]Our objectives were to 1) characterize daily physical behavior of operable non-small cell lung cancer (NSCLC) patients, from preoperative to six months postoperative using accelerometry, and explore if physical behavior preoperative or one month postoperative is associated with better health outcomes at six months postoperative.
CAPACITY: A physical activity self-management program for patients undergoing surgery for lung cancer, a phase I feasibility study. [2019]Physical activity is important in lung cancer, yet the majority of patients do not meet minimum weekly recommended activity levels. The objectives of this study were to determine the: 1) feasibility and 2) exploratory effectiveness of a physical activity self-management program aiming to increase physical activity levels of patients undergoing surgery for lung cancer.
Effects of perioperative exercise interventions on lung cancer patients: An overview of systematic reviews. [2021]To identify, appraise and summarise systematic reviews of exercise interventions for surgical lung cancer patients.
Effect of a postoperative home-based exercise and self-management programme on physical function in people with lung cancer (CAPACITY): protocol for a randomised controlled trial. [2022]Exercise is important in the postoperative management of lung cancer, yet no strong evidence exists for delivery of home-based programmes. Our feasibility (phase I) study established feasibility of a home-based exercise and self-management programme (the programme) delivered postoperatively. This efficacy (phase II) study aims to determine whether the programme, compared with usual care, is effective in improving physical function (primary outcome) in patients after lung cancer surgery.
Physical activity in surgical lung cancer patients: a systematic review. [2022]Perioperative exercise could improve health outcomes of surgical lung cancer patients, but less is known about their natural physical activity (PA) behavior before exercise interventions. This review aimed to synthesize evidence on PA, regarding the following: (1) proportion of patients meeting PA guidelines, (2) amount of PA, (3) PA trajectory following surgery, and (4) correlates of PA before or after surgery.
Feasibility and acceptability of a physical activity behavioural modification tele-coaching intervention in lung transplant recipients. [2022]Despite improvements in pulmonary function following lung transplantation (LTx), physical activity levels remain significantly lower than the general population. To date, there is little research investigating interventions to improve daily physical activity in LTx recipients. This study assessed the feasibility and acceptability of a novel, 12-weeks physical activity tele-coaching (TC) intervention in LTx recipients.
The effectiveness of an accelerometer-based physical activity enhancement intervention for patients undergoing lung resection - A pilot randomized controlled trial. [2023]Increasing physical activity after lung resection is important for maintaining quality of life. It is unclear whether accelerometer-based exercise instruction contributes to increasing daily physical activity after lung resection. We examine whether accelerometer-based exercise instruction will lead to increased physical activity in patients undergoing lung resection.