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Contemp Clin Trials · Jul 2011
Randomized Controlled TrialDesign and implementation of the Exercise for Health trial -- a pragmatic exercise intervention for women with breast cancer.
- Sandra Hayes, Sheree Rye, Diana Battistutta, Patsy Yates, Chris Pyke, John Bashford, and Elizabeth Eakin.
- School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, 4059, Queensland, Australia. sc.hayes@qut.edu.au
- Contemp Clin Trials. 2011 Jul 1; 32 (4): 577-85.
BackgroundExercise for Health was a pragmatic, randomised, controlled trial comparing the effect of an eight-month exercise intervention on function, treatment-related side effects and quality of life following breast cancer, compared with usual care. The intervention commenced six weeks post-surgery, and two modes of delivering the same intervention was compared with usual care. The purpose of this paper is to describe the study design, along with outcomes related to recruitment, retention and representativeness, and intervention participation.MethodsWomen newly diagnosed with breast cancer and residing in a major metropolitan city of Queensland, Australia, were eligible to participate. Consenting women were randomised to a face-to-face-delivered exercise group (FtF, n = 67), telephone-delivered exercise group (Tel, n = 67) or usual care group (UC, n = 60) and were assessed pre-intervention (5-weeks post-surgery), mid-intervention (6 months post-surgery) and 10 weeks post-intervention (12 months post-surgery). Each intervention arm entailed 16 sessions with an Exercise Physiologist.ResultsOf 318 potentially eligible women, 63% (n = 200) agreed to participate, with a 12-month retention rate of 93%. Participants were similar to the Queensland breast cancer population with respect to disease characteristics, and the randomisation procedure was mostly successful at attaining group balance, with the few minor imbalances observed unlikely to influence intervention effects given balance in other related characteristics. Median participation was 14 (min and max: 0 and 16) and 13 (min and max: 3 and 16) intervention sessions for the FtF and Tel, respectively, with 68% of those in Tel and 82% in FtF participating in at least 75% of sessions.DiscussionParticipation in both intervention arms during and following treatment for breast cancer was feasible and acceptable to women. Future work, designed to inform translation into practice, will evaluate the quality of life, clinical, psychosocial and behavioural outcomes associated with each mode of delivery.Copyright © 2011 Elsevier Inc. All rights reserved.
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