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Purpose <p>Regardless of the compelling evidence showing that facility-based exercise effectively improves cancer treatment outcome, exercise programs are confronted with low participation and adherence rates. This study aimed to investigate a low-threshold modality to improve self-reported leisure-time physical activity (LTPA).</p> Methods <p>In this single-centre, prospective randomised controlled trial, patients living with or beyond cancer were randomised to use the smartphone application “RunKeeper” to self-monitor LTPA with remote physiotherapy coaching for 12&#xa0;weeks or usual care. The primary endpoint was between-group difference in LTPA at 12&#xa0;weeks. Secondary endpoints were LTPA measured at 6 and 26&#xa0;weeks, adhering to the national physical activity guideline, quality of life, cancer-specific functioning and symptoms, self-efficacy, and exercise motivation.</p> Results <p>In total, 63 patients with a median age of 46.0 range [34.0 to 57.0] were included. No significant between-group differences were found in LTPA. Significant between-group differences in favour of the group that self-monitored LTPA were found in emotional functioning (<i>P</i> = .044), insomnia (<i>P</i> = .029) (week 12) and self-efficacy (<i>P</i> = .040) (week 26).</p> Conclusions <p>Self-monitoring LTPA with RunKeeper and remote physiotherapy coaching did not significantly improve LTPA compared to usual care. The intervention did positively affect self-efficacy, emotional functioning, and insomnia.</p> Implications for Cancer Survivors <p>Further research is needed to study the effectiveness of self-monitoring LTPA with remote physiotherapy coaching in a more homogeneous sample of patients with cancer.</p> Trial registration <p>(NCT03128333).</p>

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Effects of self-monitoring physical activity with a smartphone application combined with physiotherapy coaching in patients with cancer: a randomised controlled trial (SMART-COACH trial)

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月15日

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  • Harm L. Ormel,
  • Elizabeth H. van Zutphen,
  • Gabriela G. F. van der Schoot,
  • Jourik A. Gietema,
  • Annemiek M. E. Walenkamp

摘要

Purpose

Regardless of the compelling evidence showing that facility-based exercise effectively improves cancer treatment outcome, exercise programs are confronted with low participation and adherence rates. This study aimed to investigate a low-threshold modality to improve self-reported leisure-time physical activity (LTPA).

Methods

In this single-centre, prospective randomised controlled trial, patients living with or beyond cancer were randomised to use the smartphone application “RunKeeper” to self-monitor LTPA with remote physiotherapy coaching for 12 weeks or usual care. The primary endpoint was between-group difference in LTPA at 12 weeks. Secondary endpoints were LTPA measured at 6 and 26 weeks, adhering to the national physical activity guideline, quality of life, cancer-specific functioning and symptoms, self-efficacy, and exercise motivation.

Results

In total, 63 patients with a median age of 46.0 range [34.0 to 57.0] were included. No significant between-group differences were found in LTPA. Significant between-group differences in favour of the group that self-monitored LTPA were found in emotional functioning (P = .044), insomnia (P = .029) (week 12) and self-efficacy (P = .040) (week 26).

Conclusions

Self-monitoring LTPA with RunKeeper and remote physiotherapy coaching did not significantly improve LTPA compared to usual care. The intervention did positively affect self-efficacy, emotional functioning, and insomnia.

Implications for Cancer Survivors

Further research is needed to study the effectiveness of self-monitoring LTPA with remote physiotherapy coaching in a more homogeneous sample of patients with cancer.

Trial registration

(NCT03128333).