%0 Journal Article
%T A Patient
%A Alana M. Rojewski
%A Alex Pastis
%A Benjamin A. Toll
%A Benjamin T. Bevill
%A Brett C. Bade
%A Gerard A. Silvestri
%A J. Madison Hyer
%J Integrative Cancer Therapies
%@ 1552-695X
%D 2018
%R 10.1177/1534735418781739
%X Introduction: Physical activity (PA) is a potential therapy to improve quality of life in patients with advanced-stage lung cancer (LC), but no PA regimen has been shown to be beneficial, clinically practical, and sustainable. We sought to test the hypothesis that a patient-centered activity regimen (PCAR) will improve patient participation and PA more effectively than weekly phone calls. Methods: In patients with advanced-stage LC, we implemented a walking-based activity regimen and motivated patients via either weekly phone calls (n = 29; FitBit Zip accelerometer) or PCAR (n = 15; FitBit Flex, an educational session, and twice-daily gain-framed text messages). Data collection over a 4-week period was compared, and a repeated-measures, mixed-effects model for activity level was constructed. Results: Subjects receiving PCAR more frequently used the device (100% vs 79%) and less frequently had missing data (11% vs 38%). ˇ°More activeˇ± and ˇ°less activeˇ± groups were created based on mean step count in the first week. ˇ°Less activeˇ± patients in the PCAR group increased their PA level, whereas PA level fell in the ˇ°more activeˇ± group. Most subjects found PCAR helpful (92%) and would participate in another activity study (85%). Discussion: Compared with weekly phone calls, PCAR has higher patient participation, is more likely to improve PA in ˇ°less activeˇ± subjects, and has high patient satisfaction. A multifaceted PA regimen may be a more efficacious mechanism to study PA in advanced LC. PCAR should be used in a randomized controlled trial to evaluate for improvements in symptom burden, quality of life, and mood
%K lung cancer
%K exercise
%K physical activity
%K quality of life
%U https://journals.sagepub.com/doi/full/10.1177/1534735418781739