Designing a Dyad-Based MHealth Intervention to Improve Adherence to Lifestyle Recommendations in Colorectal Cancer Survivors and Their Family Caregivers: Human-Centered Study
This clinical trial develops and tests a mobile health (mHealth) intervention to improve adherence to lifestyle recommendations in colorectal cancer (CRC) survivors and their family caregivers. The current challenge for cancer survivorship is identifying novel approaches to help adhere to the lifestyle recommendations that have been shown to improve symptom burden, health outcomes, and health-related quality of life (HRQoL). The development of a digital health intervention specifically for CRC survivors and family caregivers may improve adherence to the American Cancer Society Nutrition and Physical Activity Guideline for Cancer Survivors and improve family health.
• PATIENTS INCLUSION:
• Adults (18 years of age or older)
• Diagnosis of stage I-III colon or rectal cancer
• Undergone curative-intent complete surgical resection (patients who have received non-operative management for rectal cancer may be eligible)
• Completed treatment (i.e., neo-adjuvant, adjuvant cytotoxic chemotherapy, radiation, or surgical resection) at least six months prior
• Own a smartphone with internet access and can receive text messages
• Able to speak, read, and understand English
• Self-report ability to independently engage in physical activity determined by the Physical Activity Readiness questionnaire (PAR-Q), and if indicated obtain physician clearance
• Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 determined via medical chart review
• Presence of a family caregiver (i.e., informal or formal caregiver) willing support the patient and participate in the study
• Able to provide informed consent
• FAMILY CAREGIVER INCLUSION:
• Any adult that resides in the same household as the patient
• Willing to participate in all aspects of the intervention and in the assessments required for those in the wait-list control condition if applicable
• Meets the patient inclusion criteria number 1, 5, 6, and 10
• SMES INCLUSION:
• Medical, radiation, and surgical oncologists; advanced practice providers, registered nurses; dietitians; exercise physiologists; physical therapists, patient navigators and champions/advocates, and social workers with at least 12 months of experience working with CRC survivors