An Individualized Online Home-Based Exercise Program for Improving Symptoms in Gynecologic Cancer Survivors
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Exercise Intervention, Functional Assessment, Medical Device Usage and Evaluation, Questionnaire Administration.
- Who it may be relevant to
- Registry conditions: Malignant Female Reproductive System Neoplasm. Basic parameters: from 18 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Feasibility and Acceptability of an Individualized Online Home-Based Exercise Program on Psychoneurological Symptoms in Gynecologic Cancer Survivors: A Pilot Study
Overview
This clinical trial tests an individualized online home-based exercise program in gynecologic cancer survivors and its impact on gut microbiome (the bacteria and microorganisms that live in the digestive system) and symptoms such as pain, fatigue, sleep disturbance, depression, and cognitive impairment. These symptoms can significantly reduce the quality of life (QoL) and survival rate in this cancer population. Thus, promoting physical activity among cancer survivors may help mitigate these severe symptoms. Using online platforms such as Zoom can help participants access an individualized exercise program that meets their specific needs to engage in physical activity and decrease their symptom burden. Home-based exercise, by providing self-chosen time and location and low costs, can address some barriers to physical activity for cancer survivors. An individualized online home-based exercise program may be feasible, and may improve symptoms and quality of life in gynecologic cancer survivors.
Detailed description
PRIMARY OBJECTIVES:
I. To examine the feasibility and acceptability of an individualized home-based exercise program in gynecologic cancer survivors.
II. To test the effect of the program on gut microbiome and psychoneurological symptoms in gynecologic cancer survivors.
OUTLINE:
Participants meet with a certified exercise trainer and complete a functional capacity assessment using a treadmill or 6-minute walk test. Participants then complete an individualized online home-based exercise intervention via Zoom consisting of progressive, moderate-intensity walking corresponding to the rate of perceived exertion (RPE) scale and receive social support over 30 minutes twice a week (BIW) for 12 weeks.
Interventions
- Other Exercise Intervention
Participate in an individualized online home-based exercise intervention - Other Functional Assessment
Complete functional capacity assessment - Other Medical Device Usage and Evaluation
Wear an activity tracker - Other Questionnaire Administration
Ancillary studies - Other Supportive Care
Receive social support
Primary outcome measures
- Attrition Rates (Feasibility) [Time frame: At 12 weeks]
- Adherence Rates (Feasibility) [Time frame: At 12 weeks]
- Intervention Acceptability [Time frame: Up to 12 weeks]
- Gut Microbiome [Time frame: From baseline to 12 weeks]
- Psychoneurological Symptoms [Time frame: From baseline to 12 weeks]
Secondary outcome measures (3)
- Quality of Life Assessment [Time frame: Up to 12 weeks]
- Rapid Eating Assessment for Participants [Time frame: Up to 12 weeks]
- Stress [Time frame: Up to 12 weeks]
Eligibility criteria
Inclusion criteria
- Women aged ≥ 18 years old
- Previously diagnosed with gynecologic cancer (e.g., uterine, ovarian, cervical)
- Completed cancer treatment (chemotherapy or chemoradiation)
- Able to read and speak English
- Do not meet recommended exercise levels as defined by The American College of Sports Medicine
Exclusion criteria
- History of metastatic or other primary cancer
- Serious mental health conditions (e.g., bipolar disorder, schizophrenia, major depression)
- Certain chronic diseases (e.g., muscular-skeletal diseases that limit mobility, autoimmune diseases, uncontrolled diabetes, hypertension, renal disease (creatinine > 2.5 mg/dL)
- Unable to read/speak English
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
United States · 4 centers
- Grady Health System — Atlanta
- Emory University Hospital Midtown — Atlanta
- Emory University Hospital/Winship Cancer Institute — Atlanta
- Emory Decatur Hospital — Decatur
Identifiers
NCT: NCT06709534 · STUDY00007783 · P30CA138292 · NCI-2024-08387 · EU6320-24