Person-centred online lifestyle coaching in childhood, adolescent, and young adult cancer survivors: protocol of the multicentre PanCareFollowUp lifestyle intervention feasibility study
Eline Bouwman, Rosella Hermens, Morven C. Brown, Vera Araújo‐Soares, Nicole M. A. Blijlevens, Tomáš Kepák, Kateřina Kepáková, Leontien C.M. Kremer, Selina R. van den Oever, Helena J. H. van der Pal, Roderick Skinner, Saskia M. F. Pluijm, Jacqueline J. Loonen, Renée L. Mulder, Rebecca J. van Kalsbeek, Lars Hjorth, Cecilia Follin, Lill Eriksson, Thomas Relander, Jacob Engellau, Karin Fjordén, Karolina Bogefors, Anna S. Holmqvist, Riccardo Haupt, Monica Muraca, Brigitte Nicolas, Francesca Bagnasco, Marina Benvenuto, Anna Aulicino, Luca Laudisi, Hana Hrstkova, Viera Bajciova, Marta Holikova, Lucie Strublova, Anne Uyttebroeck, Marleen Renard, Sandra Jacobs, Heidi Segers, Monique van Helvoirt, Jeanette F. Winther, Luzius Mader, Line E. Frederiksen, Elisabeth A. W. Andersen, Gisela Michel, Stefan Boes, Katharina Roser, Irene Göttgens, Iridi Stollman, Adriaan Penson, Dionne Breij, Vera Araujo-Soares, Samira Essiaf, Anne Blondeel, William Sciberras, Joke Korevaar, Mieke Rijken, Anita Kienesberger, Jaap den Hartogh, Hannah Gsell, Carina Schneider, Jaap den Hartogh, Edit Bardi, Jeroen te Dorsthorst
Abstract
BACKGROUND: Physical inactivity and unhealthy dietary habits are known to be disadvantageous for the development of late adverse effects in survivors of childhood, adolescent, and young adult cancer. To make interventions, aimed at improving lifestyle, fit into the daily life of survivors, interventions should be designed and delivered in a person-centred way with a limited time burden. As part of the European PanCareFollowUp project, an eHealth intervention was developed to support sustainable changes to physical activity levels and/or diet of childhood, adolescent, and young adult cancer survivors. This feasibility study aims to gain insight into the feasibility and potential effect sizes of the PanCareFollowUp lifestyle intervention. METHODS: The PanCareFollowUp lifestyle intervention consists of person-centred 3-6 screen-to-screen sessions with a certified lifestyle coach. The intervention will be evaluated with a single-arm pre-post feasibility study conducted at two survivorship care clinics in the Netherlands. A total of 60 participants who are (i) diagnosed with cancer <25 years, (ii) ≥ 5 years post-treatment, (iii) aged 16-55 years, and (iv) have a low physical activity level and/or unhealthy dietary intake manifested by overweight will be recruited. Using reports, hospital records, and questionnaires for survivors, coaches, and late effect doctors, feasibility will be based on (i) adherence to intervention, (ii) acceptability, (iii) practicality, (iv) integration/implementation, (v) demand, and (vi) attrition. The potential effect sizes of the intervention will be explored by determining the percentage of survivors that reach the personalized lifestyle goals that were set with the coach. Physical activity level, dietary intake, BMI, general self-efficacy, self-management, and motivation level will be assessed at three time points with questionnaires, reports, and/or an accelerometer. DISCUSSION: Data of this study will be gathered to assess the feasibility and potential effect sizes. This will allow for further intervention refinement as needed as well as to inform a future large-scale intervention study and a manual for implementation at other centres. TRIAL REGISTRATION: International Clinical Trial Registry Platform (ICTRP) number: NL8932 (ICTRP Search Portal (who.int)). Registered on September 29, 2020.