Bluetooth-Enabled Activity Monitor in Reducing Sedentary Behavior before and after Surgery in Participants with Metastatic Colorectal or Peritoneal Cancer

Status: administratively complete

This trial studies how well a Bluetooth-enabled activity monitor works in reducing sedentary behavior before and after surgery in participants with colorectal or peritoneal cancer that has spread to other places in the body. Bluetooth-enabled activity monitors work by detecting prolonged sedentary behavior and may contribute to better postoperative recovery and quality of life following cancer surgery in participants with colorectal or peritoneal cancer.

Inclusion Criteria

PHASE 0: Previously underwent curative surgical treatment of metastatic colorectal or peritoneal cancer at University of Pittsburgh Medical Center (UPMC) Shadyside
PHASE 0: Ability to stand and walk unassisted
PHASE 1 & 2: Scheduled for curative surgical treatment of metastatic colorectal or peritoneal cancer at UPMC Shadyside
PHASE 1 & 2: Ability to stand and walk unassisted
PHASE 1 & 2: Identified at least two weeks prior to their scheduled surgery date
PHASE 1 & 2: Own and use a smartphone or be willing to use a smartphone

Exclusion Criteria

PHASE 0: Not yet had surgery
PHASE 0: Unable to read and write in English
PHASE 0: Unable to stand and walk unassisted at time of recruitment. Non-English speakers are excluded because activity prompts to disrupt sedentary behavior will be given in English only
PHASE 1 & 2: Identified within two weeks of surgery
PHASE 1 & 2: Unable to read and write in English
PHASE 1 & 2: Unable to stand and walk unassisted at time of recruitment. Non-English speakers are excluded because activity prompts to disrupt sedentary behavior will be given in English only

PRIMARY OBJECTIVES:

I. Field test and refine a mobile technology-supported real-time sedentary behavior intervention for perioperative cancer patients.

II. Conduct a pilot randomized clinical trial to evaluate the feasibility and acceptability of the mobile technology sedentary behavior intervention in patients scheduled for curative surgical resection of metastatic colorectal or peritoneal cancer, relative to a control group.

III. Examine preliminary effects of the sedentary behavior intervention on (a) objective measures of sedentary behavior and physical activity, (b) patient-reported symptoms and quality of life, (c) circulating inflammatory biomarkers, and (d) 30-day postoperative clinical outcomes (i.e., morbidity and readmission), relative to a monitoring-only control condition.

OUTLINE: Participants are randomized to 1 of 2 groups.

GROUP I (SEDENTARY INTERVENTION): Participants wear Bluetooth-enabled activity monitor (LG watch) and are given a smartphone application from two weeks prior to surgery up to 30 days post-discharge. Participants are instructed to complete walking exercise when prolonged sedentary behavior is detected via the Bluetooth-enabled activity monitor. Participants also complete questionnaires over 15-25 minutes and an interview over 5-15 minutes.

GROUP II (MONITORING ONLY): Participants wear Bluetooth-enabled activity monitor and complete questionnaires and interview as in Group I, however participants are not instructed to change sedentary behavior.

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Bluetooth-Enabled Activity Monitor in Reducing Sedentary Behavior before and after Surgery in Participants with Metastatic Colorectal or Peritoneal Cancer

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