Managing Fatigue Using Virtual Reality for Post-Operative Lung Cancer Patients

Status: complete

This research study assesses the effects of virtual reality-based light intensity (mild) exercise activity on symptoms in patients after surgery for suspected non-small cell lung cancer.

Inclusion Criteria

Women and men at least 18 years of age (Michigan) and 19 years of age in (Nebraska) with suspected non-small cell lung cancer (NSCLC) to be confirmed after surgery
Karnofsky performance status score of at least 70%, which provides functional impairment classification, universally used in oncology, and is scored from 0% (dead) to 100% (no complaints)
Thoracic surgeon approval pre- and post-surgery
Medically stable comorbid conditions allowing for NSCLC surgery clearance
Has phone access capability
Able to speak and write English
Able to hear and speak for phone interviews
Owns a television; and,
Lives within 3 hours driving distance of recruitment site

Exclusion Criteria

Severe impairment of sight, hearing, speaking
Active treatment for malignancy within past 3 months (other than non-melanoma skin cancer or long-term hormonal treatment for common cancers such as breast and prostate if disease is stable)
Weight greater than 330 pound (weight capacity of the Wii balance board)
History of photosensitive seizures
Any condition or disorder that would impede safe participation as directed
Plans to relocate outside the area during the study period or unable to fully participate

PRIMARY OBJECTIVES:

I. Determine efficacy by comparing the immediate intervention group with waitlist control (usual care) and attention control by age.

II. Determine efficacy of initiating the exercise intervention 6 wks post-discharge and compare results with the immediate intervention group for all ages.

III. Determine the immediate interventions sustainability by analyzing rates of extension, adherence, and retention; acceptability; and efficacy of primary and secondary outcomes.

OUTLINE: Patients are randomized to 1 of 3 groups.

Light Physical Activity Program Group 1: After hospital discharge for surgery for suspected non-small cell lung cancer, patients participate in light physical activity via virtual reality based exercise gradually increasing in duration for 5 days weekly starting within the first week after discharge from the hospital for six weeks, as directed by a Registered Nurse. Participants commit to continue participating in the light physical activity for another six weeks (weeks 7 to 12 after surgery).

Light Physical Activity Program Group 2: After hospital discharge for surgery for suspected non-small cell lung cancer, patients participate in light physical activity via a virtual reality based exercise gradually increasing from 5 to 30 minutes at home for 5 days weekly starting approximately 7 weeks after discharge from the hospital for six weeks, as guided by a Registered Nurse.

Support Education Activity Program Group: After hospital discharge for surgery for suspected non-small cell lung cancer, patients participate in a cancer-related education activity consisting of a phone conversation with a Registered Nurse for 10 to 15 minutes each week for six weeks.

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Managing Fatigue Using Virtual Reality for Post-Operative Lung Cancer Patients

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