研究方案:调查为曾接受肺癌治疗的个体采用家庭式分组抗阻训练混合交付方式的可行性。

Study protocol: investigating the feasibility of a hybrid delivery of home-based cluster set resistance training for individuals previously treated for lung cancer.

作者信息

Fairman C M, Owens O L, Kendall K L, Steele J, Latella C, Jones M T, Marcotte L, Peddle-McIntyre C M J, McDonnell K K

机构信息

Department of Exercise Science, University of South Carolina, Columbia, USA.

College of Social Work, University of South Carolina, Columbia, USA.

出版信息

Pilot Feasibility Stud. 2022 May 18;8(1):102. doi: 10.1186/s40814-022-01065-5.

Abstract

BACKGROUND

Symptom burden remains a critical concern for individuals with non-small cell lung cancer (NSCLC) following the completion of treatment. The most common symptom clusters, dyspnea (shortness of breath) and fatigue, can contribute to physical decline, reductions in quality of life, and a higher risk of comorbidities and mortality. Dyspnea is a primary limiter of exercise capacity in individuals with lung cancer, resulting in exercise avoidance and an accelerated physical decline. As such, designing resistance training with cluster sets to mitigate symptoms of dyspnea and fatigue may result in improved exercise tolerance. Thus, maintaining the exercise stimulus via cluster sets, combined with improved tolerance of the exercise, could result in the maintenance of physical function and quality of life. The purpose of this study is to investigate the feasibility and preliminary efficacy of a hybrid-delivery home-based cluster-set resistance training program in individuals with NSCLC.

METHODS

Individuals with NSCLC (n = 15), within 12 months of completion of treatment, will be recruited to participate in this single-arm feasibility trial. Participants will complete 8 weeks of home-based resistance training designed to minimize dyspnea and fatigue. The hybrid delivery of the program will include supervised sessions in the participants' home and virtual supervision via video conferencing. The primary outcome of feasibility will be quantified by recruitment rates, retention, acceptability, and intervention fidelity. Exploratory outcomes (dyspnea, fatigue, quality of life, physical function, and body composition) will be assessed pre- and post-intervention.

DISCUSSION

This study will provide important data on the feasibility of delivering this intervention and inform procedures for a future randomized controlled trial.

TRIAL REGISTRATION

Record not yet public.

摘要

背景

对于非小细胞肺癌(NSCLC)患者而言,治疗结束后的症状负担仍是一个关键问题。最常见的症状群,即呼吸困难(呼吸急促)和疲劳,会导致身体机能下降、生活质量降低以及更高的合并症和死亡风险。呼吸困难是肺癌患者运动能力的主要限制因素,导致运动回避和身体机能加速下降。因此,设计采用成组训练的抗阻训练以减轻呼吸困难和疲劳症状,可能会提高运动耐量。这样,通过成组训练维持运动刺激,并结合提高对运动的耐受性,可能会维持身体机能和生活质量。本研究的目的是调查基于家庭的混合式成组抗阻训练计划在NSCLC患者中的可行性和初步疗效。

方法

将招募治疗结束12个月内的NSCLC患者(n = 15)参与这项单臂可行性试验。参与者将完成为期8周的旨在尽量减轻呼吸困难和疲劳的家庭抗阻训练。该计划的混合式实施将包括在参与者家中进行的现场指导课程以及通过视频会议进行的虚拟指导。可行性的主要结果将通过招募率、保留率、可接受性和干预保真度来量化。探索性结果(呼吸困难、疲劳、生活质量、身体机能和身体成分)将在干预前后进行评估。

讨论

本研究将提供有关实施该干预措施可行性的重要数据,并为未来的随机对照试验提供程序参考。

试验注册

记录尚未公开。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84d4/9115920/b5bffb66d8c3/40814_2022_1065_Fig1_HTML.jpg

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