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The efficacy of a clinician referral and 12 week physical activity program among men living with prostate cancer: a multicentre cluster randomised controlled trial

Livingston, Patricia M., Craike, Melinda J., Salmon, Jo, Courneya, Kerry S., Gaskin, Cadeyrn J., Fraser, Steve F., Mohebbi, Mohammadreza, Broadbent, Suzanne, Botti, Mari and Kent, Bridie 2015, The efficacy of a clinician referral and 12 week physical activity program among men living with prostate cancer: a multicentre cluster randomised controlled trial, Cancer, vol. 121, no. 15, pp. 2646-2654, doi: 10.1002/cncr.29385.

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Title The efficacy of a clinician referral and 12 week physical activity program among men living with prostate cancer: a multicentre cluster randomised controlled trial
Author(s) Livingston, Patricia M.ORCID iD for Livingston, Patricia M. orcid.org/0000-0001-6616-3839
Craike, Melinda J.
Salmon, JoORCID iD for Salmon, Jo orcid.org/0000-0002-4734-6354
Courneya, Kerry S.
Gaskin, Cadeyrn J.
Fraser, Steve F.ORCID iD for Fraser, Steve F. orcid.org/0000-0003-0202-9619
Mohebbi, MohammadrezaORCID iD for Mohebbi, Mohammadreza orcid.org/0000-0001-9713-7211
Broadbent, Suzanne
Botti, MariORCID iD for Botti, Mari orcid.org/0000-0002-2782-0987
Kent, Bridie
Journal name Cancer
Volume number 121
Issue number 15
Start page 2646
End page 2654
Total pages 9
Publisher Wiley
Place of publication London, Eng.
Publication date 2015-08-01
ISSN 1097-0142
Keyword(s) clinician referral
exercise program
physical activity
prostate cancer
quality of life
Summary BACKGROUND : The purpose of this study was to determine the efficacy of a clinician referral and exercise program in improving exercise levels and quality of life for men with prostate cancer.

METHODS : This was a multicenter cluster randomized controlled trial in Melbourne, Australia comprising 15 clinicians: 8 clinicians were randomized to refer eligible participants (n = 54) to a 12-week exercise program comprising 2 supervised gym sessions and 1 home-based session per week, and 7 clinicians were randomized to follow usual care (n = 93). The primary outcome was self-reported physical activity; the secondary outcomes were quality of life, anxiety, and symptoms of depression.

RESULTS : A significant intervention effect was observed for vigorous-intensity exercise (effect size: Cohen's d, 0.46; 95% confidence interval [CI], 0.09-0.82; P = .010) but not for combined moderate and vigorous exercise levels (effect size: d, 0.08; 95% CI, −0.28 to 0.45; P = .48). Significant intervention effects were also observed for meeting exercise guidelines (≥150 min/wk; odds ratio, 3.9; 95% CI, 1.9-7.8; P = .002); positive intervention effects were observed in the intervention group for cognitive functioning (effect size: d, 0.34; 95% CI, −0.02 to 0.70; P = .06) and depression symptoms (effect size: d, −0.35; 95% CI, −0.71 to 0.02; P = .06). Eighty percent of participants reported that the clinician's referral influenced their decision to participate in the exercise program.

CONCLUSIONS : The clinician referral and 12-week exercise program significantly improved vigorous exercise levels and had a positive impact on mental health outcomes for men living with prostate cancer. Further research is needed to determine the sustainability of the exercise program and its generalizability to other cancer populations.
Language eng
DOI 10.1002/cncr.29385
Field of Research 111299 Oncology and Carcinogenesis not elsewhere classified
Socio Economic Objective 920102 Cancer and Related Disorders
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30082593

Document type: Journal Article
Collection: School of Nursing and Midwifery
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