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Effects of a clinician referral and exercise program for men who have completed active treatment for prostate cancer: A multicenter cluster randomized controlled trial (ENGAGE)

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, Effects of a clinician referral and exercise program for men who have completed active treatment for prostate cancer: A multicenter cluster randomized controlled trial (ENGAGE), Cancer, vol. 121, no. 15, pp. 2646-2654, doi: 10.1002/cncr.29385.

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Title Effects of a clinician referral and exercise program for men who have completed active treatment for prostate cancer: A multicenter cluster randomized controlled trial (ENGAGE)
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.ORCID iD for Gaskin, Cadeyrn J. orcid.org/0000-0001-5240-4320
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 New York, N.Y.
Publication date 2015-08-01
ISSN 0008-543X
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Oncology
clinician referral
exercise program
physical activity
prostate cancer
quality of life
QUALITY-OF-LIFE
ANDROGEN-DEPRIVATION THERAPY
PHYSICAL-ACTIVITY
SURVIVORS
ACCELEROMETER
DIAGNOSIS
HEALTH
INTERVENTIONS
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 110602 Exercise Physiology
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
Grant ID ARC LP100200176
Copyright notice ©2015, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30077040

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.