RCT of Strategies to Augment Physical Activity in Black and Hispanic Breast and Prostate Cancer Survivors (ALLSTAR) (ALLSTAR)
Cardiovascular Diseases, Breast Cancer, Prostate Cancer
About this trial
This is an interventional health services research trial for Cardiovascular Diseases focused on measuring physical activity, cardiovascular disease, randomized controlled trial, breast cancer, prostate cancer
Eligibility Criteria
Inclusion Criteria:
- Have been diagnosed with breast or prostate cancer and treated with cardiotoxic therapy (e.g. anthracyclines, chest radiation, trastuzumab, aromatase inhibitors, or ADT)
- Have ≥2 cardiovascular risk factors (e.g. hypertension, diabetes, dyslipidemia, obesity) or known coronary artery disease (prior coronary revascularization, myocardial infarction, or coronary stenosis > 70%)
- Self-identify as Black or Hispanic
- Are at least 2 years from their cancer diagnosis and have no evidence of active malignancy or acute illness that would limit study participation
- Own a smartphone or tablet compatible with the wearable device
- Are able to read English or Spanish
- Are able to provide informed consent
Exclusion Criteria:
- Currently participating in another physical activity research study
- Have any medical conditions prohibiting ambulation without assistance
- Any other reason why it is not feasible or safe to complete the entire 9-month study
- Step count > 7500/day during the baseline data collection period
Sites / Locations
- City of Hope National Medical CenterRecruiting
- Montefiore Medical Center
- University of PennsylvaniaRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Attention Control
Gamification and Social Support
In addition to using a wearable device, participants in this arm will receive a daily notification of their step count from the previous day. This notification serves as an 'attention control' and allows us to better isolate the impact of the gamification with social support. It may also help to reduce differential attrition across arms.
Participants in this arm will receive the same devices and daily messaging as control. They will also be entered into a game designed using behavioral economic principles for 6 months. This intervention has been adapted from our prior successful pilot studies. The game runs automatically and does not require any effort on the part of the participant to 'play' the game other than to strive for physical activity goals. Participants in this arm will also select a family member or friend who will serve as a support partner to encourage the participant to meet their step goals. The gamification and social support interventions will end after 6 months at which point participants will receive the same treatment as the attention control arm for the 3-month follow-up period.