Trial Outcomes & Findings for EXERCISING TOGETHER for Couples Coping With Cancer (NCT NCT03630354)

NCT ID: NCT03630354

Last Updated: 2025-07-01

Results Overview

Measured by the degree of agreement (difference) between the survivor and partner ratings of the survivor's fatigue in the past 7 days using the Functional Assessment in Chronic Illness Therapy (FACIT) fatigue questionnaire. This instrument has 13 items, and possible scores from 0 to 52. Low values indicate no fatigue, while high values indicate high fatigue. Reported values reflect the estimated slope over 6-months.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

496 participants

Primary outcome timeframe

Baseline, 3, 6 and 12 months

Results posted on

2025-07-01

Participant Flow

Community-dwelling couples were recruited between January 2019 and October 2022. The first couple was enrolled on January 18, 2019 and the last was couple was enrolled on October 26, 2022.

Of 269 consented couples, 248 couples (496 individuals: 248 survivors + 248 partners) met inclusion criteria and were randomized to an intervention group.

Participant milestones

Participant milestones
Measure
Arm I (Supervised Exercise Together)
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention: Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention: Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention: Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Overall Study
STARTED
164
170
162
Overall Study
COMPLETED
148
148
126
Overall Study
NOT COMPLETED
16
22
36

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Survivors only

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention: Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention: Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention: Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Total
n=496 Participants
Total of all reporting groups
Age, Continuous
64.8 years
STANDARD_DEVIATION 9.46 • n=82 Participants • Partners only
62.7 years
STANDARD_DEVIATION 10.7 • n=85 Participants • Partners only
62.6 years
STANDARD_DEVIATION 65.5 • n=81 Participants • Partners only
63.4 years
STANDARD_DEVIATION 10.1 • n=248 Participants • Partners only
Sex: Female, Male
Female
41 Participants
n=82 Participants • Partners only
43 Participants
n=85 Participants • Partners only
39 Participants
n=81 Participants • Partners only
123 Participants
n=248 Participants • Partners only
Sex: Female, Male
Male
41 Participants
n=82 Participants • Partners only
42 Participants
n=85 Participants • Partners only
42 Participants
n=81 Participants • Partners only
125 Participants
n=248 Participants • Partners only
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=82 Participants • Partners only
1 Participants
n=85 Participants • Partners only
4 Participants
n=81 Participants • Partners only
8 Participants
n=248 Participants • Partners only
Ethnicity (NIH/OMB)
Not Hispanic or Latino
79 Participants
n=82 Participants • Partners only
84 Participants
n=85 Participants • Partners only
75 Participants
n=81 Participants • Partners only
238 Participants
n=248 Participants • Partners only
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=82 Participants • Partners only
0 Participants
n=85 Participants • Partners only
2 Participants
n=81 Participants • Partners only
2 Participants
n=248 Participants • Partners only
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=82 Participants • Partners only
0 Participants
n=85 Participants • Partners only
0 Participants
n=81 Participants • Partners only
0 Participants
n=248 Participants • Partners only
Race (NIH/OMB)
Asian
2 Participants
n=82 Participants • Partners only
3 Participants
n=85 Participants • Partners only
4 Participants
n=81 Participants • Partners only
9 Participants
n=248 Participants • Partners only
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=82 Participants • Partners only
1 Participants
n=85 Participants • Partners only
0 Participants
n=81 Participants • Partners only
2 Participants
n=248 Participants • Partners only
Race (NIH/OMB)
Black or African American
2 Participants
n=82 Participants • Partners only
0 Participants
n=85 Participants • Partners only
1 Participants
n=81 Participants • Partners only
3 Participants
n=248 Participants • Partners only
Race (NIH/OMB)
White
75 Participants
n=82 Participants • Partners only
78 Participants
n=85 Participants • Partners only
70 Participants
n=81 Participants • Partners only
223 Participants
n=248 Participants • Partners only
Race (NIH/OMB)
More than one race
2 Participants
n=82 Participants • Partners only
2 Participants
n=85 Participants • Partners only
3 Participants
n=81 Participants • Partners only
7 Participants
n=248 Participants • Partners only
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=82 Participants • Partners only
1 Participants
n=85 Participants • Partners only
3 Participants
n=81 Participants • Partners only
4 Participants
n=248 Participants • Partners only
Region of Enrollment
United States
82 Participants
n=82 Participants • Partners only
85 Participants
n=85 Participants • Partners only
81 Participants
n=81 Participants • Partners only
248 Participants
n=248 Participants • Partners only

PRIMARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the Active Engagement subscale from the Relationship Focused Coping Scale. The subscale assesses the degree with which couples practice active engagement by responding to five items on a Likert scale from 1 (never) to 5 (very often). Scores range from 5 to 25, with higher scores indicating more active engagement. Reported values reflect the estimated slope over 6-months.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Dyadic Coping - Active Engagement
Survivor: Baseline-6mo
-0.45 score on a scale per 6 months
Interval -1.16 to 0.27
0.81 score on a scale per 6 months
Interval 0.11 to 1.5
0.07 score on a scale per 6 months
Interval -0.68 to 0.83
Dyadic Coping - Active Engagement
Survivor: 6mo-12mo
-0.35 score on a scale per 6 months
Interval -1.01 to 0.3
-0.61 score on a scale per 6 months
Interval -1.26 to 0.03
-0.08 score on a scale per 6 months
Interval -0.79 to 0.63
Dyadic Coping - Active Engagement
Partner: Baseline-6mo
0.05 score on a scale per 6 months
Interval -0.61 to 0.71
-0.08 score on a scale per 6 months
Interval -0.72 to 0.57
-0.91 score on a scale per 6 months
Interval -1.62 to -0.19
Dyadic Coping - Active Engagement
Partner: 6mo-12mo
-0.52 score on a scale per 6 months
Interval -1.2 to 0.16
-0.14 score on a scale per 6 months
Interval -0.81 to 0.54
-0.35 score on a scale per 6 months
Interval -1.09 to 0.39

PRIMARY outcome

Timeframe: Baseline, 3, 6, and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the Protective Buffering Subscale from the Relationship Focused Coping Scale. Assesses the degree with which couples practice protective buffering by responding to six items using a Likert scale of 1 (never) to 5 (very often). Scores range from 6 to 30 with higher scores indicating more protective buffering. Reported values reflect the estimated slope over 6-months.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Dyadic Coping - Protective Buffering
Survivor: Baseline-6mo
-0.48 Score on a scale per 6 months
Interval -1.24 to 0.29
-0.18 Score on a scale per 6 months
Interval -0.93 to 0.57
-0.13 Score on a scale per 6 months
Interval -0.93 to 0.66
Dyadic Coping - Protective Buffering
Survivor: 6mo-12mo
-0.21 Score on a scale per 6 months
Interval -0.91 to 0.5
-0.46 Score on a scale per 6 months
Interval -1.16 to 0.24
-0.57 Score on a scale per 6 months
Interval -1.34 to 0.2
Dyadic Coping - Protective Buffering
Partner: Baseline-6mo
0.36 Score on a scale per 6 months
Interval -0.39 to 1.1
-0.09 Score on a scale per 6 months
Interval -0.81 to 0.62
0.36 Score on a scale per 6 months
Interval -0.44 to 1.15
Dyadic Coping - Protective Buffering
Partner: 6mo-12mo
-0.04 Score on a scale per 6 months
Interval -0.75 to 0.68
-0.20 Score on a scale per 6 months
Interval -0.91 to 0.51
-0.27 Score on a scale per 6 months
Interval -1.07 to 0.54

PRIMARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the 7-item Dyadic Adjustment Scale (DAS) to assess each partner's satisfaction with their relationship by answering 7 questions on a 6-point scale ranging from 1(always agree) to 6 (always disagree). Scores range from 0-21 with higher scores indicating better dyadic adjustment. Reported values reflect the estimated slope over 6-months.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Emotional Intimacy
Survivor: Baseline-6mo
3.37 Score on a scale per 6 months
Interval 0.78 to 5.97
2.61 Score on a scale per 6 months
Interval 0.06 to 5.15
2.97 Score on a scale per 6 months
Interval 0.2 to 5.73
Emotional Intimacy
Survivor: 6mo-12mo
-2.87 Score on a scale per 6 months
Interval -5.84 to 0.1
-2.30 Score on a scale per 6 months
Interval -5.26 to 0.67
-1.33 Score on a scale per 6 months
Interval -4.66 to 2.01
Emotional Intimacy
Partner: Baseline-6mo
.98 Score on a scale per 6 months
Interval -1.25 to 3.2
1.90 Score on a scale per 6 months
Interval -0.24 to 4.05
-.99 Score on a scale per 6 months
Interval -3.42 to 1.43
Emotional Intimacy
Partner: 6mo-12mo
-2.63 Score on a scale per 6 months
Interval -5.01 to -0.26
-.43 Score on a scale per 6 months
Interval -2.73 to 1.88
1.96 Score on a scale per 6 months
Interval -0.64 to 4.56

PRIMARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: This measure had a significant amount of missing data (due to the sensitivity of the questions) so the total sample size is reduced.

Measured by the Physical Intimacy Behavior scale which asks participants the frequency that they engage in sexual behaviors answering two questions on a scale from 1 (none of the time) to 4 (most or all of the time). Scores range from 2 to 8 with higher scores indicating higher physical intimacy.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=151 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=161 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=138 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Physical Intimacy - Engagement in Sex
Survivor: Baseline-6mo
0.08 Score on a scale per 6 months
Interval -0.23 to 0.4
-0.04 Score on a scale per 6 months
Interval -0.34 to 0.26
-0.07 Score on a scale per 6 months
Interval -0.42 to 0.29
Physical Intimacy - Engagement in Sex
Survivor: 6mo-12mo
-0.02 Score on a scale per 6 months
Interval -0.29 to 0.24
0.19 Score on a scale per 6 months
Interval -0.07 to 0.44
-0.02 Score on a scale per 6 months
Interval -0.32 to 0.28
Physical Intimacy - Engagement in Sex
Partner: Baseline-6mo
0.10 Score on a scale per 6 months
Interval -0.2 to 0.39
0.16 Score on a scale per 6 months
Interval -0.11 to 0.43
-0.08 Score on a scale per 6 months
Interval -0.41 to 0.24
Physical Intimacy - Engagement in Sex
Partner: 6mo-12mo
-0.12 Score on a scale per 6 months
Interval -0.41 to 0.17
-0.23 Score on a scale per 6 months
Interval -0.5 to 0.05
0.03 Score on a scale per 6 months
Interval -0.3 to 0.35

PRIMARY outcome

Timeframe: Baseline, 3, 6, and 12-months

Population: This measure had a significant amount of missing data (due to the sensitivity of the questions) so the total sample size is reduced.

Measured by the Physical Intimacy Behavior scale which asks participants the frequency that they engage in affectionate behaviors answering four questions on a scale from 1 (none of the time) to 4 (most or all of the time). Scores range from 4 to 16 with higher scores indicating higher physical intimacy.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=161 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=167 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=152 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Physical Intimacy - Engagement in Affectionate Behaviors
Survivor: Baseline-6mo
0.37 Score on a scale per 6 months
Interval -0.18 to 0.92
0.08 Score on a scale per 6 months
Interval -0.45 to 0.6
0.19 Score on a scale per 6 months
Interval -0.41 to 0.79
Physical Intimacy - Engagement in Affectionate Behaviors
Survivor: 6mo-12mo
-0.04 Score on a scale per 6 months
Interval -0.57 to 0.49
0.02 Score on a scale per 6 months
Interval -0.5 to 0.54
0.15 Score on a scale per 6 months
Interval -0.45 to 0.74
Physical Intimacy - Engagement in Affectionate Behaviors
Partner: Baseline-6mo
0.30 Score on a scale per 6 months
Interval -0.22 to 0.82
0.29 Score on a scale per 6 months
Interval -0.22 to 0.79
0.23 Score on a scale per 6 months
Interval -0.36 to 0.82
Physical Intimacy - Engagement in Affectionate Behaviors
Partner: 6mo-12mo
-0.37 Score on a scale per 6 months
Interval -0.93 to 0.18
-0.18 Score on a scale per 6 months
Interval -0.72 to 0.36
-0.15 Score on a scale per 6 months
Interval -0.79 to 0.5

PRIMARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the Emotional-Intimacy Disruptive Behavior Scale. Patients report the extent to which they engage in 8 behaviors using a scale from 1 (rarely or none of the time) to 4 (most or all of the time). Scores range from 8-32 where higher scores indicate more concealment Reported values reflect the estimated slope over 6-months.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Concealment of Symptoms
Survivor: Baseline-6mo
-.24 Score on a scale per 6 months
Interval -0.88 to 0.4
.07 Score on a scale per 6 months
Interval -0.56 to 0.69
-.82 Score on a scale per 6 months
Interval -1.52 to -0.11
Concealment of Symptoms
Survivor: 6mo-12mo
-.23 Score on a scale per 6 months
Interval -0.82 to 0.36
-.18 Score on a scale per 6 months
Interval -0.77 to 0.41
.53 Score on a scale per 6 months
Interval -0.14 to 1.2
Concealment of Symptoms
Partner: Baseline-6mo
-.33 Score on a scale per 6 months
Interval -0.98 to 0.33
-.44 Score on a scale per 6 months
Interval -1.07 to 0.22
-.70 Score on a scale per 6 months
Interval -1.41 to 0.01
Concealment of Symptoms
Partner: 6mo-12mo
.63 Score on a scale per 6 months
Interval 0.04 to 1.23
-.23 Score on a scale per 6 months
Interval -0.82 to 0.36
-.11 Score on a scale per 6 months
Interval -0.76 to 0.55

PRIMARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the degree of agreement (change or difference) between the survivor and partner ratings of the survivor's pain using the Brief Pain Inventory (BPI). This instrument has 2 subscales, pain intensity and pain interference. Values from items within each subscale are averaged together to yield scores 0-10. Low values indicate "no pain" and high values represent "pain as bad as you can imagine". Reported values reflect the estimated slope over 6-months.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Pain Incongruence - Pain Intensity
Baseline-6mo
.17 Score on a scale per 6 months
Interval -0.13 to 0.47
.08 Score on a scale per 6 months
Interval -0.22 to 0.37
.16 Score on a scale per 6 months
Interval -0.16 to 0.48
Pain Incongruence - Pain Intensity
6mo-12mo
-.08 Score on a scale per 6 months
Interval -0.38 to 0.21
.16 Score on a scale per 6 months
Interval -0.14 to 0.44
.16 Score on a scale per 6 months
Interval -0.16 to 0.48

PRIMARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the degree of agreement (difference) between the survivor and partner ratings of the survivor's pain using the Brief Pain Inventory (BPI). This instrument has 2 subscales, pain intensity and pain interference. Values from items within each subscale are averaged together to yield scores 0-10. Low values indicate "no pain" and high values represent "pain as bad as you can imagine". Reported values reflect the estimated slope over 6-months.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Pain Incongruence - Pain Interference
Baseline-6mo
-.38 Score on a scale per 6 months
Interval -0.7 to -0.07
.01 Score on a scale per 6 months
Interval -0.3 to 0.32
-.05 Score on a scale per 6 months
Interval -0.38 to 0.29
Pain Incongruence - Pain Interference
6mo-12mo
.27 Score on a scale per 6 months
Interval -0.04 to 0.58
-.09 Score on a scale per 6 months
Interval -0.39 to 0.21
.16 Score on a scale per 6 months
Interval -0.17 to 0.5

PRIMARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the degree of agreement (difference) between the survivor and partner ratings of the survivor's fatigue in the past 7 days using the Functional Assessment in Chronic Illness Therapy (FACIT) fatigue questionnaire. This instrument has 13 items, and possible scores from 0 to 52. Low values indicate no fatigue, while high values indicate high fatigue. Reported values reflect the estimated slope over 6-months.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Fatigue Incongruence
Baseline-6mo
1.02 Score on a scale per 6 months
Interval -0.28 to 2.32
-1.24 Score on a scale per 6 months
Interval -2.5 to 0.03
-.41 Score on a scale per 6 months
Interval -1.8 to 0.98
Fatigue Incongruence
6mo-12mo
-1.20 Score on a scale per 6 months
Interval -2.49 to 0.1
-.03 Score on a scale per 6 months
Interval -1.3 to 1.24
-.67 Score on a scale per 6 months
Interval -2.08 to 0.74

PRIMARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the degree of agreement (difference) between the survivor and partner ratings of the survivor's physical function in the past 4 weeks using the perceived physical function subscale of the SF-36 medical outcomes survey. Possible scores range from 0-100. Low scores indicate a high degree of limitation in performing physical activities, whereas high scores represent no limitations in performing physical activities due to health. Reported values reflect the estimated slope over 6-months.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Perceived Physical Function Incongruence
Baseline-6mo
.41 Score on a scale per 6 months
Interval -0.87 to 1.68
-.66 Score on a scale per 6 months
Interval -1.9 to 0.59
-.83 Score on a scale per 6 months
Interval -2.19 to 0.53
Perceived Physical Function Incongruence
6mo-12mo
1.33 Score on a scale per 6 months
Interval 0.05 to 2.61
.62 Score on a scale per 6 months
Interval -0.64 to 1.88
1.29 Score on a scale per 6 months
Interval -0.1 to 2.69

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by bone-free lean (kg) for the whole body determined from a whole body dual energy x-ray absorptiometry (DXA) (Hologic-QDR Discovery Wi; APEX software, v.4.02) scan.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Body Composition - Bone-free Lean Mass
Survivor: Baseline-6mo
3.38 kg per 6 months
Interval 2.88 to 3.88
3.19 kg per 6 months
Interval 2.71 to 3.67
3.19 kg per 6 months
Interval 2.61 to 3.77
Body Composition - Bone-free Lean Mass
Survivor: 6mo-12mo
-0.89 kg per 6 months
Interval -1.38 to -0.39
-0.60 kg per 6 months
Interval -1.06 to -0.14
-1.04 kg per 6 months
Interval -1.59 to -0.49
Body Composition - Bone-free Lean Mass
Partner: Baseline-6mo
3.20 kg per 6 months
Interval 2.73 to 3.67
3.32 kg per 6 months
Interval 2.86 to 3.79
3.17 kg per 6 months
Interval 2.62 to 3.72
Body Composition - Bone-free Lean Mass
Partner: 6mo-12mo
-1.43 kg per 6 months
Interval -1.96 to -0.9
-1.03 kg per 6 months
Interval -1.53 to -0.52
-1.05 kg per 6 months
Interval -1.64 to -0.46

SECONDARY outcome

Timeframe: Baseline, 3, 6, and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by fat mas (kg) for the whole body determined from a whole body dual x-ray absorptiometry (DXA) (Hologic-QDR Discovery Wi; APEX software, v.4.02) scan.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Body Composition - Fat Mass
Survivor: Baseline-6mo
-3.32 kg per 6 months
Interval -3.94 to -2.71
-3.50 kg per 6 months
Interval -4.1 to -2.91
-2.77 kg per 6 months
Interval -3.49 to -2.05
Body Composition - Fat Mass
Survivor: 6mo-12mo
1.38 kg per 6 months
Interval 0.8 to 1.96
1.05 kg per 6 months
Interval 0.52 to 1.59
0.53 kg per 6 months
Interval -0.12 to 1.18
Body Composition - Fat Mass
Partner: Baseline-6mo
-3.63 kg per 6 months
Interval -4.17 to -3.09
-3.36 kg per 6 months
Interval -3.9 to -2.83
-3.16 kg per 6 months
Interval -3.79 to -2.52
Body Composition - Fat Mass
Partner: 6mo-12mo
0.22 kg per 6 months
Interval -0.56 to 0.99
0.87 kg per 6 months
Interval 0.14 to 1.6
0.25 kg per 6 months
Interval -0.62 to 1.11

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by serum fasting total cholesterol.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Cardiovascular Health: Serum Cholesterol
Survivor: Baseline-6mo
-4.23 mg/dL per 6 months
Interval -10.56 to 2.09
2.74 mg/dL per 6 months
Interval -3.34 to 8.81
-6.45 mg/dL per 6 months
Interval -13.77 to 0.88
Cardiovascular Health: Serum Cholesterol
Survivor: 6mo-12mo
3.77 mg/dL per 6 months
Interval -3.36 to 10.89
-0.71 mg/dL per 6 months
Interval -7.11 to 5.7
2.68 mg/dL per 6 months
Interval -4.88 to 10.24
Cardiovascular Health: Serum Cholesterol
Partner: Baseline-6mo
-2.89 mg/dL per 6 months
Interval -9.71 to 3.92
-2.18 mg/dL per 6 months
Interval -11.1 to 2.74
-2.91 mg/dL per 6 months
Interval -10.7 to 4.87
Cardiovascular Health: Serum Cholesterol
Partner: 6mo-12mo
-1.30 mg/dL per 6 months
Interval -8.4 to 5.79
-3.11 mg/dL per 6 months
Interval -9.94 to 3.72
0.85 mg/dL per 6 months
Interval -6.86 to 8.56

SECONDARY outcome

Timeframe: Baseline, 3, 6, and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by serum triglycerides.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Cardiovascular Health: Serum Triglycerides
Survivor: Baseline-6mo
-9.86 mg/dL per 6 months
Interval -22.47 to 2.65
7.00 mg/dL per 6 months
Interval -5.01 to 19.0
-9.76 mg/dL per 6 months
Interval -23.99 to 4.46
Cardiovascular Health: Serum Triglycerides
Survivor: 6mo-12mo
4.79 mg/dL per 6 months
Interval -10.48 to 20.06
-0.15 mg/dL per 6 months
Interval -13.74 to 13.44
12.02 mg/dL per 6 months
Interval -3.97 to 28.0
Cardiovascular Health: Serum Triglycerides
Partner: Baseline-6mo
-4.53 mg/dL per 6 months
Interval -17.3 to 8.24
11.13 mg/dL per 6 months
Interval -1.83 to 24.09
2.64 mg/dL per 6 months
Interval -11.92 to 17.21
Cardiovascular Health: Serum Triglycerides
Partner: 6mo-12mo
-8.44 mg/dL per 6 months
Interval -23.29 to 6.42
-15.28 mg/dL per 6 months
Interval -29.55 to -1.01
16.41 mg/dL per 6 months
Interval 0.29 to 32.53

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by Homeostasis Model Assessment - Insulin Resistance (HOMA-IR) - used to assess insulin sensitivity and predict the risk of type 2 diabetes and other metabolic disorders. Calculated as the product of glucose and insulin, obtained from a fasting blood sample, divided by a constant, 405. Scores generally range from 0.5 to 2.5, with lower scores indicating better insulin sensitivity and higher scores suggesting higher insulin resistance. A HOMA-IR score of 1.0 or less is considered optimal, while scores above 2.9 may indicate significant insulin resistance. Reported values reflect the estimated slope over 6-months. (Glucose mg/dL \* insulin uIU/ml) / 405

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Cardiovascular Health: Insulin Resistance
Survivor: Baseline-6mo
-0.06 Score on a scale per 6 months
Interval -0.17 to 0.06
-0.02 Score on a scale per 6 months
Interval -0.13 to 0.09
-0.01 Score on a scale per 6 months
Interval -0.14 to 0.12
Cardiovascular Health: Insulin Resistance
Survivor: 6mo-12mo
-0.05 Score on a scale per 6 months
Interval -0.19 to 0.01
0.01 Score on a scale per 6 months
Interval -0.13 to 0.14
-0.03 Score on a scale per 6 months
Interval -0.19 to 0.12
Cardiovascular Health: Insulin Resistance
Partner: Baseline-6mo
0.01 Score on a scale per 6 months
Interval -0.1 to 0.12
-0.13 Score on a scale per 6 months
Interval -0.24 to -0.02
0.03 Score on a scale per 6 months
Interval -0.1 to 0.16
Cardiovascular Health: Insulin Resistance
Partner: 6mo-12mo
-0.01 Score on a scale per 6 months
Interval -0.15 to 0.13
0.13 Score on a scale per 6 months
Interval 0.0 to 0.26
-0.08 Score on a scale per 6 months
Interval -0.24 to 0.07

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the average of three consecutive resting blood pressure measurements (systolic and diastolic pressures).

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Cardiovascular Health: Resting Systolic Blood Pressure
Survivor: Baseline-6mo
-4.91 mmHg per 6 months
Interval -7.81 to -2.0
-5.50 mmHg per 6 months
Interval -8.31 to -2.69
-3.34 mmHg per 6 months
Interval -6.67 to 0.0
Cardiovascular Health: Resting Systolic Blood Pressure
Survivor: 6mo-12mo
0.83 mmHg per 6 months
Interval -2.46 to 4.12
3.46 mmHg per 6 months
Interval 0.41 to 6.51
2.38 mmHg per 6 months
Interval -1.25 to 6.02
Cardiovascular Health: Resting Systolic Blood Pressure
Partner: Baseline-6mo
-5.92 mmHg per 6 months
Interval -9.16 to -2.67
-7.58 mmHg per 6 months
Interval -10.8 to -4.34
-7.93 mmHg per 6 months
Interval -11.67 to -4.19
Cardiovascular Health: Resting Systolic Blood Pressure
Partner: 6mo-12mo
-0.41 mmHg per 6 months
Interval -3.58 to 2.76
-7.02 mmHg per 6 months
Interval -12.37 to -1.67
-1.56 mmHg per 6 months
Interval -5.14 to 2.03

SECONDARY outcome

Timeframe: Baseline, 3, 6, 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the average of three consecutive resting blood pressure measurements (systolic and diastolic pressures).

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Cardiovascular Health: Resting Diastolic Blood Pressure
Survivor: Baseline-6mo
-2.07 mmHg per 6 months
Interval -3.84 to -0.29
-4.10 mmHg per 6 months
Interval -5.81 to -2.38
-2.34 mmHg per 6 months
Interval -4.4 to -0.29
Cardiovascular Health: Resting Diastolic Blood Pressure
Survivor: 6mo-12mo
1.42 mmHg per 6 months
Interval -0.83 to 3.67
1.14 mmHg per 6 months
Interval -0.95 to 3.22
1.48 mmHg per 6 months
Interval -1.01 to 3.97
Cardiovascular Health: Resting Diastolic Blood Pressure
Partner: Baseline-6mo
-3.26 mmHg per 6 months
Interval -5.29 to -1.23
-4.93 mmHg per 6 months
Interval -6.96 to -2.9
-2.50 mmHg per 6 months
Interval -4.87 to -0.13
Cardiovascular Health: Resting Diastolic Blood Pressure
Partner: 6mo-12mo
-0.58 mmHg per 6 months
Interval -2.65 to 1.49
-1.30 mmHg per 6 months
Interval -3.31 to 0.72
-2.26 mmHg per 6 months
Interval -4.6 to 0.09

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by serum levels of high sensitivity C-reactive protein (hsCRP) obtained from a fasting blood sample.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Inflammation-hsCRP
Survivor: Baseline-6mo
-0.11 mg/L per 6 months
Interval -0.34 to 0.13
0.09 mg/L per 6 months
Interval -0.32 to 0.14
-0.05 mg/L per 6 months
Interval -0.22 to 0.31
Inflammation-hsCRP
Survivor: 6mo-12mo
-0.12 mg/L per 6 months
Interval -0.36 to 0.12
-0.20 mg/L per 6 months
Interval -0.43 to 0.02
0.13 mg/L per 6 months
Interval -0.39 to 0.13
Inflammation-hsCRP
Partner: Baseline-6mo
0.01 mg/L per 6 months
Interval -0.34 to 0.13
-0.11 mg/L per 6 months
Interval -0.32 to 0.1
-0.04 mg/L per 6 months
Interval -0.29 to 0.22
Inflammation-hsCRP
Partner: 6mo-12mo
-0.12 mg/L per 6 months
Interval -0.4 to 0.17
-0.13 mg/L per 6 months
Interval -0.4 to 0.15
-0.03 mg/L per 6 months
Interval -0.34 to 0.29

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by serum levels of tumor necrosis factor alpha (TNF alpha) obtained from a fasting blood sample.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Inflammation-TNF Alpha
Survivor: Baseline-6mo
-0.01 pg/mL per 6 months
Interval -0.05 to 0.03
-0.02 pg/mL per 6 months
Interval -0.05 to 0.02
-0.03 pg/mL per 6 months
Interval -0.08 to 0.01
Inflammation-TNF Alpha
Survivor: 6mo-12mo
-0.01 pg/mL per 6 months
Interval -0.06 to 0.04
-0.02 pg/mL per 6 months
Interval -0.07 to 0.03
-0.01 pg/mL per 6 months
Interval -0.06 to 0.05
Inflammation-TNF Alpha
Partner: Baseline-6mo
-0.02 pg/mL per 6 months
Interval -0.06 to 0.02
-0.02 pg/mL per 6 months
Interval -0.06 to 0.02
0.00 pg/mL per 6 months
Interval -0.05 to 0.05
Inflammation-TNF Alpha
Partner: 6mo-12mo
0.00 pg/mL per 6 months
Interval -0.05 to 0.06
0.00 pg/mL per 6 months
Interval -0.05 to 0.06
0.03 pg/mL per 6 months
Interval -0.3 to 0.1

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the Physical Performance Battery (PPB) to determine a person's ability to perform daily tasks independently. The PPB consists of 3 timed tests: 5 repeated chair stands, standing balance, and gait speed over 4 meters. Each test is scored 0 (unable) to 4 (completes without difficulty), based on quartiles of performance, then scores are summed. The possible range of scores is 0-12.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Objective Physical Function
Partner: Baseline-6mo
0.15 Score on a scale per 6 months
Interval -0.14 to 0.43
0.82 Score on a scale per 6 months
Interval 0.54 to 1.11
0.73 Score on a scale per 6 months
Interval 0.41 to 1.06
Objective Physical Function
Partner: 6mo-12mo
0.11 Score on a scale per 6 months
Interval -0.13 to 0.34
-0.18 Score on a scale per 6 months
Interval -0.41 to 0.05
-0.11 Score on a scale per 6 months
Interval -0.38 to 0.16
Objective Physical Function
Survivor: Baseline-6mo
0.75 Score on a scale per 6 months
Interval 0.46 to 1.04
0.86 Score on a scale per 6 months
Interval 0.6 to 1.17
0.73 Score on a scale per 6 months
Interval 0.41 to 1.06
Objective Physical Function
Survivor: 6mo-12mo
-0.03 Score on a scale per 6 months
Interval -0.27 to 0.22
-0.07 Score on a scale per 6 months
Interval -0.3 to 0.15
-0.30 Score on a scale per 6 months
Interval -0.57 to -0.03

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are survivors only since this scale is cancer survivor specific.

Measures QOL in cancer patients including subscales of physical functioning. Scores range from 0-100 for overall QOL and subscales where higher scores indicate better functioning.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=82 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=85 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=81 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Quality of Life (QOL): QLQ-C30 - Physical Functioning
Survivor: Baseline-6mo
2.12 Score on a scale per 6 months
Interval 0.13 to 4.11
1.23 Score on a scale per 6 months
Interval -0.7 to 3.17
1.26 Score on a scale per 6 months
Interval -0.85 to 3.37
Quality of Life (QOL): QLQ-C30 - Physical Functioning
Survivor: 6mo-12mo
-1.44 Score on a scale per 6 months
Interval -3.56 to 0.68
-0.30 Score on a scale per 6 months
Interval -2.4 to 1.8
1.74 Score on a scale per 6 months
Interval -0.63 to 4.1

SECONDARY outcome

Timeframe: Baseline, 3, 6, 12 months

Population: Overall number of participants analyzed are survivors only since this scale is cancer survivor specific.

Measures QOL in cancer patients including subscales of emotional functioning. Scores range from 0-100 for overall QOL and subscales where higher scores indicate better functioning.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=82 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=85 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=81 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Quality of Life (QOL): QLQ-C30 - Emotional Functioning
Survivor: Baseline-6mo
4.18 Score on a scale per 6 months
Interval 0.94 to 7.42
1.82 Score on a scale per 6 months
Interval -1.36 to 4.98
4.67 Score on a scale per 6 months
Interval 1.26 to 8.09
Quality of Life (QOL): QLQ-C30 - Emotional Functioning
Survivor: 6mo-12mo
-0.34 Score on a scale per 6 months
Interval -2.22 to 2.64
-0.39 Score on a scale per 6 months
Interval -3.33 to 2.56
-1.99 Score on a scale per 6 months
Interval -5.3 to 1.31

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: This measure had a significant amount of missing data for partners (due to a survey logic error) so the total sample size is reduced.

The SF-36 measures quality of life using 8 subscales: perceived physical function, role limitations due to physical problems, social functioning, bodily pain, general mental health, role limitations due to emotional problems, vitality, and general health perceptions. All subscales have possible scores from 0-100, with items from each subscale averaged together. Low scores indicate worse physical functioning, while higher scores indicate better physical functioning.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=132 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=135 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=124 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Quality of Life (QOL): SF-36 Physical Function Subscale
Survivor: Baseline-6mo
1.73 Score on a scale per 6 months
Interval 0.55 to 2.91
2.47 Score on a scale per 6 months
Interval 1.33 to 3.62
0.96 Score on a scale per 6 months
Interval -0.28 to 2.2
Quality of Life (QOL): SF-36 Physical Function Subscale
Survivor: 6mo-12mo
-0.76 Score on a scale per 6 months
Interval -1.86 to 0.34
-0.56 Score on a scale per 6 months
Interval -1.65 to 0.54
-0.81 Score on a scale per 6 months
Interval -2.03 to 0.4
Quality of Life (QOL): SF-36 Physical Function Subscale
Partner: Baseline-6mo
1.81 Score on a scale per 6 months
Interval 0.01 to 3.61
1.94 Score on a scale per 6 months
Interval 0.13 to 3.76
0.12 Score on a scale per 6 months
Interval -1.83 to 2.07
Quality of Life (QOL): SF-36 Physical Function Subscale
Partner: 6mo-12mo
-0.89 Score on a scale per 6 months
Interval -2.24 to 0.46
-0.04 Score on a scale per 6 months
Interval -1.41 to 1.33
1.02 Score on a scale per 6 months
Interval -0.47 to 2.52

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the Center for Epidemiological Studies-Depression (CES-D) scale to determine the degree of depressive symptoms. Scores range from 0-60, with higher scores indicating more symptoms that occur at higher frequencies.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Depressive Symptoms: CES-D
Survivor: Baseline-6mo
-1.50 Score on a scale per 6 months
Interval -2.96 to -0.04
-0.72 Score on a scale per 6 months
Interval -2.14 to 0.7
-1.10 Score on a scale per 6 months
Interval -2.63 to 0.44
Depressive Symptoms: CES-D
Survivor: 6mo-12mo
-0.10 Score on a scale per 6 months
Interval -1.35 to 1.16
0.26 Score on a scale per 6 months
Interval -0.99 to 1.5
-0.21 Score on a scale per 6 months
Interval -1.59 to 1.18
Depressive Symptoms: CES-D
Partner: Baseline-6mo
-1.41 Score on a scale per 6 months
Interval -2.65 to -0.16
-1.73 Score on a scale per 6 months
Interval -2.95 to -0.52
-1.76 Score on a scale per 6 months
Interval -3.11 to -0.41
Depressive Symptoms: CES-D
Partner: 6mo-12mo
1.07 Score on a scale per 6 months
Interval -0.3 to 2.45
-0.29 Score on a scale per 6 months
Interval -1.64 to 1.05
0.83 Score on a scale per 6 months
Interval -0.68 to 2.34

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are total number of individuals (survivors + partners)

Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) anxiety short form 8a, using T score, standardized to mean = 50, SD = 10. Possible range for this short form is 37.1-83.1. Higher T scores reflect higher anxiety. Reported values reflect the estimated slope over 6-months.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=164 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Anxiety: PROMIS Anxiety Short Form
Survivor: Baseline-6mo
-1.93 T score on a scale per 6 months
Interval -3.36 to -0.51
-2.23 T score on a scale per 6 months
Interval -3.62 to -0.84
-1.18 T score on a scale per 6 months
Interval -2.69 to 0.33
Anxiety: PROMIS Anxiety Short Form
Survivor: 6mo-12mo
-0.30 T score on a scale per 6 months
Interval -1.8 to 1.21
0.42 T score on a scale per 6 months
Interval -1.08 to 1.91
-0.23 T score on a scale per 6 months
Interval -1.89 to 1.44
Anxiety: PROMIS Anxiety Short Form
Partner: Baseline-6mo
-1.71 T score on a scale per 6 months
Interval -3.09 to -0.33
-0.94 T score on a scale per 6 months
Interval -2.28 to 0.41
-1.40 T score on a scale per 6 months
Interval -2.89 to 0.1
Anxiety: PROMIS Anxiety Short Form
Partner: 6mo-12mo
1.17 T score on a scale per 6 months
Interval -0.46 to 2.8
-0.16 T score on a scale per 6 months
Interval -1.74 to 1.42
-1.25 T score on a scale per 6 months
Interval -3.02 to 0.52

SECONDARY outcome

Timeframe: Baseline, 3, 6 and 12 months

Population: Overall number of participants analyzed are survivors only since this scale is cancer survivor specific.

Measured by the Fear of Recurrence scale to assess the amount of concern survivors have about their cancer returning in the future. Participants respond to 22 questions ranging from 1 (strongly agree) to 5 (strongly disagree). The possible range is 22-110. Higher scores reflect higher fear. Reported values reflect the estimated slope over 6-months.

Outcome measures

Outcome measures
Measure
Arm I (Supervised Exercise Together)
n=82 Participants
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=85 Participants
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention (supervised): Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=81 Participants
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention (unsupervised): Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Fear of Recurrence
Survivor: Baseline-6mo
-2.61 Score on a scale per 6 months
Interval -5.01 to -0.2
-2.48 Score on a scale per 6 months
Interval -4.82 to -0.14
-3.72 Score on a scale per 6 months
Interval -6.31 to -1.13
Fear of Recurrence
Survivor: 6mo-12mo
-1.63 Score on a scale per 6 months
Interval -3.99 to 0.73
-1.72 Score on a scale per 6 months
Interval -4.04 to 0.59
-0.31 Score on a scale per 6 months
Interval -2.89 to 2.28

Adverse Events

Arm I (Supervised Exercise Together)

Serious events: 4 serious events
Other events: 9 other events
Deaths: 0 deaths

Arm II (Supervised Exercise Separately)

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Arm III (Unsupervised Exercise Separately)

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm I (Supervised Exercise Together)
n=164 participants at risk
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention: Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 participants at risk
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention: Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 participants at risk
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention: Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Infections and infestations
Abscess - survivors
1.2%
2/164 • Number of events 2 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
0.00%
0/170 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
0.00%
0/162 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
Surgical and medical procedures
Surgery - survivors
0.61%
1/164 • Number of events 1 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
0.59%
1/170 • Number of events 1 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
0.62%
1/162 • Number of events 1 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
Vascular disorders
TIA - survivors
0.61%
1/164 • Number of events 1 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
0.00%
0/170 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
0.00%
0/162 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
Surgical and medical procedures
Surgery - partners
0.00%
0/164 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
0.59%
1/170 • Number of events 1 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
0.00%
0/162 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.

Other adverse events

Other adverse events
Measure
Arm I (Supervised Exercise Together)
n=164 participants at risk
Couples perform partnered exercise over 1 hour, 2 days per week in a supervised, group setting remotely for 6 months. Exercise Intervention: Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm II (Supervised Exercise Separately)
n=170 participants at risk
Survivors and partners perform exercise routines over 1 hour, 2 days per week separately in a supervised group setting remotely for 6 months. Exercise Intervention: Complete supervised exercise Questionnaire Administration: Ancillary studies
Arm III (Unsupervised Exercise Separately)
n=162 participants at risk
Survivors and partners undergo 2 training sessions remotely over 1 hour with an exercise trainer and then perform exercise routines over 1 hour, 2 days per week unsupervised at home or a facility following an instructional DVD. Exercise Intervention: Complete unsupervised exercise Informational Intervention: Receive instructional DVD Questionnaire Administration: Ancillary studies
Musculoskeletal and connective tissue disorders
Joint or muscle pain - survivors
5.5%
9/164 • Number of events 9 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
3.5%
6/170 • Number of events 6 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.
1.9%
3/162 • Number of events 3 • An Adverse Event survey was created by the study team to be administered monthly during the participants' year-long participation in the study.

Additional Information

Dr. Kerri Winters-Stone

Oregon Health & Science University

Phone: 503-494-0813

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place