Rurality Adapted Physical Activity Sport Health

NCT ID: NCT05981170

Last Updated: 2023-08-08

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 10 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2023-09-30
• Study Completion Date: 2025-03-31

Brief Summary

Physical activity (PA) has been an integral part of non-drug therapy since the early 2010s. This supportive care is likely to reduce fatigue and improve the quality of life of patients during and after the cancer treatment phase.

Physical activity also has a protective effect in terms of tertiary prevention by reducing the risk of recurrence of certain cancers (breast, colon, prostate) by around 40 to 50% and by reducing overall mortality.

Adapted physical activity (APA) is offered at the Institut de Cancérologie de l'Ouest (ICO) in Angers, but there are obstacles particularly linked to the geographical distance of the establishment where this activity is offered.

The RAPASS project is a prospective study which will be proposed to patients followed at the ICO, living in rural areas and far from Angers. Its main objective is to describe the fatigue and quality of life of patients before, during and after a 13-session home-based APA programme. The data collected will also be used to describe changes in physical condition and level, compliance with the programme, continuation of physical activity beyond the duration of the programme, and satisfaction.

Detailed Description

The oncologist first assesses the patient's need for APA. The patient is then seen by the ICO's APA coach (EAPA) who presents the APA programme. If the patient agrees to participate, the coach assesses the patient's physical capacity in order to adapt the programme to their needs.

The programme is then carried out with the departmental sports for all committee 49.

The frequency of practice will ideally be one session per week at the patient's home, supervised by a coach from Departmental Committee for Sport for All in 49. A total of 13 sessions will be carried out.

The sessions will aim to develop all the components of physical fitness (endurance, strength, balance, flexibility, coordination, etc.).

The patient receives a walking logbook to record the number of daily steps taken, an exercise booklet to work independently and a pedometer.

In the presence of the coach, the patients perform different exercises and complete different questionnaires.

The programme is evaluated by the ICO EAPA 3 months after the 13th and final session.

Conditions

Brain Tumour; Metastatic Cancer

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Interventions

Adapted physical activity at home

The programme will take place over 6 months and will include :

1 consultation with the oncologist who will first assess the need for Adapted Physical Activity and then prescribe the APA with a certificate of no physical contraindication

1 consultation with the ICO's APA coach who will present the APA programme and assess the patient's physical capacity using the Short Physical Performance Battery (SPPB) test in order to adapt the programme to their needs.

13 home-based APA sessions (ideally one session per week) with the EAPA from Departmental Committee for Sport for All in 49

1 telephone call with the EAPA of the ICO to evaluate the programme 3 months after the last session.

Patients will also be asked to complete questionnaires at the first session (S1), halfway through the sessions (S6) and at the last session (S13).

These are FACIT-F 5Functional Assessment of Chronic Illness Therapy - Fatigue ; Ricci and L. Gagnon ; P-GIC (Patients' Global Impression of Change (PGIC) scale)

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Performans Status ≤ 2
• Patient living in a rural area
• Patient with a brain tumour and/or metastatic cancer
• Patient with a medical prescription for APA practice
• Patient with a certificate of no contraindication to physical activity

Exclusion Criteria

• Persons deprived of their liberty, under court protection, under guardianship or under the authority of a guardian
• Patient unable to undergo the trial procedures for social or psychological reasons
• Patient who does not understand French

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Institut Cancerologie de l'Ouest

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Loïc FAIVRE

Role: PRINCIPAL_INVESTIGATOR

Institut de Cancérologie de l'Ouest

Locations

Institut de Cancerologie de L'Ouest

Angers, , France

Countries

France

Central Contacts

Loïc FAIVRE

Role: CONTACT

loïc.faivre@ico.unicancer.fr

(0)2 41 35 27 00 ext. +33

Facility Contacts

Loïc FAIVRE

Role: primary

loic.faivre@ico.unicancer.fr

(0)2 41 35 27 00 ext. +33

Other Identifiers

ICO-2022-20

Identifier Type: -

Identifier Source: org_study_id