Wearable Device and Self-Regulation Strategies to Promote Physical Activity Among Children With Cancer: A Pilot Study
NCT ID: NCT07003607
Last Updated: 2025-06-04
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
72 participants
INTERVENTIONAL
2023-07-10
2024-12-25
Brief Summary
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The study included 72 children and teenagers (ages 6-18) receiving cancer treatment at two hospitals in China. They were divided into two groups:
Intervention group (33 children): Used a smart wristband to track daily steps, followed a personalized exercise plan, and received weekly guidance.
Control group (39 children): Continued with usual care (no special exercise program).
The main questions it aims to answer are:
1. Does the exercise program help children with cancer move more and sit less;
2. Can it boost their confidence to stay active and improve their physical and emotional well-being?
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Detailed Description
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* Children in the exercise group:
* Increased active time: They did more moderate-to-vigorous exercise (like brisk walking or playing) by the end of the program.
* Walked more steps daily: From about 2,200 steps/day at the start to over 6,300 steps/day after 12 weeks.
* Felt more confident: They believed they could keep exercising even during treatment.
* Improved well-being: Parents and children reported better physical energy, mood, and social interactions.
* Comparison with the control group:
* The exercise group showed much greater improvements than the group without the program.
What does this mean for families? This study suggests that combining wearable devices (like step trackers) with simple goal-setting and family support may help children with cancer stay active during treatment. Staying active could reduce fatigue, improve mood, and support recovery.
What's next? While these results are promising, larger studies are needed to confirm the long-term benefits and safety of such programs.
Conditions
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Study Design
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NON_RANDOMIZED
SEQUENTIAL
SUPPORTIVE_CARE
NONE
Study Groups
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Experimental group
Smart wristband to track daily steps, followed a personalized exercise plan, and received weekly guidance
In-Hospital Program
Researchers will conduct a comprehensive evaluation for each pediatric patient, including:
* Disease status and clinical characteristics
* Patient and family knowledge regarding physical activity (PA)
* Availability of social support systems
In-Hospital Program
Based on assessment findings, two structured educational sessions (20-30 minutes each) will be delivered, covering:
* Disease-specific knowledge and PA guidelines
* Practical strategies for safe exercise (e.g., intensity adjustment, injury prevention)
* Interactive demonstrations of age-appropriate movement techniques
In-Hospital Program
Patients will co-develop personalized PA plans using the six-step self-regulation framework from the ITHBC (Integrative Theory of Health Behavior Change), including:
* Short/long-term goal formulation
* Progress monitoring tools
* Barrier problem-solving protocols
Post-Discharge Program
Patients will perform PA 3-5 times weekly (20-30 minutes/session) aligned with individualized goals, adhering to oncology-specific safety guidelines
Post-Discharge Program
Mondays: Curated PA educational content (e.g., home-based exercise videos, fatigue management tips) will be disseminated via the WeChat platform.
Sundays: Scheduled telehealth check-ins with patients and caregivers to:
* Review PA adherence and experiential feedback
* Address knowledge gaps through tailored coaching
* Reinforce behavior change techniques (e.g., self-monitoring logs)
Post-Discharge Program
Regular monitoring and evaluation will be conducted to assess PA outcomes: comprehensive evaluations will identify barriers (e.g., treatment-related fatigue) and guide real-time adjustments to the exercise plan based on the patient's physical condition and performance. To enhance adherence, families will collaboratively set alarm reminders for PA sessions, and caregivers will be invited to supervise daily activities.
Control group
Routine health education
Control group (placebo)
Children in the control group received routine health education, which included cancer-related treatment, care, and general health education (e.g., treatment-related, diet, and exercise) without systematic PA health education. Every four weeks, knowledge related to sports activities, the harms of insufficient physical activity, and the benefits of increasing physical activity were pushed through the WeChat platform. During the hospitalization of the child patient, they can voluntarily participate in the activities organized by social workers.
Interventions
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Control group (placebo)
Children in the control group received routine health education, which included cancer-related treatment, care, and general health education (e.g., treatment-related, diet, and exercise) without systematic PA health education. Every four weeks, knowledge related to sports activities, the harms of insufficient physical activity, and the benefits of increasing physical activity were pushed through the WeChat platform. During the hospitalization of the child patient, they can voluntarily participate in the activities organized by social workers.
In-Hospital Program
Researchers will conduct a comprehensive evaluation for each pediatric patient, including:
* Disease status and clinical characteristics
* Patient and family knowledge regarding physical activity (PA)
* Availability of social support systems
In-Hospital Program
Based on assessment findings, two structured educational sessions (20-30 minutes each) will be delivered, covering:
* Disease-specific knowledge and PA guidelines
* Practical strategies for safe exercise (e.g., intensity adjustment, injury prevention)
* Interactive demonstrations of age-appropriate movement techniques
In-Hospital Program
Patients will co-develop personalized PA plans using the six-step self-regulation framework from the ITHBC (Integrative Theory of Health Behavior Change), including:
* Short/long-term goal formulation
* Progress monitoring tools
* Barrier problem-solving protocols
Post-Discharge Program
Patients will perform PA 3-5 times weekly (20-30 minutes/session) aligned with individualized goals, adhering to oncology-specific safety guidelines
Post-Discharge Program
Mondays: Curated PA educational content (e.g., home-based exercise videos, fatigue management tips) will be disseminated via the WeChat platform.
Sundays: Scheduled telehealth check-ins with patients and caregivers to:
* Review PA adherence and experiential feedback
* Address knowledge gaps through tailored coaching
* Reinforce behavior change techniques (e.g., self-monitoring logs)
Post-Discharge Program
Regular monitoring and evaluation will be conducted to assess PA outcomes: comprehensive evaluations will identify barriers (e.g., treatment-related fatigue) and guide real-time adjustments to the exercise plan based on the patient's physical condition and performance. To enhance adherence, families will collaboratively set alarm reminders for PA sessions, and caregivers will be invited to supervise daily activities.
Eligibility Criteria
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Inclusion Criteria
* Children diagnosed with leukemia, lymphoma, or solid tumor confirmed by pathology or bone marrow examination;
* Obtaining informed consent from the child and their guardian;
* Approval from the attending physician for participation in physical activity interventions.
Exclusion Criteria
* Individuals with severe physical disabilities incompatible with physical activity participation;
* Cases involving metastasis to bone tissue that would restrict movement.
6 Years
18 Years
ALL
No
Sponsors
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Sun Yat-sen University Cancer Centre
UNKNOWN
Ke Liu
OTHER
Responsible Party
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Ke Liu
Professor
Locations
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Sun Yat-sen University Cancer Prevention Center
Guangzhou, Guangdong, China
Countries
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References
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Atun R, Bhakta N, Denburg A, Frazier AL, Friedrich P, Gupta S, Lam CG, Ward ZJ, Yeh JM, Allemani C, Coleman MP, Di Carlo V, Loucaides E, Fitchett E, Girardi F, Horton SE, Bray F, Steliarova-Foucher E, Sullivan R, Aitken JF, Banavali S, Binagwaho A, Alcasabas P, Antillon F, Arora RS, Barr RD, Bouffet E, Challinor J, Fuentes-Alabi S, Gross T, Hagander L, Hoffman RI, Herrera C, Kutluk T, Marcus KJ, Moreira C, Pritchard-Jones K, Ramirez O, Renner L, Robison LL, Shalkow J, Sung L, Yeoh A, Rodriguez-Galindo C. Sustainable care for children with cancer: a Lancet Oncology Commission. Lancet Oncol. 2020 Apr;21(4):e185-e224. doi: 10.1016/S1470-2045(20)30022-X.
Hudson MM, Ness KK, Gurney JG, Mulrooney DA, Chemaitilly W, Krull KR, Green DM, Armstrong GT, Nottage KA, Jones KE, Sklar CA, Srivastava DK, Robison LL. Clinical ascertainment of health outcomes among adults treated for childhood cancer. JAMA. 2013 Jun 12;309(22):2371-2381. doi: 10.1001/jama.2013.6296.
Other Identifiers
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2024-FXY-299-Peds Onc
Identifier Type: OTHER
Identifier Source: secondary_id
L2023SYSU-HL-025
Identifier Type: -
Identifier Source: org_study_id
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