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Pediatric CancerNCT04483362

CanMove: A Physical Activity Program for Children With Cancer

A study testing Complex physical activity intervention in people with Pediatric Cancer, run by Murdoch Childrens Research Institute at 1 site in Australia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will evaluate a physical activity intervention for children during acute cancer treatment. The intervention aims to encourage children to participate in increased levels of physical activity and reduce the amount of time they spend engaged in sedentary activities. Read more about this study

Who is it for?
Ages 5 to 17 years
Conditions the study is for
Pediatric Cancer
What is being tested?
Complex physical activity intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
21 participants
Where
1 siteAustralia
Study dates
9 Nov 2020to 3 Sep 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 5 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Is between the ages of 5-17 years at the time of consent
  • Diagnosed (or relapsed) with cancer >4 weeks and <6 months at time of consent
  • Currently receiving cancer treatment at the Royal Children's Hospital
  • Has been an in-patient for >7 consecutive days at the time of consent
  • Provide a signed and dated informed consent form and/or has a legally acceptable representative capable of understanding the informed consent document and providing consent on the participant's behalf

Who cannot join

  • Deemed by the treating medical team as unsafe to participate
  • Child/adolescent unable to mobilise independent of clinical staff assistance, as classified by the research team at the time of consent (use of a gait aid or assistance from a primary carer/support person is accepted). For example, if a child/adolescent requires assistance from nursing staff or physiotherapist in order to walk, they will be excluded.
  • Child/adolescent unable to follow simple instructions
  • Suitable support person (18 years and over) not available to participate in continuous monitoring of daily steps in tandem with the child/adolescent
  • No suitable access to a device to sync with a Fitbit
  • Inability or unwillingness of participant or legally acceptable representative to give written informed consent.

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • Royal Children's Hospital

    Parkville, Victora, 3052

Other trials in Australia

About this study

Official title: CanMove: The Feasibility of Implementing a Physical Activity Intervention for Children Undergoing Acute Cancer Treatment

This study will evaluate a physical activity intervention for children during acute cancer treatment. The intervention aims to encourage children to participate in increased levels of physical activity and reduce the amount of time they spend engaged in sedentary activities. This study also aims to evaluate different ways of assessing physical function in order to determine the best outcome measure to use for children during acute cancer treatment.

Read the detailed description

All participants will receive the intervention which involves weekly sessions with a physiotherapist and the provision of an activity tracker. The sessions will aim to help motivate participants to be more physically active and identify barriers to physical activity in their environment. The activity tracker will be used to set a steps per day goal for the participant to achieve.

The intervention will be assessed for feasibility using aspects of the Bowen Framework. Under this framework the intervention will be evaluated according to different domains:

  • Acceptability: To what extent is a new idea, program, process or measure judged as suitable or satisfying
  • Demand: To what extent is a new idea, program, process, or measure likely to be used
  • Implementation: To what extent can a new program is successfully delivered to intended participants
  • Practicality: To what extent can the program can be carried out with intended participants using existing means, resources, and circumstances
  • Limited efficiency: Does the a new program show promise of being successful with the intended population

In order to find out the best way to assess physical function, participants will complete 5 different assessments. The results from these assessments will help to determine the best measure to use in this population.

Being tested
Complex physical activity intervention
Keywords
physical activity
Medical subject headings
Neoplasms, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Complex physical activity interventionBehavioural

    Structured weekly sessions with a Physiotherapist over an 8 week period, including:

    • Evaluation of current levels of physical activity and physical function - including discussion of results
    • Education regarding the importance of physical activity
    • Supervised physical activity session with a physiotherapist
    • Structured weekly sessions applying behavioural change techniques which aim to increase participation in physical activity. Sessions include: provision of activity monitor (Fitbit Inspire), goal setting, monitoring, collaborative problem solving and action plan implementation. Intervention includes additional time allowance of 1 hour per week to assist in implementing action plan items
Study groups in NCT04483362
Study groupRoleWhat they receive
Physical ActivityExperimentalBehavioural change techniques to promote physical activity
Receives: Behavioral: Complex physical activity intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Demand for the intervention

    Recruitment rate (comparing the number of people recruited to the number of potentially eligible participants), and documenting the reasons for non-participation.

    Measured: Through completion of recruitment, estimated as 9 months

  2. Acceptability of the intervention according to participants

    Participant and participant guardian perspective on intervention satisfaction and potential areas of improvement via semi-structured interviews

    Measured: After completion of the intervention (on average 8 weeks)

  3. Acceptability of the intervention according to staff

    Staff perspective on intervention satisfaction and potential areas of improvement via focus groups with staff members

    Measured: Through study completion, estimated as 1 year

  4. Implementation of the intervention: adherence to wearing Fitbit

    Adherence to wearing the Fitbit for monitoring, percentage of complete Fitbit data days out of total intervention days

    Measured: Post intervention (on average 8 weeks)

  5. Implementation of the intervention: attendance to intervention sessions

    Adherence to attending intervention sessions, percentage of intervention sessions that were attended

    Measured: Post intervention (on average 8 weeks)

  6. Implementation of the intervention: ability for participants to attain their steps per day goal

    Goal attainment, percentage of days out of total intervention days that participant was able to achieve their steps per day target

    Measured: Post intervention (on average 8 weeks)

  7. Practicality of the intervention: adverse events

    Measured by number of adverse events reported related to trial procedures. At each trial visit, participants will be asked "How have you felt since your last visit?" in order to elicit any changes in their well-being. They will also be asked if they have had any falls, new injuries, felt distress as a result of the intervention or experienced a change in medical or mobility status. Adverse events relevant to participant safety will also be documented from correspondence from their primary care physician or from the medical record. Adverse events recorded as serious or non-serious, related or not related to the intervention.

    Measured: Post the participant's final trial visit (on average 12 weeks)

  8. Limited efficiency testing assessing changes in physical activity between pre and post intervention: Actigraph steps per day

    Mean change from pre to post intervention in average steps taken per day measured via the Actigraph

    Measured: Post intervention (on average 8 weeks)

  9. Limited efficiency testing assessing changes in physical activity between pre and post intervention: Fitbit steps per day

    Mean change from pre to post intervention in average steps taken per day measured via the Fitbit

    Measured: Post intervention (on average 8 weeks)

  10. Limited efficiency testing assessing changes in physical activity between pre and post intervention: Actigraph distance travelled per day

    Mean change from pre to post intervention in average distance travelled per day measured via the Actigraph

    Measured: Post intervention (on average 8 weeks)

  11. Limited efficiency testing assessing changes in physical activity between pre and post intervention: Fitbit distance travelled per day

    Mean change from pre to post intervention in average distance travelled per day measured via the Fitbit

    Measured: Post intervention (on average 8 weeks)

  12. Limited efficiency testing assessing changes in physical activity between pre and post intervention: Actigraph physical activity intensity

    Mean change from pre to post intervention in time spent in different physical activity intensities (sedentary, light, moderate-vigorous and vigorous) measured by the Actigraph

    Measured: Post intervention (on average 8 weeks)

  13. Limited efficiency testing assessing changes in physical activity between pre and post intervention: Fitbit physical activity intensity

    Mean change from pre to post intervention in time spent in different physical activity intensities (sedentary, light, moderate-vigorous and vigorous) measured by the Fitbit

    Measured: Post intervention (on average 8 weeks)

  14. Limited efficiency testing assessing changes in physical activity between pre and post intervention: sedentary bouts

    Mean change from pre to post intervention in number of sedentary bouts per day measured via the Actigraph

    Measured: Post intervention (on average 8 weeks)

  15. Limited efficiency testing assessing changes in physical activity between pre and post intervention: body position

    Mean change from pre to post intervention in time spent in each body position per day measured via the Actigraph

    Measured: Post intervention (on average 8 weeks)

  16. Limited efficiency testing assessing changes in physical activity between pre and post intervention: active hours

    Mean change from pre to post intervention in number of active hours per day measured via the Fitbit

    Measured: Post intervention (on average 8 weeks)

  17. Limited efficiency testing assessing changes in physical activity between pre and post intervention: active minutes

    Mean change from pre to post intervention in number of active minutes per day measured via the Fitbit

    Measured: Post intervention (on average 8 weeks)

Secondary outcomes (14)
  1. Limited efficiency testing assessing changes in physical function from pre to post intervention: Movement ABC

    Mean score and percentile ranking measured via on the Movement ABC (a performance measure of physical function)

    Measured: Post intervention (on average 8 weeks)

  2. Limited efficiency testing assessing changes in physical function from pre to post intervention: 6 Minute Walk Test

    Mean distance travelled measured via on the 6 Minute Walk test (a performance measure of physical fitness)

    Measured: Post intervention (on average 8 weeks)

  3. Limited efficiency testing assessing changes in physical function from pre to post intervention: Timed Up and Go

    Mean time measured via the Timed Up and Go (a performance measure of physical function)

    Measured: Post intervention (on average 8 weeks)

  4. Limited efficiency testing assessing changes in physical function from pre to post intervention: Timed Up and Down Stairs

    Mean time measured via the Timed Up and Down Stairs (a performance measure of physical function)

    Measured: Post intervention (on average 8 weeks)

  5. Limited efficiency testing assessing changes in physical function from pre to post intervention: Time to Rise from the Floor

    Mean time and rating for quality of movement measured via the 30 second Chair Stand Test Assessment (a performance measure of physical function)

    Measured: Post intervention (on average 8 weeks)

  6. Limited efficiency testing assessing changes in physical function from pre to post intervention: Time to Rise from the Floor

    Mean time and rating for quality of movement measured via the Time to Rise from the Floor Assessment (a performance measure of physical function)

    Measured: Post intervention (on average 8 weeks)

  7. Limited efficiency testing assessing changes in Health-related Quality of Life from pre to post intervention: self-reported Pediatric Quality of Life Inventory-core generic module

    Mean score recorded on the self-reported Pediatric Quality of Life Inventory-core generic module (standardised questionnaire). Items are scored on a 0-100 scale, so that higher scores indicate better health-related quality of life

    Measured: Post intervention (on average 8 weeks)

  8. Limited efficiency testing assessing changes in Health-related Quality of Life from pre to post intervention: proxy-reported Pediatric Quality of Life Inventory-core generic module

    Mean score recorded on the proxy-reported Pediatric Quality of Life Inventory-core generic module (standardised questionnaire). Items are scored on a 0-100 scale, so that higher scores indicate better health-related quality of life

    Measured: Post intervention (on average 8 weeks)

  9. Feasibility: Limited efficiency testing assessing changes in Health-related Quality of Life from pre to post intervention: self-reported PedsQL-cancer module

    Mean score recorded on the self-reported Pediatric Quality of Life Inventory-cancer module (standardised questionnaire). Items are scored on a 0-100 scale, so that higher scores indicate better health-related quality of life

    Measured: Post intervention (on average 8 weeks)

  10. Feasibility: Limited efficiency testing assessing changes in Health-related Quality of Life from pre to post intervention: proxy-reported PedsQL-cancer module

    Mean score recorded on the proxy-reported Pediatric Quality of Life Inventory-cancer module (standardised questionnaire). Items are scored on a 0-100 scale, so that higher scores indicate better health-related quality of life

    Measured: Post intervention (on average 8 weeks)

  11. Categorisation and frequency of reported barriers to physical activity

    Categorise and collate the frequency of participant reported barriers to physical activity. Data collected during each week of the intervention period

    Measured: Post intervention (on average 8 weeks)

  12. Categorisation and frequency of action plan strategies

    Categorise and collate the frequency of action plan items put in place to overcome barriers to physical activity. Data collected during each week of the intervention period

    Measured: Post intervention (on average 8 weeks)

  13. Utility of physical function assessment tools, measured by completeness of assessment data for physical function

    The percentage of physical function assessments that were completed

    Measured: Post completion of follow up assessment (on average 10 weeks)

  14. Utility of physical activity assessment tools, measured by completeness of assessment data for physical activity

    Percentage of complete Fitbit and Actigraph data days out of total assessment days

    Measured: Post completion of follow up assessment (on average 10 weeks)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jul 2020
  2. Study start9 Nov 2020
  3. Primary completion3 Sep 2021
  4. Study completion3 Sep 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
21 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04483362
Sponsor's protocol ID
MurdochCRI
Status last verified
Jun 2022
First submitted
14 Jul 2020
Last updated
3 Jun 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The participants will be asked to voluntarily consent to data sharing. Beginning from 3 months after article publication, the following will be made available long-term for use by future researchers from a recognised research institution whose proposed use of the data has been ethically reviewed and approved by an independent committee and who accept MCRI's conditions for access: * Individual de-identified participant data that underlie the results reported in this article (text, tables, figures and appendices) * Trial protocol, Statistical Analysis Plan, Participant Informed Consent Form

Publications

  • Bowen DJ, Kreuter M, Spring B, Cofta-Woerpel L, Linnan L, Weiner D, Bakken S, Kaplan CP, Squiers L, Fabrizio C, Fernandez M. How we design feasibility studies. Am J Prev Med. 2009 May;36(5):452-7. doi: 10.1016/j.amepre.2009.02.002.

    PubMed 19362699

Questions about this trial

What is this clinical trial studying?

A study testing Complex physical activity intervention in people with Pediatric Cancer, run by Murdoch Childrens Research Institute at 1 site in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Demand for the intervention (time frame: Through completion of recruitment, estimated as 9 months). The study lists 17 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04483362, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jun 2022.

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