About this trial
This clinical trial tests an individualized online home-based exercise program in gynecologic cancer survivors and its impact on gut microbiome (the bacteria and microorganisms that live in the digestive system) and symptoms such as pain, fatigue, sleep disturbance, depression, and cognitive impairment. These symptoms can significantly reduce the quality of life (QoL) and survival rate in this cancer population. Thus, promoting physical activity among cancer survivors may help mitigate these severe symptoms. Using online platforms such as Zoom can help participants access an individualized exercise program that meets their specific needs to engage in physical activity and decrease their symptom burden. Home-based exercise, by providing self-chosen time and location and low costs, can address some barriers to physical activity for cancer survivors. An individualized online home-based exercise program may be feasible, and may improve symptoms and quality of life in gynecologic cancer survivors.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women aged ≥ 18 years old
Previously diagnosed with gynecologic cancer (e.g., uterine, ovarian, cervical)
Completed cancer treatment (chemotherapy or chemoradiation)
Able to read and speak English
Disqualifiers
History of metastatic or other primary cancer
Serious mental health conditions (e.g., bipolar disorder, schizophrenia, major depression)
Certain chronic diseases (e.g., muscular-skeletal diseases that limit mobility, autoimmune diseases, uncontrolled diabetes, hypertension, renal disease (creatinine > 2.5 mg/dL)
Unable to read/speak English
Trial design
Single group
Treatments tested in this trial
Exercise Intervention
Other interventionParticipate in an individualized online home-based exercise intervention
Functional Assessment
Other interventionComplete functional capacity assessment
Medical Device Usage and Evaluation
Other interventionWear an activity tracker
Questionnaire Administration
Other interventionAncillary studies
Supportive Care
Other interventionReceive social support
Treatment groups
Trial outcomes
Primary outcomes
Attrition Rates (Feasibility)
Feasibility will be assessed by calculating attrition and adherence rates, identifying reasons for refusal, and evaluating the completeness of the data. We will consider the intervention to have low attrition and high adherence if \>80% of participants remain enrolled and complete the study, respectively.
Adherence Rates (Feasibility)
Feasibility will be assessed by calculating attrition and adherence rates, identifying reasons for refusal, and evaluating the completeness of the data. We will consider the intervention to have low attrition and high adherence if \> 80% of participants remain enrolled and complete the study, respectively.
Intervention Acceptability
Will be evaluated with a survey to assess participants' perceptions of the acceptability of the study procedures. A response rate of \> 80% will be considered high acceptability. Descriptive statistics will be calculated using SPSS and R software.
Gut Microbiome
Gut microbiota composition will be evaluated using collected stool samples. The preliminary efficacy of the intervention on gut microbiome and psychoneurological symptoms (PNS) will be compared using a paired t-test.
Secondary outcomes
Quality of Life Assessment
Quality of life will be assessed using the Short Form-8 questionnaire. The preliminary efficacy of the intervention on quality life will be compared using a paired t-test.
Rapid Eating Assessment for Participants
Rapid Eating Assessment for Participants will be used to evaluate their diet. Diet will be assessed to control this variable for measuring gut microbiome.
Stress
Stress level will be measured using PSS. The preliminary efficacy of the intervention on stress will be compared using a paired t-test.
Sponsors and contacts
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Emory University
Lead sponsor
National Cancer Institute (NCI)
Collaborator