Implementation of the 3-steps Assess-Advise-Refer Exercise (FitARise) Protocol as a Standard Practice in Cancer Care

ConditionsExercise Cancer

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age18+

SponsorThe University of Hong Kong

About this trial

This study proposes to evaluate the process and outcome of an implementation program designed to implement the American College of Sports Medicine (ACMS)-recommended exercise assessment, advice, and referral instruction as standard practices in routine cancer care.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

All cancer patients with BMI score>=23;

Have completed cancer treatment within the past five years;

At least 18 years old;

Are literate in Chinese or English;

Disqualifiers

Patients who have completed cancer treatments for more than five years;

Non-Cantonese, non-Mandarin, non-English speakers.

Trial design

Design model

Crossover

Treatments tested in this trial

3-step Assess-Advice-Refer
Behavioral
Four implementation strategies will be conducted individually for each of the study unit at the timepoint when the study unit is being randomly allocated to the implementation condition. For each study unit, all site facilitators will first receive a half-day training. Each study unit under the implementation condition will receive weekly audit and feedback reports to summarize the proportion of eligible patients, proportion of eligible patients being screened, proportion of patients appropriately referred to JCICC. The senior research assistant with a nursing background will receive training and mentoring from the PI and will be the guided facilitator. The guided facilitator will conduct weekly site visits to address operational issues arise during the implementation. Lastly, while the FitARise protocol is standardized and cannot be modified, the routine workflow for each study unit can be adjusted according to its context and resources.

Treatment groups

1,800 Participants

are divided into 2 treatment groups

Group A: Implementation conditionExperimental treatment 1 intervention

Group B: Control conditionNo intervention 0 interventions

Trial outcomes

Primary outcomes

Percentage of eligible patients

The primary outcome (the reach measurement) is the percentage of eligible patients assessed, advised, and referred based on predefined BMI scores.

Time frame

Pre- and post-implementation phase, up to 24 months

Secondary outcomes

Change in referral uptake

The secondary outcome is the uptake of the referral, i.e. the proportion of referred patients accepting the enrolment of the JCICC weight management program. This study also will examine the attendance rates of those enrolled in the weight management program.

Time frame

Pre- and post-implementation phase, up to 24 months

Sponsors and contacts

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The University of Hong Kong

Lead sponsor

Source ClinicalTrials.gov

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