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Table 2 Intervention characteristics

From: Systematic review and meta-analysis of maintenance of physical activity behaviour change in cancer survivors

Authors and country

Theoretical bases

PA intervention only

Supervised exercise

Intervention provider

Number of contacts

Setting and mode of delivery

Length of intervention

Length of follow-up

Control group instructions

Fidelity assessment

Recruitment rates

Drop out post-intervention follow up

Very promising – Significant between group difference

a Mutrie et al. 2012 [55]

UK

SCT and TTM

Y

Y

Specifically trained exercise specialists

24

Group supervised exercise classes and home-based exercise with referral to GP exercise scheme

3 m

5 yrs

Printed recommendations. After 6 months offered personal ex plan and GP exercise scheme referral

N

1144/203 (18%)

Control = 59 (58%)

Int = 57 (56%)

Pinto et al. 2008 [46] USA

TTM

Y

N

Researchers conducted phone calls

15

Telephone delivered home-based

6 m

9 m

Contact control - Cancer survivorship tip sheets (not PA related). Telephone calls as per intervention group to monitor symptoms

N

Cannot be calculated

Control = 4 (9.3%)

Int =4 (9.3%)

Rogers et al. 2015 [57]

USA

SCT

Y

Y

Exercise specialists and group facilitators trained by clinical psychologist

21

Supervised exercise sessions, counselling and group discussions. Home-based exercise encouraged

3 m

12 m

Usual care plus ACS written materials on PA recommendations

Y

Cannot be calculated

Control = 2 (3.6%)

Int = 5 (4.5%)

Rogers et al. 2009 [37]

Canada

SCT

Y

Y

Exercise specialist and clinical psychologist

21

Supervised exercise sessions and group discussion with home-based exercise encourage

3 m

6 m

Usual care plus ACS written materials on PA recommendations

Y

Cannot be calculated

Control = 3 (15%)

Int = 2 (9.5%)

Belanger et al. 2014 [40]

Canada

TPB

Y

N

-

0

Printed 11 chapter guidebook to promoted PA tailored to young adults

0 m

4 m

Non tailored print materials, 1 page handout

–

212/1908 (11%)

Control = 65 (61.3%)

Int = 63 (59.4%)

Pinto et al. 2015 [68]

USA

TTM and SCT

Y

N

Peer volunteers (with training)

16

Peer-led telephone consultation and mailed feedback reports

3 m

6 m

Contact control

N

76/291 (26%)

Control = 6 (16%)

Int = 3 (7.7%)

Pinto et al. 2013 [56]

USA

TTM and SCT

Y

N

No details provided

24

Health care professional advice plus telephone counselling plus printed materials

6 m

12 m

Health care professional advice plus contact control

Y

192/270 (71%)

Control = 5 (20.8%)

Int = 6 (9.4%)

Dhillon et al. 2017 [69]

Australia

TPB

Y

Y

Physical activity consultant

8

Weekly exercise sessions – home-based exercise was encouraged

2 m

6 m

Diet and PA education materials

N

112/254 (44%)

Control = 28 (50.9%) Int = 21 (37.5%)

Baumann et al. 2017 [70]

Germany

None

Y

Y

Insufficient details

–

Residential rehab program with telephone follow-up

8 m

24 m

3 week rehab program but not FU care

N

No data provided

NP

Hawkes et al. 2013 [39]

Australia

ACT

N

N

Health coaches with degrees in nursing, psychology or health promotion

15

Telephone counselling and printed materials

6 m

12 m

Generic printed materials promoting PA

Y

410/792 (52%)

Control = 42 (20.5%)

Int = 44 (22.4%)

Kanera et al., 2017 [54]

Netherlands

Intervention component derived from SCT, TPB, self-regulation theory and Integrated Model for Change

N

N

-

NR

Web-based lifestyle intervention

6 m

12 m

Waitlist control

N

518/1298 (40%)

Control = 19 (9.0)

Int = 62 (36.7%)

Witlox et al., 2018 [48]

Netherlands

SCT

Y

Y

Physiotherapist

36

Supervised and home-based physical activity

18wk

4 yr

Usual care but access to publically available programs after 18wks

N

237/503 (47%)

50.8% n = 60 control

41.2% n = 49 int

Quite promising - Significant within-group difference baseline to post-intervention follow up

Demark-Wahnefried et al. 2012 [38]

USA

SCT and TTM

N

N

Counsellors (no detail on training/expertise)

23

Personally tailored workbook, newsletters and telephone counselling

10 m

2 yrs

Waitlist control

N

641/20015 (3%)

Control = 77 (23.9%)

Int = 76 (23.8%)

Ottenbacher et al. 2012 [44]

USA

SCT

N

N

-

14

Tailored printed materials

10 m

2 yrs

Attention control – non tailored printed materials including promotion of PA

■ –

543/1570 (44%)

Control = 16 (6.5%)

Int = 28 (14.1%)

Vallance et al. 2007 [52]

Canada

No data provided

Y

N

No details provided

2

Recommendation to exercise, printed materials and pedometer

3 m

6 m

Recommendation to exercise

N

398/1590 (25%)

Control = 28 (29.2%)

Int = 26 (27.9%)

Pinto et al. 2013 [45]

USA

TTM and SCT

Y

N

Counsellors received training on theoretical basis

19

Telephone delivered home-based with printed materials

6 m

12 m

Contact control - Cancer survivorship tip sheets (not PA related). Telephone calls as per intervention group to monitor symptoms

Y

46/168 (27%)

Control = 3 (12%)

Int = 1 (5%)

Leclerc et al. 2018 [71]

Belgium

None described

Y

Y

Physiotherpaists and professor of physiotherapy and rehabilitation

36

Supervised group exercise and education

3 m

24 m

Control group – asked not to change exercise behaviour for the entire follow-up period

N

Cannot be calculated

Control = 55 (51.9%)

Int = 53 (51.5%)

Mayer et al. 2018 [72]

USA

SDT

Y

N

–

–

Smartphone App

6 m

9 m

Control Group – National Cancer Institute’s Facing Forward: Life after Cancer Treatment booklet and National Coalition for Cancer Survivorship’s Cancer Survival Toolbox + pedometer

–

284/465 (61%)

Data not reported at 9 m

bLee et al. 2018 [50]

Hong Kong

TPB and Health Action Process Approach

N

N

No details provided

32

Printed materials with motivational phone calls newsletters and group meetings

12 m

24 m

Usual care

N

Cannot be calculated

Control groups = 18 (16%)

Int groups = 16 (14%)

Adams et al. 2018 [42]

Canada

None described

Y

Y

No details provided

36

Supervised high intensity exercise sessions

3 m

6 m

Usual care – offered 6 week exercise training after final follow-up

N

7% of potentially eligible patient (63/948)

Control group = 5 (18%)

Int groups 6 (17%)

Stolley et al. 2017 [73]

USA

Grounded in a socioecological model

N

Y

Study trained community nutritionist and exercise trainer

48

Supervised Group exercise and education classes

6 m

12 m

Self-guided weight management intervention – printed materials only

N

246/448 (55%)

Control = 21 (17%)

Int = 18 (14%)

Not promising - No between or within group differences

Galvo et al. 2017 [53]

Australia

None described

Y

N

Trained peer support workers

6

Self-management materials and telephone-based group peer support

6 m

12 m

Published patient education materials

N

463/1314 (32%)

Control = 37 (19.1%)

Int = 47 (25.5%)

Nyrop et al. 2017 [41]

USA

None described

Y

N

-

1

Workbook and home-based walking

6 wks

6 m

Waitlist control

–

78/344 (23%)

N = 21 (33.9%) whole sample

Carmack et al. 2006 [51]

USA

SCT and TTM

Y

N

Group facilitators, supervised by clinical psychologist

20

Group counselling, home-based exercise encouraged

6 m

12 m

Standard care

Y

Cannot be calculated

Control = 3 (8.1)

Int = 11 (23.9%)

Education control = 7 (13.7%)

James et al. 2015 [43]

Australia c

SCT

N

Y

Exercise physiologist

6

Group sessions and workbook

8wk

20wks

Waitlist control

N

-

-

O’Neill et al. 2018 [49]

Ireland

Non described

N

Y

A multidisciplinary team

14

Supervised and home-based exercise with education

3 m

6 m

Usual care

N

43/264 = 16%

Control = 1 (5%)

Int = 2 (9%)

Sandler et al. 2017 [47]

Australia

CBT

N

N

Exercise physiologist and clinical psychologist

5

Manualised exercise programme with face-to-face consultations

3 m

6 m

Education package and 1 face-to-face meeting with exercise professionals

N

55/46 = 84%

Control = 2 (8%)

Int = 4 (18%)

  1. aUsed linked texts to extract some intervention characteristics b Study included 4 groups, comparison group classed as usual care or diet intervention only, intervention group = PA only or PA plus diet c attrition data not available as presented for both cancer patients and carers, TTM Transtheoretical Model, SCT Social Cognitive Theory, CBP Cognitive Behavioural Therapy, SDT Self-Determination Theory, ACT Acceptance Commitment Therapy, TBP Theory of Planned Behaviour