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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Feasibility of supervised telehealth exercise for patients with advanced melanoma receiving checkpoint inhibitor therapy
Cancer Medicine, Volume 12, No. 13, Year 2023
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Description
Purpose: To determine the feasibility, safety and preliminary efficacy of a telehealth supervised exercise programme in patients with advanced melanoma receiving checkpoint inhibitor therapy. Methods: A 8-week non-randomised feasibility pilot trial utilising a telehealth delivered multimodal exercise programme undertaken thrice weekly with assessments at baseline and post-intervention. The study was considered feasible if there were no severe or life-threatening adverse events as a result of exercise, and three or more of the following criteria were met: the recruitment rate was >50%, completion rate was >80%, median programme attendance was >75%, median exercise compliance >75%, and average tolerance was >70%. Preliminary efficacy was assessed for objective measures of physical function (2-min step test, repeated chair stand test, 30-s push-up test, and a modified static balance test) and quality of life (QoL), fatigue and other patient-reported outcomes were assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30. Results: Eleven patients (32–80 years) were included in the study (6 female, 5 male). The recruitment rate was 48%, completion rate 91%, programme attendance 88%, median exercise compliance 82.1% and 84.9% for resistance and aerobic exercise, respectively, and tolerance 88%, with no severe or life-threatening adverse events as a result of exercise. In terms of preliminary efficacy, physical function significantly improved while QoL was maintained following the intervention. Conclusion: An 8-week telehealth exercise intervention is feasible and safe for patients with advanced melanoma and appears to improve physical function while preserving QoL during checkpoint inhibitor therapy. © 2023 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.
Authors & Co-Authors
Newton, Robert U.
Australia, Perth
Edith Cowan University
Australia, Brisbane
The University of Queensland
Galvão, Daniel A.
Australia, Perth
Edith Cowan University
Taaffe, Dennis R.
Australia, Perth
Edith Cowan University
Khattak, Muhammad Adnan
Australia, Perth
Edith Cowan University
Australia, Perth
Fiona Stanley Hospital
Australia, Perth
The University of Western Australia
Gray, Elin Solomonovna
Australia, Perth
Edith Cowan University
Statistics
Authors: 5
Affiliations: 6
Identifiers
Doi:
10.1002/cam4.6091
ISSN:
20457634
Research Areas
Cancer
Disability
Health System And Policy
Study Design
Randomised Control Trial
Participants Gender
Male
Female