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Community pharmacy lifestyle intervention to increase physical activity and improve cardiovascular health of men with prostate cancer: a phase II feasibility study

Lemanska, Agnieszka, Poole, Karen, Griffin, Bruce A., Manders, Ralph, Saxton, John M, Turner, Lauren, Wainwright, Joe and Faithfull, Sara (2019) Community pharmacy lifestyle intervention to increase physical activity and improve cardiovascular health of men with prostate cancer: a phase II feasibility study BMJ Open, 9 (6), e025114.

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Abstract

Objectives:

To assess the feasibility and acceptability of a community pharmacy lifestyle intervention to improve physical activity and cardiovascular health of men with prostate cancer. To refine the intervention.

Design:

Phase II feasibility study of a complex intervention.

Setting:

Nine community pharmacies in the UK.

Intervention:

Community pharmacy teams were trained to deliver a health assessment including fitness, strength and anthropometric measures. A computer algorithm generated a personalised lifestyle prescription for a homebased programme accompanied by supporting resources. The health assessment was repeated 12 weeks later and support phone calls were provided at weeks 1 and 6.

Participants:

116 men who completed treatment for prostate cancer.

Outcome measures:

The feasibility and acceptability of the intervention and the delivery model were assessed by evaluating study processes (rate of participant recruitment, consent, retention and adverse events), by analysing delivery data and semi-structured interviews with participants and by focus groups with pharmacy teams. Physical activity (measured with accelerometry at baseline, 3 and 6 months) and patient reported outcomes (activation, dietary intake and quality of life) were evaluated. Change in physical activity was used to inform the sample size calculations for a future trial.

Results:

Out of 403 invited men, 172 (43%) responded and 116 (29%) participated. Of these, 99 (85%) completed the intervention and 88 (76%) completed the 6-month follow-up (attrition 24%). Certain components of the intervention were feasible and acceptable (eg, community pharmacy delivery), while others were more challenging (eg, fitness assessment) and will be refined for future studies. By 3 months, moderate to vigorous physical activity increased on average by 34 min (95% CI 6 to 62, p=0.018), but this was not sustained over 6 months.

Conclusions:

The community pharmacy intervention was feasible and acceptable. Results are encouraging and warrant a definitive trial to assess the effectiveness of the refined intervention.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
NameEmailORCID
Lemanska, Agnieszkaa.lemanska@surrey.ac.uk
Poole, Karenk.poole@surrey.ac.uk
Griffin, Bruce A.B.Griffin@surrey.ac.uk
Manders, Ralphr.manders@surrey.ac.uk
Saxton, John M
Turner, Lauren
Wainwright, Joe
Faithfull, SaraS.Faithfull@surrey.ac.uk
Date : 11 June 2019
Funders : The Movember Foundation, Prostate Cancer UK
DOI : 10.1136/bmjopen-2018-025114
Copyright Disclaimer : © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http:// creativecommons. org/ licenses/ by- nc/ 4. 0/.
Depositing User : Diane Maxfield
Date Deposited : 09 Jul 2019 11:56
Last Modified : 09 Jul 2019 11:59
URI: http://epubs.surrey.ac.uk/id/eprint/852229

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