An App-Based Intervention With Behavioral Support to Promote Brisk Walking in People Diagnosed With Breast, Prostate, or Colorectal Cancer (APPROACH): Process Evaluation Study

An App-Based Intervention to Encourage Walking in Cancer Patients (APPROACH)

Study Overview

The APPROACH pilot study tested an app called NHS Active 10, designed to help cancer patients increase their brisk walking through simple support calls and printed materials.

Study Goals

This study aimed to:

  • Evaluate how well the intervention was implemented.
  • Understand how it affects behavior.
  • Identify factors that influence participation.

Who Participated?

Adults aged 18 and older with breast, prostate, or colorectal cancer who were not meeting UK activity guidelines were recruited from a hospital in Yorkshire, UK. Participants were randomly assigned to either the intervention group or a control group receiving usual care.

How Was the Study Conducted?

Participants completed surveys at the start of the study and again after three months. They also participated in interviews to share their experiences. The study focused on those who received the intervention.

Key Findings

The intervention was well-received:

  • 98% of participants received a support call.
  • 78% read the provided leaflet.
  • 95% downloaded the app.
  • 83% used the planners included in the program.

Participants rated the app’s usefulness at an average of 4.3 out of 5, while the leaflet and support calls were rated at 3.9 and 4.1, respectively. The support calls effectively delivered behavior change techniques.

Impact Mechanisms

The study found that the intervention helped participants form habits, monitor their behavior, and receive support from facilitators. However, challenges like the effects of cancer and its treatment, as well as the importance of social support, were also noted.

Conclusion

The APPROACH intervention was successfully implemented and shows potential for increasing brisk walking among cancer patients by fostering habit formation and self-monitoring. Understanding the factors affecting engagement will be crucial for future studies.

Additional Information

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