CancerC4CNCT05333016
A Dyadic Approach to Cancer Care: a Feasibility and Efficacy Partner-based Exercise Study
A study testing Multimodal exercise in people with Cancer, run by Nova Scotia Health Authority at 1 site in Canada.
Trial summary
The primary goal of this study will be to assess the feasibility and acceptability of a partner-based 12-week exercise intervention for cancer caregivers and their care recipient. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Cancer
- What is being tested?
- Multimodal exercise
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 42 participants
- Where
- 1 siteCanada
- Study dates
- 15 Jan 2023to 31 Dec 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 18+ years
- able to perform discontinuous low intensity physical activity at a minimum
- able to provide informed written consent in English.
- are along any stage of the cancer continuum (i.e., pre-treatment, receiving active treatment, and up to 5 years post-treatment)
- must be currently providing physical and/or psychological support to an adult (+18 years) cancer patient/survivor
- not be exceeding current Canadian physical activity guidelines (i.e., 150 minutes of moderate-to-vigorous physical activity per week)
Who cannot join
- Patients/survivors and caregivers will be excluded from the study if they have any medical conditions that would contraindicate exercise
- Bereaved caregivers
Trial locations and contacts
1 site in 1 country.
Canada1 site
Physical Activity and Cancer (PAC) Lab
Halifax, Nova Scotia, B3H 2Y9
About this study
The primary goal of this study will be to assess the feasibility and acceptability of a partner-based 12-week exercise intervention for cancer caregivers and their care recipient. The researchers will also explore the preliminary effectiveness of the exercise program on caregiver burden and physical and psychological health of both the family caregiver and the care recipient.
Read the detailed description
NEED: Cancer has been characterized as a family affair, as it is a disease in which both the patient and their family members are confronted by considerable physical and psychological stressors. With an anticipated 80% increase in the average number of new cancer diagnoses by 2030 and rapidly escalating health care costs, there has been a shift to outpatient and home-based care. In doing so, family members are increasingly being called upon to participate as informal caregivers (i.e., an individual who provided uncompensated care). Despite being a key partner in the supportive care of the cancer patient, family caregivers are often inadequately prepared or supported to take on this critical role, subsequently putting their own health and well-being at risk and by extension, that of the cancer patient/survivor. Preliminary data suggests that exercise interventions show promise in mitigating caregiver burden and improving health outcomes for both the caregiver and the patient/survivor. To date, however only two studies have examined the benefit of exercise interventions on family caregiver and patient outcomes within the cancer care context.
GOAL: The primary goal of this study will be to assess the feasibility and acceptability of a partner-based 12-week exercise intervention. The investigators will also explore the preliminary effectiveness of the exercise program on caregiver burden and physical and psychological health of both the family caregiver and the care recipient.
WHO: Participants will include adult primary caregivers and cancer patients/survivors of all cancers and stages at any point along the cancer care trajectory.
HOW: Using both surveys and participant interviews, the participant experience and impact (e.g., physical and psychological health benefits) of a 12-week, partner-based exercise intervention will be evaluated. The 12-week exercise program will include a combination of aerobic, resistance, balance, and flexibility exercises delivered in a partner-based setting twice weekly at a dedicated cancer and exercise lab.
- Conditions
- Cancer
- Being tested
- Multimodal exercise
- Keywords
- Cancer, Caregiver burden, Survivor, Dyad, Exercise, Intervention, Feasibility
- Medical subject headings
- Neoplasms, Caregiver Burden, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Multimodal exerciseBehavioural
Multimodal exercise programming including aerobic, resistance, balance, and flexibility exercises
| Study group | Role | What they receive |
|---|---|---|
| Multimodal Exercise Intervention | Experimental | 12-week, twice weekly partner-based multimodal exercise program Receives: Behavioral: Multimodal exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recruitment
Participant accrual as defined as the number of eligible participant dyads who consents to participate
Measured: Through study completion, about 2 years
Intervention Adherence
Participant program adherence calculated as percentage of exercise sessions completed divided by total number of available exercise sessions over 12-week intervention
Measured: Through study completion, about 2 years
Adverse Events
Adverse and serious adverse events will be recorded
Measured: Through study completion, about 2 years
Attrition
Participant attrition calculated as percentage of patients who complete 12-week study divided by number who withdraw from study
Measured: Through study completion, about 2 years
Participant Satisfaction
Participant satisfaction will be assessed by semi-structured interviews (no min/max)
Measured: Post intervention, about 12-weeks after baseline
Secondary outcomes (15)
Caregiver Burden
Assessed by the 22-item Zarit Burden Interview (ZBI). Responses are scored on a 5-point Likert scale ranging from 0 (never) to 4 (nearly always) with the sum of scores ranging from 0 to 88 (higher scores indicate higher burden)
Measured: Pre to post intervention (12-week change)
Body Mass Index (BMI)
Weight (kg) and height (m) will be used to calculate BMI
Measured: Pre to post intervention (12-week change)
Body Composition
Waist and hip circumference
Measured: Pre to post intervention (12-week change)
Resting heart rate
Resting heart rate
Measured: Pre to post intervention (12-week change)
Resting Blood Pressure
Resting systolic and diastolic blood pressure
Measured: Pre to post intervention (12-week change)
Aerobic Fitness
The 6-minute walk test will be used to assess aerobic capacity
Measured: Pre to post intervention (12-week change)
Upper Body Strength
Grip strength will be measured using a hand-held dynamometer
Measured: Pre to post intervention (12-week change)
Muscular Endurance
Lower body muscular endurance will be assessed using the 30-second sit-to-stand
Measured: Pre to post intervention (12-week change)
Balance
Balance will be assessed using the one-legged stance
Measured: Pre to post intervention (12-week change)
Flexibility
Flexibility will be assessed using the sit-and-reach and shoulder flexibility
Measured: Pre to post intervention (12-week change)
Caregiver Quality of Life
Quality of life will be assessed using the Short-Form Health Survey- SF-36. The SF-36 consists of 36 questions that cover 8 health domains/subscales (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health). The total scale score ranges from 0 to 100 with higher values representing higher quality of life.
Measured: Pre to post intervention (12-week change)
Cancer Patient Quality of Life
Quality of life for cancer patients will be assessed using the Functional Assessment of Cancer Therapy - General survey. The combined 27-item scale provides subscale scores physical (7-items), functional (7-items), emotional (6-items), and social/family (7-items) well-being. The sum of scores on the five domains evaluates a participants' quality of life with higher scores (ranging from 0-108) denoting higher quality of life.
Measured: Pre to post intervention (12-week change)
Cancer Patient Fatigue
Fatigue will be assessed using the 13-item Functional Assessment of Chronic Illness Therapy - Fatigue survey. Scores range from 0-52 with higher scores indicating better functioning/less fatigue
Measured: Pre to post intervention (12-week change)
Self-Reported Physical Activity
Physical activity will be assessed using the Godin Leisure Time Exercise Questionnaire. Total score ranges from 0 to no maximum.
Measured: Pre to post intervention (12-week change)
General Health (EuroQol) 5 Dimension - 5 Level
Mobility, self-care, usual activities, pain/discomfort, anxiety/depression (EuroQol-5Dimension-5Level; EQ-5D-5L); higher scores indicate higher problems (range 0-1)
Measured: Pre to post intervention (12-week change)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Apr 2022
- Study start15 Jan 2023
- Primary completion31 Dec 2024
- Study completion31 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for CancerStudies of the same condition, open and under way.
- More trials run by Nova Scotia Health AuthorityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 42 participants (actual)
Sponsor and investigators
- Lead sponsor
- Nova Scotia Health Authority
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Melanie Keats, Nova Scotia Health Authority
- Investigators
- Melanie Keats, PhD, Principal investigator, Dalhousie University / Nova Scotia Health
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05333016
- Sponsor's protocol ID
- NSH Caring 4 Cancer Caregivers
- Acronym
- C4C
- Status last verified
- Feb 2025
- First submitted
- 4 Apr 2022
- Last updated
- 13 Feb 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Dyadic Approach to Cancer Care: a Feasibility and Efficacy Partner-based Exercise Study
- ClinicalTrials.gov ID
- NCT05333016
- Acronym / sponsor ID
- C4C / NSH Caring 4 Cancer Caregivers
- Conditions
- Cancer
- Keywords
- Cancer, Caregiver burden, Survivor, Dyad, Exercise, Intervention, Feasibility
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 42 participants (actual)
- Lead sponsor
- Nova Scotia Health AuthorityUniversity, hospital or other
- Study start
- 15 Jan 2023 (actual)
- Primary completion
- 31 Dec 2024 (actual)
- Study completion
- 31 Dec 2024 (actual)
- First posted
- 18 Apr 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary goal of this study will be to assess the feasibility and acceptability of a partner-based 12-week exercise intervention for cancer caregivers and their care recipient. The researchers will also explore the preliminary effectiveness of the exercise program on caregiver burden and physical and psychological health of both the family caregiver and the care recipient.
Detailed description
NEED: Cancer has been characterized as a family affair, as it is a disease in which both the patient and their family members are confronted by considerable physical and psychological stressors. With an anticipated 80% increase in the average number of new cancer diagnoses by 2030 and rapidly escalating health care costs, there has been a shift to outpatient and home-based care. In doing so, family members are increasingly being called upon to participate as informal caregivers (i.e., an individual who provided uncompensated care). Despite being a key partner in the supportive care of the cancer patient, family caregivers are often inadequately prepared or supported to take on this critical role, subsequently putting their own health and well-being at risk and by extension, that of the cancer patient/survivor. Preliminary data suggests that exercise interventions show promise in mitigating caregiver burden and improving health outcomes for both the caregiver and the patient/survivor. To date, however only two studies have examined the benefit of exercise interventions on family caregiver and patient outcomes within the cancer care context.
GOAL: The primary goal of this study will be to assess the feasibility and acceptability of a partner-based 12-week exercise intervention. The investigators will also explore the preliminary effectiveness of the exercise program on caregiver burden and physical and psychological health of both the family caregiver and the care recipient.
WHO: Participants will include adult primary caregivers and cancer patients/survivors of all cancers and stages at any point along the cancer care trajectory.
HOW: Using both surveys and participant interviews, the participant experience and impact (e.g., physical and psychological health benefits) of a 12-week, partner-based exercise intervention will be evaluated. The 12-week exercise program will include a combination of aerobic, resistance, balance, and flexibility exercises delivered in a partner-based setting twice weekly at a dedicated cancer and exercise lab.
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Multimodal Exercise Intervention | Experimental | Behavioral: Multimodal exercise12-week, twice weekly partner-based multimodal exercise program |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 18+ years
- able to perform discontinuous low intensity physical activity at a minimum
- able to provide informed written consent in English.
- are along any stage of the cancer continuum (i.e., pre-treatment, receiving active treatment, and up to 5 years post-treatment)
- must be currently providing physical and/or psychological support to an adult (+18 years) cancer patient/survivor
Key exclusion criteria (2 listed)
- Patients/survivors and caregivers will be excluded from the study if they have any medical conditions that would contraindicate exercise
- Bereaved caregivers
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Multimodal exerciseMultimodal exercise programming including aerobic, resistance, balance, and flexibility exercises | Behavioural | Multimodal Exercise Intervention |
Primary outcome
Recruitment
Time frame: Through study completion, about 2 years
Participant accrual as defined as the number of eligible participant dyads who consents to participate
Intervention Adherence
Time frame: Through study completion, about 2 years
Participant program adherence calculated as percentage of exercise sessions completed divided by total number of available exercise sessions over 12-week intervention
Adverse Events
Time frame: Through study completion, about 2 years
Adverse and serious adverse events will be recorded
Attrition
Time frame: Through study completion, about 2 years
Participant attrition calculated as percentage of patients who complete 12-week study divided by number who withdraw from study
Participant Satisfaction
Time frame: Post intervention, about 12-weeks after baseline
Participant satisfaction will be assessed by semi-structured interviews (no min/max)
15 secondary outcomes
Caregiver Burden
Time frame: Pre to post intervention (12-week change)
Body Mass Index (BMI)
Time frame: Pre to post intervention (12-week change)
Body Composition
Time frame: Pre to post intervention (12-week change)
Resting heart rate
Time frame: Pre to post intervention (12-week change)
Resting Blood Pressure
Time frame: Pre to post intervention (12-week change)
Aerobic Fitness
Time frame: Pre to post intervention (12-week change)
Upper Body Strength
Time frame: Pre to post intervention (12-week change)
Muscular Endurance
Time frame: Pre to post intervention (12-week change)
Balance
Time frame: Pre to post intervention (12-week change)
Flexibility
Time frame: Pre to post intervention (12-week change)
Caregiver Quality of Life
Time frame: Pre to post intervention (12-week change)
Cancer Patient Quality of Life
Time frame: Pre to post intervention (12-week change)
Cancer Patient Fatigue
Time frame: Pre to post intervention (12-week change)
Self-Reported Physical Activity
Time frame: Pre to post intervention (12-week change)
General Health (EuroQol) 5 Dimension - 5 Level
Time frame: Pre to post intervention (12-week change)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Feb 2025.
- Physical Activity and Cancer Lab websiteLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Melanie Keats, PhD principal investigator
Dalhousie University / Nova Scotia Health
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Multimodal exercise in people with Cancer, run by Nova Scotia Health Authority at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 13 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Recruitment (time frame: Through study completion, about 2 years). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Feb 2025.