![]() ![]() ![]() Over the first 4 weeks, MARCA-assessed MVPA increased between groups, favoring the text message-enhanced program, but there were no significant intervention effects on sedentary behavior. The study had high retention (86%) and participants reported high levels of satisfaction with the intervention. Changes and intervention effects were evaluated using linear mixed models, adjusting for baseline values and potential confounders. The MARCA also assessed time use domains to provide context to activity changes. Activity was assessed at baseline, 4-weeks (end of the standard program) and 12-weeks (end of enhanced program) using both device (activPAL accelerometer sitting, standing, light-stepping, moderate-stepping) and self-report methods. Participants ( n = 36 mean ± SD age 64.8 ± 9.6 years 44.1 ± 30.8 months since treatment) were randomized 1:1 to receive the text message-enhanced clinical exercise rehabilitation program, or the standard clinical exercise rehabilitation program alone. This study investigated the feasibility, acceptability and efficacy of an individually-tailored, text message-enhanced intervention that focused on increasing whole-of-day activity both during and beyond a 4-week, supervised clinical exercise rehabilitation program for people with cancer and survivors. However, motivating and maintaining activity changes outside of the clinic setting remains challenging. Exercise interventions are typically delivered to people with cancer and survivors via supervised clinical rehabilitation. ![]()
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