Remote Monitoring With Health-Coaching for Lifestyle Changes in Older Patients With Multiple Myeloma
Mayo Clinic
Summary
This clinical trial tests the effectiveness of a home-based mindfulness physical activity program with remote monitoring combined with structured telephone-based health coaching to decrease fatigue and improve quality of life in older patients with multiple myeloma (MM). Studies have shown that MM patients have the highest symptom burden among all blood cancers, with older patients experiencing more symptoms and problems, such as fatigue and decreased quality of life, compared to younger patients. There is some data to support that physical activity may have beneficial effects on fatigue, physical function, and quality of life in older cancer patients. Studies have also shown that older patients prefer activities that are gentle, holistic, and home-based. Mindfulness-based interventions have been shown to have positive effects on sleep, depression, anxiety and cancer-related fatigue. Health coaching is a patient centered behavioral change intervention that is delivered by various healthcare professionals and involves goal-setting, self-discovery, and accountability. Health coaching interventions have been shown to increase physical activity levels and improve quality of life. A home-based mindfulness physical activity program with remote monitoring combined with structured telephone-based health coaching may decrease fatigue and improve the quality of life in older patients with MM.
Description
PRIMARY OBJECTIVE: I. To assess the effect-size of a novel combined home-based mindfulness physical activity program with telephonic health coaching on 1) patient-reported fatigue assessed by the Brief Fatigue Inventory (BFI) and Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) questionnaires and 2) Health-related quality of life assessed by the Patient-Reported Outcomes Measurement Information System Global-10 (PROMIS Global-10) questionnaire, and 3) physical activity levels measured by steps per day. OUTLINE: Patients participate in remote monitored home-based physical a…
Eligibility
- Age range
- 65+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Diagnosed with MM and has received treatment with \>= 1 prior lines of treatment, and currently on maintenance treatment with a proteasome inhibitor and/or immunomodulatory agent, and/or anti-C38 antibody * The ability to read and respond to questions in English * Age ≥ 65 years * Moderate or higher fatigue ( \> 4) on a scale of 0-10 based on fatigue rating to question: - Rate your average fatigue over the last week, where 0 is no fatigue and 10 is extreme fatigue * Have wi-fi connection, as the program requires wi-fi to operate Exclusion Criteria: * Does not meet list…
Interventions
- BehavioralSupportive Care (home-based physical activity)
Receive health coaching
- OtherExercise Intervention
Participate in home-based physical activity
- Othertelephone interview
Participate in a telephone interview
- OtherRemote Monitoring
Undergo remote monitoring
- ProcedurePatient Monitoring
Monitor physical activity
- OtherQuestionnaire Administration
Ancillary studies
- OtherElectronic Health Record Review
Location
- Mayo Clinic in RochesterRochester, Minnesota