A Clinician Referral and 12-Week Exercise Training Program for Men With Prostate Cancer: Outcomes to 12 Months of the ENGAGE Cluster Randomized Controlled Trial

in Journal of Physical Activity and Health
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Background:

The ENGAGE (efficacy of a referral and physical activity program for survivors of prostate cancer) study established that a clinician referral and 12-week exercise training program increased vigorous physical activity at 12 weeks among men with prostate cancer. Here, we report the 6- and 12-month outcomes.

Methods:

In this multicenter cluster randomized controlled trial, we compared a clinician referral and exercise training program to usual care. Discounted gym membership was offered to men in the intervention condition on completion of the 12-week exercise program. Self-reported physical activity at 6 and 12 months was the primary outcome. Quality of life, anxiety, and depressive symptoms were secondary outcomes.

Results:

A total of 147 men meeting eligibility criteria agreed to participate (54 intervention, 93 control). A positive interaction effect for vigorous physical activity was observed at 6 months, but not 12 months. No significant effects for the secondary outcomes were found.

Conclusions:

A clinician referral and community-based supervised and unsupervised exercise training program, along with discounted gym membership, had a positive short-term effect on vigorous physical activity levels, but did not improve quality of life, in men with prostate cancer.

Gaskin and Livingston are with the Faculty of Health; Craike is with the Centre for Social and Early Emotional Development and School of Psychology; Mohebbi is with the Biostatistics Unit, Faculty of Health; Deakin University, Geelong, Australia. Craike is also with the Institute of Sport, Exercise, and Active Living, College of Sport and Exercise Science, Victoria University, Melbourne, Australia. Courneya is with the Behavioural Medicine Laboratory, Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Alberta, Canada.

Gaskin (cadeyrn.gaskin@deakin.edu.au) is corresponding author.