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Trial registered on ANZCTR
Registration number
ACTRN12610000609055
Ethics application status
Approved
Date submitted
27/07/2010
Date registered
27/07/2010
Date last updated
5/01/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
The Efficacy of a Referral and Physical Activity Program for Survivors of Prostate Cancer
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Scientific title
The Efficacy of a Referral and Physical Activity Program, Compared to Usual Care, for Survivors of Prostate Cancer to Increase Participation in Physical Activity
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Secondary ID [1]
252304
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Nil
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Universal Trial Number (UTN)
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Trial acronym
ENGAGE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prostate cancer survivors
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Condition category
Condition code
Cancer
257986
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0
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention will involve clinicians referring participants to an Active Exercise Program, which comprises individual and small group supervised sessions and individual home-based physical activity. Participants will initially undertake a one-on-one session with the exercise physiologist, which will include a discussion on the needs of the participant, physical activity preferences, goals, and strategies for overcoming any barriers to performing physical activity. A 12-week program will be undertaken comprising a combination of supervised individual and small group physical activity sessions and home-based physical activity. Within the supervised, the exercise program will be adapted to suit the ability of the participant. The exercise physiologist will lead the small group sessions two times per week and the participant will be advised to undertake their home-based program for a further one day per week. Each supervised session will last approximately 50 minutes and participants will be encouraged to socialise following the sessions. The program will also account for co-morbidities, health conditions, physical limitations and individual preferences. The Australian Association for Exercise and Sport Science recommends that cancer survivors participate in low to moderate intensity physical activity, with regular frequency (3-5 times/week), for at least 20 minutes per session, involving aerobic, resistance or mixed exercise types.
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Intervention code [1]
256878
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Behaviour
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Intervention code [2]
256884
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Lifestyle
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Intervention code [3]
256885
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Treatment: Other
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Comparator / control treatment
Clinicians will provide usual advice regarding physical activity, but not refer participants to the exercise program.
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Control group
Active
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Outcomes
Primary outcome [1]
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Participation in physical activity - measured using the leisure score index (LSI) of the Godin Leisure-Time Exercise Questionnaire
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Assessment method [1]
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Timepoint [1]
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T1 = pre-intervention
T2 = post-intervention (12 weeks from T1)
T3 = 6 months from T1
T4 = 12 months from T1
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Secondary outcome [1]
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Cancer-specific quality of life - measured using the European Organization for Research and Treatment of Cancer (EORTC) core questionnaire (EORTCQLQ-C30 V3) and the prostate tumour-specific module (EORTCQLQ-PR25)
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Assessment method [1]
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Timepoint [1]
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T1 = pre-intervention
T2 = post-intervention (12 weeks from T1)
T3 = 6 months from T1
T4 = 12 months from T1
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Secondary outcome [2]
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Anxiety related to prostate cancer - measured by the Memorial Anxiety Scale for Prostate Cancer (MAX-PC)
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Assessment method [2]
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Timepoint [2]
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T1 = pre-intervention
T2 = post-intervention (12 weeks from T1)
T3 = 6 months from T1
T4 = 12 months from T1
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Secondary outcome [3]
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Depressive symptoms - measured using the Centre for Epidemiological Studies Depression Inventory (CES-D)
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Assessment method [3]
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Timepoint [3]
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T1 = pre-intervention
T2 = post-intervention (12 weeks from T1)
T3 = 6 months from T1
T4 = 12 months from T1
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Eligibility
Key inclusion criteria
Adult males who: (1) have completed active treatment for prostate cancer (hormonal therapy exempt) three-12 months earlier (2) have been treated with curative intent (3) are stages I-III, and (4) have the ability to complete English language versions of the participant surveys.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Patients will be excluded from this study if they have musculoskeletal, cardiovascular, or neurological disorders that could limit them from exercising. The patients' treating clinicians will assess their eligibility for the study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
On completion of active treatment, prostate cancer patients will be considered for the study at their three-12 month follow up consultation. Eligible patients will be identified by the health service nurses prior to presentation to either the public health service outpatient clinic or private health service rooms for their follow up consultation. The primary investigator will randomly assign clinicians to one of two study arms using computer generated random numbers. Clinicians in the intervention arm will follow a standardized script to refer participants to the physical activity program and will provide patients with a referral slip to the program. Patients of clinicians assigned to the control arm will receive usual advice regarding physical activity. During clinic sessions, members of the research team will approach eligible patients and introduce the study to the patient, provide an information package and seek verbal approval to follow them up within 48 hours regarding their interest in participating in the study. Once the consent form has been returned, the project manager will arrange for the participant’s first physical activity session. Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2010
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Actual
5/10/2011
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Date of last participant enrolment
Anticipated
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Actual
28/06/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
270
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Accrual to date
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Final
147
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Australian Research Council
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Address [1]
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GPO Box 2702
Canberra ACT 2601
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Country [1]
257344
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Australia
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Funding source category [2]
257345
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Charities/Societies/Foundations
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Name [2]
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Prostate Cancer Foundation Australia
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Address [2]
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P.O.Box 1332
Lane Cove NSW 1595
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Country [2]
257345
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Australia
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Primary sponsor type
University
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Name
Deakin University
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Address
221 Burwood Highway
Burwood VIC 3125
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Alberta
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Address [1]
256585
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Edmonton, Alberta, Canada
T6G 2R3
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Country [1]
256585
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Canada
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Secondary sponsor category [2]
256586
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University
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Name [2]
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Victoria University
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Address [2]
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PO Box 14428
Melbourne VIC 8001
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Country [2]
256586
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Australia
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Other collaborator category [1]
251401
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Hospital
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Name [1]
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Epworth Healthcare
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Address [1]
251401
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89 Bridge Road
Richmond VIC 3121
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Country [1]
251401
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Australia
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Other collaborator category [2]
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Hospital
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Name [2]
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Eastern Health
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Address [2]
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5 Arnold St
Box Hill VIC 3128
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Country [2]
251402
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Australia
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Other collaborator category [3]
251403
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Hospital
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Name [3]
251403
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Peter MacCallum Cancer Centre
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Address [3]
251403
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Locked Bag 1
A'Beckett Street VIC 8006
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Country [3]
251403
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Australia
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Other collaborator category [4]
251404
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Charities/Societies/Foundations
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Name [4]
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YMCA Victoria
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Address [4]
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582 Heidelberg Road
Fairfield VIC 3078
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Country [4]
251404
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Australia
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Other collaborator category [5]
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Government body
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Name [5]
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North Eastern Metropolitan Integrated Cancer Service
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Address [5]
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PO Box 5555
Heidelberg, VIC 3084
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Country [5]
251405
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Eastern Health Research and Ethics Committee
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Ethics committee address [1]
259365
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Eastern Health Research and Ethics Office Level 3 Arnold Building 5 Arnold Street Box Hill VIC 3128
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Ethics committee country [1]
259365
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Australia
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Date submitted for ethics approval [1]
259365
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30/08/2010
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Approval date [1]
259365
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11/02/2011
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Ethics approval number [1]
259365
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E32-1011
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Ethics committee name [2]
259366
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Epworth HealthCare Human Research Ethics Committee
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Ethics committee address [2]
259366
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Human Research Ethics Committee Coordinator Epworth HealthCare 89 Bridge Road 5LP Richmond VIC 3121
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Ethics committee country [2]
259366
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Australia
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Date submitted for ethics approval [2]
259366
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30/08/2010
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Approval date [2]
259366
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15/12/2010
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Ethics approval number [2]
259366
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50410
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Ethics committee name [3]
259367
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Peter MacCallum Cancer Centre Ethics Committee
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Ethics committee address [3]
259367
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Peter MacCallum Cancer Centre Ethics Committee Peter MacCullum Cancer Centre Locked Bag 1 A'Beckett Street Melbourne VIC 8006
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Ethics committee country [3]
259367
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Australia
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Date submitted for ethics approval [3]
259367
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30/08/2010
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Approval date [3]
259367
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11/04/2011
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Ethics approval number [3]
259367
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10/101
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Ethics committee name [4]
259368
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Deakin University Human Research Ethics Committee
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Ethics committee address [4]
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Deakin University Human Research Ethics Committee Office of Research Integrity, Deakin University Research Services 221 Burwood Highway Burwood VIC 3125
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Ethics committee country [4]
259368
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Australia
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Date submitted for ethics approval [4]
259368
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30/09/2010
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Approval date [4]
259368
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19/04/2011
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Ethics approval number [4]
259368
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2011-085
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Ethics committee name [5]
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Austin Health Human Research Ethics Committee
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Ethics committee address [5]
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Research Ethics Unit, Henry Buck Building Austin Hospital 145 Studley Road, Heidelberg, Vic 3084
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Ethics committee country [5]
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Australia
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Date submitted for ethics approval [5]
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21/07/2011
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Approval date [5]
269475
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Ethics approval number [5]
269475
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04339
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Summary
Brief summary
There is evidence that engaging in physical activity improves the physical health of prostate cancer survivors. Despite this evidence, men who survive prostate cancer do not engage in recommended levels of physical activity. The aim of this study is to investigate the potential influence clinicians could have on increasing physical activity levels among prostate cancer survivors, by referring cancer survivors to a physical activity program, with expert involvement from exercise physiologists. The participants will be 220 survivors of prostate cancer, defined as men who have completed active treatment (hormone treatment exempt) for prostate cancer three-12 months prior. The study has been designed as a randomised controlled trial to test the efficacy of an intervention (i.e., a clinician’s referral to a physical activity program) to generate a) behaviour change by increasing physical activity levels that is sustained over time and b) improve psychosocial and quality of life outcomes among prostate cancer survivors. The patients’ treating clinicians will be randomised to either the intervention arm or control arm of the trial. The intervention will involve clinicians referring participants to an Active Exercise Program, which comprises 12 weeks of small group sessions and individual home-based physical activity. Patients of clinicians assigned to the control arm will receive usual advice regarding physical activity, given the information and consent form, and invited to be involved in the study by the clinician. The main outcomes that will be measured in this trial are participation in physical activity, cancer-specific quality of life, anxiety relating to prostate cancer, depressed mood, and objective physical functioning. Measurements of these outcomes will be made using standard questionnaires. The questionnaires will be administered baseline (T1), on completion of the intervention (T2), and at six-(T3) and 12-months post-recruitment (T4). Objective physical functioning will be measures at baseline (T1) and on completion of intervention (T2). This study will inform the development of a physical activity program for prostate cancer survivors which could become available across Victorian YMCA facilities and ultimately across Australia.
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Trial website
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Trial related presentations / publications
Livingston, P.M., Salmon, J., Courneya, K.S., Gaskin, C.J., Craike, M., Botti, M., Broadbent, S., & Kent, B. (2011). Efficacy of a Referral and Physical Activity Program for Survivors of Prostate Cancer [ENGAGE]: Rationale and Design for a Cluster Randomised Controlled Trial. BMC Cancer, 11:237 doi:10.1186/1471-2407-11-237
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Public notes
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Contacts
Principal investigator
Name
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Prof Trish Livingston
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Address
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Deakin University, 221 Burwood HWY, Burwood, 3125, Australia
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Country
31436
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Australia
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Phone
31436
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+61392446609
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Trish Livingston
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Address
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Faculty of Health, 221 Burwood Highway Burwood VIC 3125
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Country
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Australia
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Phone
14683
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+61392446909
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Fax
14683
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+61392446159
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Email
14683
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[email protected]
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Contact person for scientific queries
Name
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Trish Livingston
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Address
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Faculty of Health, 221 Burwood Highway Burwood VIC 3125
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Country
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Australia
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Phone
5611
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+61392446909
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Fax
5611
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+61392446159
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Efficacy of a referral and physical activity program for survivors of prostate cancer [ENGAGE]: Rationale and design for a cluster randomised controlled trial.
2011
https://dx.doi.org/10.1186/1471-2407-11-237
Embase
Associations of objectively measured moderate-to-vigorous physical activity and sedentary behavior with quality of life and psychological well-being in prostate cancer survivors.
2016
https://dx.doi.org/10.1007/s10552-016-0787-5
Embase
Fitness outcomes from a randomised controlled trial of exercise training for men with prostate cancer: the ENGAGE study.
2016
Embase
Mechanisms of Physical Activity Behavior Change for Prostate Cancer Survivors: A Cluster Randomized Controlled Trial.
2018
https://dx.doi.org/10.1093/abm/kax055
N.B. These documents automatically identified may not have been verified by the study sponsor.
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