Neoplasms

Respiratory Tract (Lung and Bronchial) Diseases

All Conditions

Digestive System Diseases

Behaviors and Mental Disorders

Rare Diseases

Lung Neoplasms

Esophageal Neoplasms

Respiratory Tract Neoplasms

Thoracic Neoplasms

Lung Diseases

Respiratory Tract Diseases

Gastrointestinal Neoplasms

Digestive System Neoplasms

Head and Neck Neoplasms

Gastrointestinal Diseases

Esophageal Diseases

Quality of Life

Esophageal Cancer

The rehabilitation program is composed of two parts: six-week bright-light exposure program and an exercise program.

The active control group receives six weeks of a stretching exercise.

1. Out-door of bright-light exposure in the morning (36 min/day, 7 times/week) for six weeks.
2. Tailored to the individual patient with moderate intensity of walking (3 sessions/week) for six weeks. Duration of each session depends on one-on-one exercise consultation via communication software (LINE App). The duration of walking in week 1 is 15 minutes, then increasing 5 minutes each week if the patient has tolerance. If the patient cannot tolerate the duration, the coach will instruct to keep the same duration for the following week. Basically, the goal of duration in week six is 40 minutes.
3. Weekly exercise consultation via communication software (LINE App).
4. Teaching strategy includes one-on one instruction (hard-copy of teaching manual), video, and webpage.

Daylight exposure combine walking

The stretching exercise includes two movements for the upper body and two movements for the lower body, 10 minutes each time, three times a week, for 6 weeks.

The researcher will explain to the participants about how to perform the stretching exercise, according to an instruction manual (hardcopy) for the exercise regimen.

A video is shown to the participants (the content same as hardcopy of education manual).

Stretching exercise

Hui-Mei Chen, PhD

Mei-Fen Dai, MSN

This study plans to investigate the effectiveness of six-week light exposure combined with an exercise training program on improving sleep-wake rhythm, physical and mental symptoms, quality of life, one-year recurrence rate, and one-year survival rate of patients with lung and esophageal cancer.

This study plans to investigate the effectiveness of six-week light exposure combined with an exercise training program on improving sleep-wake rhythm, physical and mental symptoms, quality of life, one-year recurrence rate, and one-year survival rate of patients with lung and esophageal cancer.

Two groups, parallel, randomly assigned clinical trials, long-term follow-up, repeated measurement (pre-test, 6th week, 12th week, 6th month, 12th month, five times in total), and a design of single center recruitment. The experimental group receiving an intervention comprised six weeks of light exposure combined with exercise training. The active control group receiving six weeks of stretching exercise. With a double-blind study design of participant blind and outcomes assessor blind, subjects were recruited from the thoracic surgery clinic and thoracic surgery ward of a medical center in northern Taiwan.

Effects of Bright-light Exposure Combined With Specific Exercise Training (BEST) Program in Patients With Cancer

Effects of Bright-light Exposure Combined With Specific Exercise Training (BEST) Program on Sleep-Wake Rhythm, Physical and Psychological Symptoms, and Quality of Life of Patients With Thoracic Cancer: A Series Study.

Data are available from the corresponding author upon reasonable request.

Using Actigraph to measure sleep-wake rhythm. The parameter including 24-h correlation coefficient(r24), in bed less than out of bed dichotomy index (I \< O), midline estimating statistic of rhythm (MESOR), and amplitude...etc.

The scale consists of 19 questions covering collective sleep quality, sleep latency, total sleep hours, sleep habits, sleep disturbance, use of sleeping drugs, and daytime functioning.

The PSQI score is calculated from the above seven facets. The score of each facet was 0-3 points, and the total score was 0-21 points. A score greater than 5 indicates that the total quality of sleep is poor.

Using actigraph to measure total sleep time (min/night)

Using actigraph to measure sleep onset latency (min/night)

Using actigraph to measure sleep efficiency (percentage)

Using actigraph to measure wake after sleep onset (min/night)

The scale consists of seven items each for anxiety and depression. Each item of the anxiety subscale (HADS-A) and the depression subscale (HADS-D) was scored on a 4-point scale from 0 (not at all) to 3 (very much so). Higher scores indicated higher anxiety or depression levels.

This questionnaire measures the general quality of life of cancer patients. There are 30 questions in total, including questions on physical functioning (5 questions), role function (2 questions), emotional functioning (4 questions),and cognitive functioning (2 questions), as well as, overall quality of life and health status (2 questions). And common symptoms such as fatigue (3 questions), pain (2 questions), nausea and vomiting (2 questions), dyspnea, insomnia, loss of appetite, constipation, diarrhea, and financial problems (one question each).

Chart review to determine whether cancer has recurred for participant one year after diagnosis.

Chart review to determine whether participant survived one year after diagnosis.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Effects of Bright-light Exposure Combined With Specific Exercise Training (BEST) Program in Patients With Cancer	NCT05875870	Lung Neoplasm Esophageal Neop...	Daylight exposu... Stretching exer...	20 Years -	Taipei Veterans General Hospital, Taiwan
Effects of Bright-light Exposure Combined With Specific Exercise Training (BEST) Program in Patients With Cancer	NCT05875870	Lung Neoplasm Esophageal Neop...	Daylight exposu... Stretching exer...	20 Years -	Taipei Veterans General Hospital, Taiwan

Spots Global Cancer Trial Database for daylight exposure combine walking