Neoplasms

Symptoms and General Pathology

All Conditions

Nervous System Diseases

Neoplasm Metastasis

Brain Neoplasms

Central Nervous System Neoplasms

Nervous System Neoplasms

Brain Diseases

Central Nervous System Diseases

Neoplastic Processes

The programme will take place over 6 months and will include :

1 consultation with the oncologist who will first assess the need for Adapted Physical Activity and then prescribe the APA with a certificate of no physical contraindication

1 consultation with the ICO's APA coach who will present the APA programme and assess the patient's physical capacity using the Short Physical Performance Battery (SPPB) test in order to adapt the programme to their needs.

13 home-based APA sessions (ideally one session per week) with the EAPA from Departmental Committee for Sport for All in 49

1 telephone call with the EAPA of the ICO to evaluate the programme 3 months after the last session.

Patients will also be asked to complete questionnaires at the first session (S1), halfway through the sessions (S6) and at the last session (S13).

These are FACIT-F 5Functional Assessment of Chronic Illness Therapy - Fatigue ; Ricci and L. Gagnon ; P-GIC (Patients' Global Impression of Change (PGIC) scale)

Adapted physical activity at home

Loïc FAIVRE

Physical activity (PA) has been an integral part of non-drug therapy since the early 2010s. This supportive care is likely to reduce fatigue and improve the quality of life of patients during and after the cancer treatment phase.

Physical activity also has a protective effect in terms of tertiary prevention by reducing the risk of recurrence of certain cancers (breast, colon, prostate) by around 40 to 50% and by reducing overall mortality.

Adapted physical activity (APA) is offered at the Institut de Cancérologie de l'Ouest (ICO) in Angers, but there are obstacles particularly linked to the geographical distance of the establishment where this activity is offered.

The RAPASS project is a prospective study which will be proposed to patients followed at the ICO, living in rural areas and far from Angers. Its main objective is to describe the fatigue and quality of life of patients before, during and after a 13-session home-based APA programme. The data collected will also be used to describe changes in physical condition and level, compliance with the programme, continuation of physical activity beyond the duration of the programme, and satisfaction.

The oncologist first assesses the patient's need for APA. The patient is then seen by the ICO's APA coach (EAPA) who presents the APA programme. If the patient agrees to participate, the coach assesses the patient's physical capacity in order to adapt the programme to their needs.

The programme is then carried out with the departmental sports for all committee 49.

The frequency of practice will ideally be one session per week at the patient's home, supervised by a coach from Departmental Committee for Sport for All in 49. A total of 13 sessions will be carried out.

The sessions will aim to develop all the components of physical fitness (endurance, strength, balance, flexibility, coordination, etc.).

The patient receives a walking logbook to record the number of daily steps taken, an exercise booklet to work independently and a pedometer.

In the presence of the coach, the patients perform different exercises and complete different questionnaires.

The programme is evaluated by the ICO EAPA 3 months after the 13th and final session.

Rurality Adapted Physical Activity Sport Health

To Evaluate the Impact of Home-based Adapted Physical Activity Programme for Patients With Brain Tumours and/or Metastatic Cancer Living in Rural Areas

To describe the fatigue (physical, functional, social, emotional components) of patients.

The Score from FACIT-F range from 0 to 52. The higher the score, the lower is the fatigue.

It is used to assess the physical performance of an individual. It is the result of the scores of three criteria: the balance test, the walking speed test and the chair lift test.

The sum of the scores of all the tests gives an overall performance score:

* SPPB 0-6: Poor performance
* SPPB 7-9: Intermediate performance
* SPPB 10-12: High performance

This test measures the functional limitation by comparing the theoretical distance with the measured distance. The patient is asked to walk as far as possible within six minutes:

* Excellent functional mobility ≥91% of the theoretical distance
* Good functional mobility between 82% and 90% of the theoretical distance
* Moderate functional limitation between 74% and 82% of the theoretical distance
* Severe functional limitation ≤73% of the theoretical distance

This test measures muscular health of the hands and forearms.

The patient performs a standing trunk flexion with legs stretched. Depending on the area reached (hand touching the ground, kick, tibia, etc.), a score will be given on a scale of 1 to 5, which differs according to the patient's sex.

The patient is asked to stand on one leg for 1 minute with their eyes open. The best time is recorded and depending on the age and sex of the patient, his or her performance will be rated on a scale of 1 (very poor balance) to 4 (excellent balance).

This questionnaire assesses the level of physical activity.

A number of points ranging from 1 to 5 are assigned to each answer. The total sum of the points determines an overall score that classifies the patients into :

* Score \< 18 : inactive
* 18 ≤ Score ≤ 35: active
* Score \> 35: very active

Evaluates the patient's satisfaction with the implementation of a home-based APA programme.

The questionnaire includes a single question asking the patient what change home-based APA has had on their overall quality of life. The patient is given 7 options from which to choose the one that best corresponds to the perceived change: Very strongly positive, Strongly positive, Slightly positive, No change, Slightly negative, Strongly negative, Very strongly negative.

Institut Cancerologie de l'Ouest

Blood and Lymph Conditions

Diseases and Abnormalities at or Before Birth

Respiratory Tract (Lung and Bronchial) Diseases

Immune System Diseases

Nutritional and Metabolic Diseases

Rare Diseases

Anemia, Sickle Cell

Asthma

Metabolism, Inborn Errors

Anemia

Hemolysis

Anemia, Hemolytic

Anemia, Hemolytic, Congenital

Hematologic Diseases

Hemoglobinopathies

Genetic Diseases, Inborn

Metabolic Diseases

Sickle Cell Anemia

Participants will be receiving their standard medical care.

Participants will be receiving the intervention on top of their standard medical care.

A sphygmanometer, a digital thermometer, a pulse oximeter and a peak flow meter will be given to participants in the intervention arm to use during their telemedicine consultations with health care providers.

A sphygmanometer, a digital thermometer, a pulse oximeter and a peak flow meter will be given to participants to use during their telemedicine consultations with health care providers.

Maria Ntessalen

Peter Murchie

This project assesses feasibility of providing medically vulnerable rural patients with Medical-Self-Assessment-Boxes containing equipment to use at home during telephone and video consultations (telemedicine) with GPs and other healthcare professionals. COVID-19 has caused an upsurge in primary care telemedicine which the investigators believe can be sustained and optimized to make things better for medically vulnerable rural patients beyond the pandemic. The investigators will achieve this by equipping the participants to self-measure and report key clinical measurements (e.g. blood pressure, temperature, oxygen levels) during telemedicine consultations. Before conducting a major evaluation of the Medical-Self-Assessment-Box for medically vulnerable rural patients the investigators must establish three things: First, to show the investigators can issue a Medical-Self-Assessment-Box to medically vulnerable rural patients and enable them to use it properly. Second, to determine that patients can use the Medical-Self-Assessment-Box effectively during telemedicine consultations. Third, to show that it is possible to measure how well the Medical-Self-Assessment-Box is working by counting how often the boxes are being used and whether use is appropriate and helpful. The knowledge gained will provide the investigators with the information needed to develop a funding proposal to evaluate Medical-Self-Assessment-Boxes for medically vulnerable rural patients in the whole of the UK.

ORCHARD- Optimising Home Assessment of Rural Patients

Optimising Remote Consulting and Home Assessment of Medically Vulnerable Rural Patients During Unscheduled and Planned Primary Care- Assessing Feasibility of the ORCHARD Intervention

The questionnaire will assess use of equipment, perception of how helpful the equipment was for the consultation and the reasons why it was helpful.

Qualitative data collected at the end of the study according to a topic guide.

Number of Scottish ambulance service call-outs

Number of face-to-face paramedic assessment

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Rurality Adapted Physical Activity Sport Health	NCT05981170	Brain Tumour Metastatic Canc...	Adapted physica...	18 Years -	Institut Cancerologie de l'Ouest
ORCHARD- Optimising Home Assessment of Rural Patients	NCT05732922	Organ Transplan... Cancer Inborn Errors o... Immunosuppressi... COPD Asthma Sickle Cell Dis...	A sphygmanomete...	18 Years - 100 Years	University of Aberdeen
ORCHARD- Optimising Home Assessment of Rural Patients	NCT05732922	Organ Transplan... Cancer Inborn Errors o... Immunosuppressi... COPD Asthma Sickle Cell Dis...	A sphygmanomete...	18 Years - 100 Years	University of Aberdeen
Rurality Adapted Physical Activity Sport Health	NCT05981170	Brain Tumour Metastatic Canc...	Adapted physica...	18 Years -	Institut Cancerologie de l'Ouest
ORCHARD- Optimising Home Assessment of Rural Patients	NCT05732922	Organ Transplan... Cancer Inborn Errors o... Immunosuppressi... COPD Asthma Sickle Cell Dis...	A sphygmanomete...	18 Years - 100 Years	University of Aberdeen
Rurality Adapted Physical Activity Sport Health	NCT05981170	Brain Tumour Metastatic Canc...	Adapted physica...	18 Years -	Institut Cancerologie de l'Ouest

Spots Global Cancer Trial Database for rurality

Every month we try and update this database with for rurality cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Spots Global Cancer Trial Database for rurality

Every month we try and update this database with for rurality cancer trials from around the world to help patients and their families find trials that might be right for them. We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Every month we try and update this database with for rurality cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.