{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:14:15Z","timestamp":1790345655961,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01CA204965"],"award-info":[{"award-number":["R01CA204965"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA016086"],"award-info":[{"award-number":["P30CA016086"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Physical inactivity is common in young adult cancer survivors (YACS), but evidence regarding effects of physical activity (PA) interventions among YACS is limited. The IMproving Physical Activity after Cancer Treatment (IMPACT) trial evaluated a theory\u2010based mobile PA intervention on total PA minutes\/week (primary) and secondary outcomes (moderate\u2010to\u2010vigorous PA [MVPA], light PA, steps, sedentary behaviors) at 6\u00a0months in YACS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      YACS (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a0280) were randomized to an intervention group or self\u2010help group. All participants received digital tools (activity tracker, smart scale, access to arm\u2010specific Facebook group) and an individual video chat session. Intervention participants also received a 6\u2010month program with behavioral lessons, adaptive goal\u2010setting, tailored feedback, tailored text messages, and Facebook prompts. PA was assessed via accelerometry and questionnaires at baseline and 6\u00a0months. Generalized estimating equation analyses tested between\u2010group differences in changes over time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 280 YACS, 251 (90%) completed the 6\u2010month accelerometry measures. Accelerometer\u2010measured total PA minutes\/week changed from 1974.26 at baseline to 2024.34 at 6\u00a0months in the intervention (mean change, 55.14 [95% CI, \u221240.91 to 151.19]) and from 1814.93 to 1877.68 in the self\u2010help group (40.94 [95% CI, \u221262.14 to 144.02]; between\u2010group\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.84). Increases in MVPA were +24.67\u00a0minutes\/week (95% CI, 14.77\u201334.57) in the intervention versus +11.41\u00a0minutes\/week in the self\u2010help (95% CI, 1.44\u201321.38; between\u2010group\n                      <jats:italic>p\u00a0=<\/jats:italic>\n                      \u00a0.07).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although the intervention did not result in significant differences in total PA, the increase in MVPA relative to the self\u2010help group might be associated with important health benefits. Future research should examine moderators to identify for whom, and under what conditions, the intervention might be effective.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>ClinicalTrials.gov Identifier:<\/jats:bold>\n                      NCT03569605.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Plain Language Summary<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Physical inactivity is common in young adult cancer survivors. However, few interventions have focused on helping young adult cancer survivors to get more physical activity.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>The IMproving Physical Activity after Cancer Treatment trial compared a mobile health physical activity intervention with a self\u2010help group on total amount of physical activity at 6\u00a0months in a nationwide sample of young adult cancer survivors.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Intervention participants did not improve their total amount of physical activity, but they did increase their moderate\u2010to\u2010vigorous intensity physical activity by twice as much as the self\u2010help participants. This increase in activity may be associated with health benefits.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.34556","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T04:14:21Z","timestamp":1669695261000},"page":"461-472","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Effect of an mHealth intervention on physical activity outcomes among young adult cancer survivors: The IMPACT randomized controlled trial"],"prefix":"10.1002","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1985-2409","authenticated-orcid":false,"given":"Carmina G.","family":"Valle","sequence":"first","affiliation":[{"name":"Department of Nutrition Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly A.","family":"Diamond","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hillary M.","family":"Heiling","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Biostatistics Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison M.","family":"Deal","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek P.","family":"Hales","sequence":"additional","affiliation":[{"name":"Department of Nutrition Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke T.","family":"Nezami","sequence":"additional","affiliation":[{"name":"Department of Nutrition Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardine M.","family":"Pinto","sequence":"additional","affiliation":[{"name":"College of Nursing University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica Gokee","family":"LaRose","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Policy School of Medicine Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine M.","family":"Rini","sequence":"additional","affiliation":[{"name":"Department of Medical Social Sciences Feinberg School of Medicine Northwestern University  Chicago Illinois USA"},{"name":"Robert H. 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