{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T22:46:07Z","timestamp":1783637167886,"version":"3.55.0"},"reference-count":48,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003130","name":"Flemish Research Foundation","doi-asserted-by":"publisher","award":["12H7517N"],"award-info":[{"award-number":["12H7517N"]}],"id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003130","name":"Flemish Research Foundation","doi-asserted-by":"publisher","award":["G0A0125N"],"award-info":[{"award-number":["G0A0125N"]}],"id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003130","name":"Flemish Research Foundation","doi-asserted-by":"publisher","award":["BOF.STG.2021.0013.01"],"award-info":[{"award-number":["BOF.STG.2021.0013.01"]}],"id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003130","name":"Flemish Research Foundation","doi-asserted-by":"publisher","award":["BOF21KP15"],"award-info":[{"award-number":["BOF21KP15"]}],"id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Bijzonder Onderzoeks Fonds","award":["12H7517N"],"award-info":[{"award-number":["12H7517N"]}]},{"name":"Bijzonder Onderzoeks Fonds","award":["G0A0125N"],"award-info":[{"award-number":["G0A0125N"]}]},{"name":"Bijzonder Onderzoeks Fonds","award":["BOF.STG.2021.0013.01"],"award-info":[{"award-number":["BOF.STG.2021.0013.01"]}]},{"name":"Bijzonder Onderzoeks Fonds","award":["BOF21KP15"],"award-info":[{"award-number":["BOF21KP15"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Background: Patients with early-stage (I\u2013IIIA) resectable non-small cell lung cancer (NSCLC) often experience reduced physical activity (PA) after surgery. PA telecoaching may support a more active lifestyle, but evidence in this population is limited. Objective: To evaluate acceptability, feasibility, safety, and actual usage of an automated and manual PA telecoaching program following surgery for NSCLC. Methods: In this multicenter, single-blind study, patients received either an eight-week automated coaching program (ACP) with a customized smartphone app or a manual coaching program (MCP) with weekly phone calls from a coach. Both groups used an activity tracker, linked to their smartphone, to monitor steps and receive feedback. Primary outcomes included acceptability, feasibility, safety and usage, assessed via questionnaires and interviews. Secondary outcomes included objectively measured PA (accelerometry), functional exercise capacity (six-minute walk distance) and symptoms (dyspnea, fatigue) and quality of life, evaluated via questionnaires. Results: Nineteen patients (12 males; 68 \u00b1 6 years; baseline daily steps 7820 \u00b1 2799) were included. The majority (18\/19) found the intervention enjoyable, and a minority (6\/19) reported minor smartphone issues. All patients wore the activity tracker consistently. No adverse events occurred. The ACP required significantly less coach contact time compared to the MCP (25 \u00b1 14 vs. 54 \u00b1 15 min, p = 0.0003). No other differences in primary outcomes were observed between groups. Changes in secondary outcomes were limited in both groups. Conclusion: PA telecoaching is feasible, well accepted, and safe in patients with NSCLC post-surgery, with excellent activity tracker adherence. The ACP required less coach involvement. However, increasing PA remains challenging, and no conclusions can be made about the effectiveness of telecoaching. Future research should explore longer interventions in larger populations to assess efficacy and long-term outcomes.<\/jats:p>","DOI":"10.3390\/cancers17172886","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T12:04:28Z","timestamp":1756814668000},"page":"2886","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Physical Activity Telecoaching in Post-Surgical NSCLC Patients: A Mixed-Methods Pilot Study Exploring Feasibility, Acceptability and Actual Usage"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8539-937X","authenticated-orcid":false,"given":"Eva","family":"Arents","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Sciences, Ghent University, 9000 Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6841-9161","authenticated-orcid":false,"given":"Sarah","family":"Haesevoets","sequence":"additional","affiliation":[{"name":"REVAL\u2013Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium"},{"name":"BIOMED\u2013Biomedical Research Institute, Hasselt University, 3590 Diepenbeek, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7497-4957","authenticated-orcid":false,"given":"Fien","family":"Hermans","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Ghent University, 9000 Ghent, Belgium"},{"name":"Department of Rehabilitation Sciences, KU Leuven, 3000 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3905-3180","authenticated-orcid":false,"given":"Kirsten","family":"Quadflieg","sequence":"additional","affiliation":[{"name":"REVAL\u2013Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium"},{"name":"BIOMED\u2013Biomedical Research Institute, Hasselt University, 3590 Diepenbeek, Belgium"},{"name":"Centre of expertise in Care Innovation, Department of PXL-Healthcare, PXL University of Applied Sciences and Arts, 3500 Hasselt, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0044-0677","authenticated-orcid":false,"given":"Dries","family":"Cops","sequence":"additional","affiliation":[{"name":"REVAL\u2013Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium"},{"name":"BIOMED\u2013Biomedical Research Institute, Hasselt University, 3590 Diepenbeek, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2591-6061","authenticated-orcid":false,"given":"Maarten","family":"Criel","sequence":"additional","affiliation":[{"name":"Department of Lung diseases, Hospital Oost-Limburg-Faculty of Medicine and Life Sciences, Hasselt University, 3600 Genk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4462-1622","authenticated-orcid":false,"given":"David","family":"Ruttens","sequence":"additional","affiliation":[{"name":"Department of Lung diseases, Hospital Oost-Limburg-Faculty of Medicine and Life Sciences, Hasselt University, 3600 Genk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veerle","family":"Surmont","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Ghent University Hospital, 9000 Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bihiyga","family":"Salhi","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Ghent University Hospital, 9000 Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Derom","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Ghent University Hospital, 9000 Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry","family":"Troosters","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, KU Leuven, 3000 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dieter","family":"Stevens","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Ghent University Hospital, 9000 Ghent, 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