The 24-Hour Movement Paradigm: An integrated approach to the measurement and promotion of daily activity in cancer clinical trials

Celina H. Shirazipour, Carolina Raines, Marcio A. Diniz, Sarah Jeanne Salvy, Robert W. Haile, Stephen J. Freedland, Arash Asher, Jennifer R. Tomasone, Gillian Gresham

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Increased physical activity (PA), improved sleep, and decreased sedentary behavior (SB) are essential components of supportive care for cancer survivors. However, researchers and health care professionals have achieved limited success in improving these behaviors among cancer survivors. One potential reasoning is that, over the past two decades, guidelines for promoting and measuring PA, sleep, and SB have been largely siloed. With greater understanding of these three behaviors, health behavior researchers have recently developed a new paradigm: the 24-Hour movement approach. This approach considers PA, SB, and sleep as movement behaviors along a continuum that represent low through vigorous intensity activity. Together these three behaviors form the sum of an individual's movement across a 24-hour day. While this paradigm has been studied in the general population, its usage is still limited in cancer populations. Here, we seek to highlight (a) the potential benefits of this new paradigm for clinical trial design in oncology; (b) how this approach can allow for greater integration of wearable technology as a means of assessing and monitoring patient health outside the clinical setting, improving patient autonomy through self-monitoring of movement behavior. Ultimately, implementation of the 24-Hour movement paradigm will allow health behavior research in oncology to better promote and assess critical health behaviors to support the long-term well-being for cancer patients and survivors.

Original languageEnglish
Article number101081
JournalContemporary Clinical Trials Communications
Volume32
DOIs
StatePublished - Apr 2023
Externally publishedYes

Keywords

  • Cancer survivor
  • Oncology trials
  • Physical activity
  • Sedentary behavior
  • Sleep

Fingerprint

Dive into the research topics of 'The 24-Hour Movement Paradigm: An integrated approach to the measurement and promotion of daily activity in cancer clinical trials'. Together they form a unique fingerprint.

Cite this