Este estudio explora si un programa de salud digital llamado COBRA es una opción segura y práctica para adultos mayores con cáncer. El enfoque está en utilizar actividades de equilibrio y resistencia para ayudar a estos individuos. El estudio tiene como objetivo evaluar si un programa de este tipo puede ser utilizado de manera efectiva por este grupo de edad, proporcionando un paso importante para mejorar el cuidado de apoyo y la calidad de vida de los pacientes de cáncer de edad avanzada. Los participantes en el estudio se involucrarán en un programa de salud digital de 8 semanas, específicamente diseñado para ellos. El programa probablemente incluirá actividades que promuevan el equilibrio y la resistencia, que son cruciales para mantener la fuerza y la estabilidad. Los investigadores monitorearán a los participantes para evaluar la viabilidad y seguridad del programa, asegurando que sea una opción adecuada para adultos mayores con cáncer. Aunque no se detallan riesgos y beneficios específicos, el estudio es crucial para comprender cómo apoyar mejor la salud y el bienestar de esta población.
Inclusion Criteria: Older Adult Patients with Cancer - Are within 1 year of completion of primary therapy for cancer OR have a diagnosis of metastatic cancer; 1. For the purpose of this study, primary therapy is defined as treatment of curative intent, first-line or later, from which the individual is advancing to active surveillance or follow-up with or without maintenance therapy. 2. Individuals with metastatic cancer may be included provided they have stable disease or better per most recent restaging exam at time of enrollment. i. Patients with stable metastatic bony disease at most recent restaging exam and a score of 0-2 on the Functional Pain Scale (FPS69; Appendix 18) are eligible. The PI will consult with the Rehab Med co-PI for FPS scores of 3 or greater, by patient request or PI discretion. ii. Patients with symptomatic visceral metastases will be evaluated on a case-by-case basis at time of enrollment. * Are aged 65 years and older, with no upper age limit; * ECOG PS 0-3 or Karnofsky PS greater than or equal to 40; * Can read and speak English; * Self-report access to internet connection sufficient to support videoconferencing. Clinicians * Licensed clinician (MD, RN, APP) with an interest in the care of older adults with cancer. Exclusion Criteria: Older Adult Patients with Cancer * Have any cognitive impairment, neurologic, musculoskeletal, or other comorbid condition (as assessed by their provider) that would prevent the individual from engaging with the digital health coaching program or complete study assessments or engage in progressive intensity levels of physical activity * Have a neurologic, musculoskeletal, or other comorbid condition that would impede their ability to safely engage in progressive intensity levels of physical activity (as assessed by their provider). Patients with metastatic disease and suspected interim progression since last restaging exam will be referred back to their primary oncology care team for evaluation prior to enrollment. * Have activity restrictions post-surgery at the time of enrollment Clinicians No expected exclusions
está designado en este estudio
de ser asignado al grupo placebo