PRIMARY OBJECTIVES:~I. To adapt a multicomponent intervention (HH+AIM) that assesses the perspective of health care provider and cancer survivors about:~Ia. Needs related to psychosocial distress and health behaviors in rural patients with cancer.~Ib. Needs related to implementing interventions within the treatment setting. Ic. Barriers to intervention delivery/participate. Id. Preferred means/methods for referring participants and receiving information related to the intervention.~SECONDARY OBJECTIVES:~I. To assess time spent sitting in prolonged bouts of 20 consecutive minutes or more (minutes/day).~II. To assess daily number of steps (collected using the activPAL over 7 days at week 8, data will be averaging over 7 days to get minutes per day).~III. To assess psychosocial distress measured using the National Comprehensive Cancer Network (NCCN) Distress Thermometer scores.~IV. To assess health-related quality of life measured using the SF-36 short form.~OUTLINE:~PART I: Patients and providers complete a questionnaire and attend an interview over 1 hour.~PART II: Patients are randomized to 1 of 2 groups.~GROUP I: Patients attend face-to-face mind-body sessions focused on stretching, breathing, and relaxation twice a week and receive targeted text messages daily on their smartphone for 8 weeks.~GROUP II: Patients receive usual care.
This study adapts and assesses the effect of a multicomponent physical activity intervention in reducing psychosocial distress in cancer patients. This study aims to develop a program to help increase physical activity and reduce stress in cancer survivors who live in rural areas.