Background: Patients with early-stage (I–IIIA) 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 ± 6 years; baseline daily steps 7820 ± 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 ± 14 vs. 54 ± 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.
背景：早期（I–IIIA期）可切除非小细胞肺癌（NSCLC）患者术后常出现体力活动（PA）减少现象。远程体力活动指导可能有助于建立更积极的生活方式，但该人群相关证据有限。目的：评估NSCLC术后自动化与人工远程体力活动指导方案的接受度、可行性、安全性及实际使用情况。方法：在这项多中心单盲研究中，患者接受为期八周的定制智能手机应用程序自动化指导方案（ACP），或由教练每周电话联系的人工指导方案（MCP）。两组均使用连接智能手机的活动追踪器监测步数并接收反馈。主要结局指标包括通过问卷和访谈评估的接受度、可行性、安全性及使用情况。次要结局指标包括客观测量的体力活动（加速度计）、功能性运动能力（六分钟步行距离）、症状（呼吸困难、疲劳）及通过问卷评估的生活质量。结果：共纳入19例患者（男性12例；年龄68±6岁；基线日均步数7820±2799步）。大多数患者（18/19）认为干预方案具有趣味性，少数（6/19）报告轻微智能手机使用问题。所有患者均持续佩戴活动追踪器，未发生不良事件。ACP组所需教练联系时间显著少于MCP组（25±14分钟 vs. 54±15分钟，p=0.0003）。两组主要结局指标未见其他差异。两组次要结局指标变化均有限。结论：远程体力活动指导在NSCLC术后患者中具有可行性、良好接受度及安全性，活动追踪器依从性优异。自动化指导方案所需教练参与更少。然而，提升体力活动水平仍具挑战性，远程指导的有效性尚无法定论。未来研究应在更大人群中探索长期干预方案，以评估疗效及远期结局。
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