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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
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Related Experiment Video

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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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An App-Based Behavioral Support Intervention Promoting Physical Activity (APPROACH) in Patients Diagnosed With

Fiona Kennedy1, Sue L Smith2, Rebecca J Beeken1

  • 1Leeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.

JMIR Research Protocols
|January 13, 2026
PubMed
Summary

This study evaluates an app-based intervention to increase physical activity (PA) in cancer survivors. Findings will determine the clinical and cost-effectiveness of promoting brisk walking for breast, prostate, and colorectal cancer patients.

Keywords:
appcancercost-effectivenesshabit-based behavioral supportphysical activityquality of liferandomized controlled trial

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Area of Science:

  • Oncology
  • Behavioral Science
  • Digital Health

Background:

  • Physical activity (PA) offers significant benefits for cancer survivors, yet many do not meet recommended levels.
  • The APPROACH trial investigates a novel intervention to address this gap in breast, prostate, and colorectal cancer patients.

Purpose of the Study:

  • To evaluate the efficacy and cost-effectiveness of a theory-driven, app-based behavioral support intervention.
  • To promote brisk walking among individuals living with and beyond cancer.

Main Methods:

  • A multicenter, phase III, randomized controlled trial (N=472) comparing an app-based intervention with usual care.
  • Intervention includes the NHS Active 10 app, habit-based behavioral support, and telephone/video calls.
  • Primary endpoint: change in average minutes of brisk walking at 3 months, assessed by activPAL.

Main Results:

  • Recruitment commenced in November 2023, with 473 participants randomized as of December 2025.
  • Full results are anticipated in autumn 2027 following data collection and analysis.
  • The study is ongoing, with primary results not yet available.

Conclusions:

  • The study will determine the clinical and cost-effectiveness of the intervention for cancer survivors.
  • If successful, the APPROACH intervention could serve as a scalable model for increasing PA in this population.