Exercise & Training

A Pilot Feasibility Study of a Group-Based Remote-Delivered Dyadic Exercise Intervention in Hispanic Men With Prostate Cancer and Their Caregivers.

TL;DR

HACER was feasible and acceptable with modest improvements in physical and psychosocial health, especially for Hispanic survivors, showing promise as a scalable intervention when cancer survivors and caregivers train together.

Key Findings

Accrual of eligible dyads to the HACER intervention was 75%.

  • 14 eligible dyads were allocated to the intervention.
  • This was a single-arm pilot study design.
  • Participants were post-treatment Hispanic men with prostate cancer and their caregivers.
  • The study used a Hispanic-adapted culturally relevant version of the Exercising Together© intervention.

Attendance at the 12-week remote group-based exercise intervention averaged 62%.

  • The intervention involved resistance training three times a week.
  • Sessions were delivered live and remotely in a group-based format.
  • Retention was 79% with 95% assessment completion.
  • Assessments were completed at baseline and post-intervention.

The HACER intervention was rated as acceptable by participants, with 86% reporting they would recommend the program to other dyads.

  • Acceptability was a primary outcome of the study.
  • Feasibility and acceptability were assessed as primary outcomes.
  • The intervention was adapted to be culturally relevant for Hispanic dyads.
  • The program was delivered remotely, supporting its potential scalability.

Self-reported physical activity level and objective physical function improved for both survivors and caregivers following the HACER intervention.

  • Secondary outcomes included measures of physical and psychosocial health.
  • Mean difference and effect sizes were calculated to determine intervention effects.
  • Improvements were noted for both the prostate cancer survivors and their caregivers.
  • Physical outcomes were assessed at baseline and post-intervention (12 weeks).

Caregivers demonstrated clinically significant improvement in depressive symptoms following the intervention.

  • Depressive symptoms were measured as part of the psychosocial health secondary outcomes.
  • The improvement was described as 'clinically significant' for caregivers.
  • Psychosocial health was assessed at baseline and post-intervention.
  • Modest improvements in physical and psychosocial health were noted, especially for Hispanic survivors.

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Citation

Skiba M, Contreras J, Nelson M, Recio-Boiles A, Garcia D, Chilton F, et al.. (2026). A Pilot Feasibility Study of a Group-Based Remote-Delivered Dyadic Exercise Intervention in Hispanic Men With Prostate Cancer and Their Caregivers.. Cancer medicine. https://doi.org/10.1002/cam4.71709