GET FIT Together: Testing a Socially Enhanced Exercise Program in Older Men With Prostate Cancer

PRIMARY OBJECTIVE I. Determine the preliminary efficacy of socially-enhanced supervised group exercise on cancer loneliness and social isolation in older PCS. SECONDARY OBJECTIVE: I. Examine potential mediators of the effect of socially-enhanced supervised group exercise on cancer loneliness (social support for exercise, cancer-related negative social expectations and self-efficacy). TERTIARY OBJECTIVE: I. Determine the preliminary efficacy of socially-enhanced supervised group exercise on mental health (anxiety, depressive symptoms) and physical health (fatigue and physical function) in older PCS. OUTLINE: Patients are randomized to 1 of 3 arms. ARM I: Patients participate in online supervised group exercise training led by a certified exercise instructor over 60 minutes with additional 15-minute pre-exercise social time 3 times weekly over 6 months. ARM II: Patients participate in online supervised group exercise training led by a certified exercise instructor over 60 minutes 3 times weekly over 6 months. ARM III: Patients participate in independent exercise training following written manual and/or video over 60 minutes 3 times weekly over 6 months. Patients attend two one-hour training sessions with an exercise trainer to learn functional training modified to their abilities and for home use, an exercise video to follow at home, and receive weekly check ins during month 1 and then monthly the following months with the exercise trainer on study.