Purpose Project: Reclaiming Life Purpose After Breast Cancer (Feasibility Study)

July 1, 2019 updated by: Mary Radomski, Allina Health System
The Purpose Project intervention is an 8-session progressive structure that was developed based on theoretical and scientific evidence from psychology and occupational therapy. The goal of the intervention is to provide participants with information, tools, and support that help them move towards reclaiming a sense of self-grounded purpose in daily life. The study will use a convenience sample of women with breast cancer to evaluate the feasibility of the Purpose Project intervention in terms of demand/acceptability, implementation, and limited-efficacy testing. Findings will be used to inform a later study to evaluate the efficacy of the Purpose Project intervention.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

15

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Minnesota
      • Minneapolis, Minnesota, United States, 55407
        • Abbott Northwestern Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

25 years to 74 years (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  1. Between 25 and 74 years of age
  2. Completed chemotherapy and/or radiation treatment for Stage 1, 2, or 3 breast cancer up to 5 years prior to study enrollment
  3. English speaking
  4. Graduated from high school
  5. Able to see, hear, speak (with or without assistive devices)
  6. Able to provide own transportation to sessions
  7. Willing and able to commit to attend all 8 intervention sessions, 2 testing sessions, and the one-to-one interview that occurs after completing the 8 intervention sessions.

Exclusion Criteria:

  1. Stage 4 breast cancer or any other stage 4 cancer
  2. Actively receiving chemotherapy or radiation treatments for cancer. (However, patients may be on Herceptin and/or endocrine treatment and participate in the study.)
  3. History of neurologic disorder (such as stroke or brain injury) with residual impairments that likely interfere with learning
  4. Any medical condition (physical or mental health) that interferes with the performance of everyday activities and roles.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: SUPPORTIVE_CARE
  • Allocation: NA
  • Interventional Model: SINGLE_GROUP
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Purpose Project Group
Group receiving Purpose Project intervention.
The purpose project intervention 8-session group intervention that integrates education, support, self-reflection, and action-expectation to help people reaffirm or reconstruct self-grounded purpose after significant life events/transitions. The 8 sessions extend over 2-3 months, with 7 weekly sessions and the final session 1 month after Session 7. The intervention is structured around the 6 dimensions of flourishing (autonomy, self-acceptance, personal growth, relationships, purpose in life, external mastery), the goal of which is to help people enact behaviors that move them forward in reframing a sense of self and reaffirming or reconstructing a sense of purpose in life that helps them flourish.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in psychological well-being
Time Frame: Will be administered at Week 0 (pre-testing) and at Week 12 (session 8).
Using the Psychological Scales of Wellbeing questionnaire (Ryff, 1989; Ryff, & Keyes, 1995), psychological wellbeing pre- and post- intervention will be tracked.
Will be administered at Week 0 (pre-testing) and at Week 12 (session 8).

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Recruitment
Time Frame: Up to 1 month after IRB approval
Number of prospective participants approached by clinicians and number of self-referred prospective participants who contact PI or Study Coordinator with inquiries about the study
Up to 1 month after IRB approval
Time of pre-testing session
Time Frame: Duration of pre-testing session (approximately 2 hours) at week 0 to week 1
Actual length (in minutes) of pre-testing session.
Duration of pre-testing session (approximately 2 hours) at week 0 to week 1
Time of testing session
Time Frame: Each week from week 2 through week 8, approximately 2.5 hours at each session
Actual length (in minutes) of testing session.
Each week from week 2 through week 8, approximately 2.5 hours at each session
Time of post-testing session
Time Frame: Duration of session 8 (at week 12), approximately 2 hours
Actual length (in minutes) of testing session.
Duration of session 8 (at week 12), approximately 2 hours
Homework completion
Time Frame: Each week from week 2 through week 8
Whether or not homework was attempted
Each week from week 2 through week 8
Intervention fidelity
Time Frame: Each week from week 2 through week 8
Which key intervention elements were provided during a given session
Each week from week 2 through week 8
Change in Meaning in life
Time Frame: At week 0 and at week 12
Meaning in Life Questionnaire (Steger et al., 2006): A 10-item questionnaire designed to measure 2 dimensions of meaning in life: Presence of Meaning (how much respondents feel their lives have meaning) and Search for Meaning (how much respondents strive to find meaning and understanding in their lives).
At week 0 and at week 12
Change in Satisfaction with Participation in Discretionary Social Activities
Time Frame: At week 0 and at week 12
Satisfaction with Participation in Discretionary Social Activities (Hahn et al., 2010): Self-report questionnaires in which participants rated their level of satisfaction (1-5 scale) with social roles (14 items) and discretionary activities (12 items).
At week 0 and at week 12
Engagement in Meaningful Activities
Time Frame: At week 0 and at week 12
Engagement in Meaningful Activities Survey (Eakman, 2010):A 12-item self-report questionnaire designed to measure the extent to which a person experiences meaningfulness in his/her daily life activities.
At week 0 and at week 12
Purpose Status and Expectations
Time Frame: At Week 12
A 2-question self-report developed by the study team to better understand what participants' hope to gain during the study and perceived changes.
At Week 12
Participant Experience of Purpose Project
Time Frame: At week 12 and at week 14-20
Participant experience of purpose project as measured by self-report questionnaire and post-intervention interview.
At week 12 and at week 14-20

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ACTUAL)

August 1, 2017

Primary Completion (ACTUAL)

August 1, 2018

Study Completion (ACTUAL)

January 31, 2019

Study Registration Dates

First Submitted

July 24, 2017

First Submitted That Met QC Criteria

July 26, 2017

First Posted (ACTUAL)

July 28, 2017

Study Record Updates

Last Update Posted (ACTUAL)

July 2, 2019

Last Update Submitted That Met QC Criteria

July 1, 2019

Last Verified

July 1, 2019

More Information

Terms related to this study

Other Study ID Numbers

  • CKMR-1702

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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