Effects of an Integrative Day-care Clinic Program for Breast Cancer Patients During Chemotherapy
Effects of an Integrative Day-care Clinic Program for Breast Cancer Patients During Chemotherapy: an Observational Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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NRW
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Essen, NRW, Germany, 45136
- Kliniken Essen-Mitte
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- curative malignancy (breast cancer of TNM (T: primary tumor, N: regional nodes, M: metastasis) staging I-III)
- receiving chemotherapy
- at least 18 years old
- written informed consent
- willing and physically/mentally able to participate in a six hours day care clinic program eleven times during chemotherapy.
Exclusion Criteria:
- insufficient knowledge of the German language
- physical or mental disabilities resulting in ineligibility for participation in the program or filling out the questionnaires.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Integrative mind-body-medicine group program
The 66 hour program encompasses mindfulness training, yoga, moderate exercise, nutrition, naturopathic self-help strategies, cognitive restructuring and acupuncture for the management of side effects caused by chemotherapy.
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The mind-body-medicine group program focuses on support in coping with the disease, in lifestyle modification and in reduction of chemotherapy induced side effects.
The self-contained modules of the mind-body-medicine group program can be followed in an individual order, to allow adoption to different chemotherapy concepts and continued access is possible.
Patients can join in the group program eleven times for six hours each visit.
They participate in every one of the eleven modules once.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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European Organization for Research and Treatment of Cancer (EORTC) QoL questionnaire (QLQ-C30)
Time Frame: up to 26 weeks (depending on chemotherapy regime)
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Besides the global quality of life subscale, this instrument assesses five functional domains of quality of life: physical, role, emotional, cognitive, and social function.
Symptom scales further assess fatigue, pain, nausea and vomiting, dyspnea, insomnia, loss of appetite, constipation, diarrhea, and financial difficulties.
Scores of all subscales range from 0 to 100, while a higher score represents a better level of functioning or a worse amount of symptoms.
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up to 26 weeks (depending on chemotherapy regime)
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Hospital Anxiety and Depression Scale (HADS)
Time Frame: up to 26 weeks (depending on chemotherapy regime)
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It measures the 2 dimensions anxiety and depression.
Scores range from 0 to 21 with higher values indicate higher distress.
Values of >8 indicate potential subclinical anxiety or depressive disorders
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up to 26 weeks (depending on chemotherapy regime)
|
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Brief Fatigue Inventory (BFI)
Time Frame: up to 26 weeks (depending on chemotherapy regime)
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BFI has been validated as a short and comprehensive instrument to assess severity of fatigue (three questions) and fatigue-related impairment (six questions) in cancer patients with a 9-item, 11-point rating scale.
Higher scores on the BFI correspond to greater severity of fatigue / impairment through fatigue over the past 24 hours.
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up to 26 weeks (depending on chemotherapy regime)
|
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Perceived Stress Scale (PSS)
Time Frame: up to 26 weeks (depending on chemotherapy regime)
|
Perceived stress was assessed by the 10-item version of the PSS, rated for the past month on a 5-point rating scale.
For the summed items (range from 0 to 40) a higher total score indicates greater stress.
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up to 26 weeks (depending on chemotherapy regime)
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Satisfaction with the program
Time Frame: up to 26 weeks (depending on chemotherapy regime)
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Satisfaction was assessed at T1 by 5 questions regarding fulfilled expectations about the program contents, relevance for coping with cancer, social support of the group setting, transferring into everyday life, and recommendation of the program.
Each question could be scored from 1=totally agree to 6=totally disagree.
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up to 26 weeks (depending on chemotherapy regime)
|
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Patients and numbers of adverse events
Time Frame: up to 26 weeks (depending on chemotherapy regime)
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All adverse events that occurred during the study period were recorded by the study physician during each day care clinic visit, regardless of their potential relation to the study intervention.
After the intervention, patients were also asked to report adverse events not previously mentioned.
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up to 26 weeks (depending on chemotherapy regime)
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 17-7909-BO
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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