Enhancing Self Care Among Oral Cancer Survivors: The Empowered Survival Trial
Enhancing Self Care Among Oral Cancer Survivors: The Empowered Survivor Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Sharon Manne, PhD
- Phone Number: 732-235-6759
- Email: Sharon.Manne@rutgers.edu
Study Locations
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New Jersey
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New Brunswick, New Jersey, United States, 08901
- Rutgers Cancer Institute of New Jersey
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- age > 18 years;
- Diagnosed with a first primary invasive oral or oropharyngeal cancer between 1 and 3 years ago;
- Currently cancer free (but can have experienced a recurrence);
- Has internet access;
- Read English;
- Has sufficient vision to read a survey and complete an online intervention
Exclusion Criteria:
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Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Empowered Survivor online
The online intervention, called Empowered Survivor (ES) is a self-management intervention for patients with head and neck cancer.
The intervention contains the following modules: Introduction; Difficulty Swallowing and Muscle Strength; Oral Care; Long-term Follow-Up Care/Oral exams; Calm and Connect; and Maintaining.
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Informational online intervention for head and neck cancer survivors
Survey measures administered at BL, two and 6 months post-baseline
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Active Comparator: Springboard Beyond Cancer
Springboard Beyond Cancer is a general resource for survivors of all cancer.
It is a free self-management program for cancer survivors developed by trusted sources, the ACS and the NCI.
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Survey measures administered at BL, two and 6 months post-baseline
Informational online intervention for all cancer survivors
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Self-efficacy score
Time Frame: Baseline, two and 6 months post-baseline
|
Change in self- efficacy measured with the Self-efficacy scale (22 items) which targets confidence in managing aspects of self-care (e.g., dry mouth, swallowing, oral self-exam, communicating with providers, emotions).
Administered at multiple time points to measure effect of the intervention.
Ratings range from 1 (not at all confident) to 5 (very confident).
An item average will be calculated.
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Baseline, two and 6 months post-baseline
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Preparedness for survivorship
Time Frame: Baseline, two and 6 months post-baseline
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Change in preparedness for survivorship.
The Preparedness for survivorship scale (10 items) developed by the investigator assesses whether information received about survivorship was sufficient, helpful, comprehensive, and covered self-care tasks.
Administered at multiple time points to measure effect of the intervention.
Items are rated on a 4-point Likert scale (1 = strongly disagree, 4 = strongly agree).
Higher score indicate better preparedness.
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Baseline, two and 6 months post-baseline
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Quality of Life score measured using the The European Organization for Research and Treatment of Cancer (EORTC)- Head and Neck
Time Frame: Baseline, two and 6 months post-baseline
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Change in QOL score over time.
The European Organization for Research and Treatment of Cancer - Quality of Life Questionnaire- Head and Neck-43.
The European Organization for Research and Treatment of Cancer - Quality of Life Questionnaire- Head and Neck-43 is the updated version of the EORTC H&N 35, used in the researcher's pilot work.
The EORTC QLQ-HN is the most widely-used measure of Head and Neck QOL.
The investigators use the total score in analyses, but will evaluate subscales.
Administered at multiple time points to measure effect of the intervention.
Items are rated on 1 (not at all)-4 (very much) Likert scale and higher scores indicate worse QOL.
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Baseline, two and 6 months post-baseline
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Performance of oral self-exam, past month
Time Frame: Baseline, two and 6 months post-baseline
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1 item asking the participant if he/she has performed an oral self-exam, past month.
Yes/No.
Administered at multiple time points to measure effect of the intervention.
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Baseline, two and 6 months post-baseline
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Comprehensiveness is the number of areas checked (11 areas) during the oral self-exam
Time Frame: Baseline, two and 6 months post-baseline
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Change in comprehensiveness of exams over time.
11 items will list the areas to check and ask participant to indicate Yes/No if the participant checked that area during the oral self-exam.
Administered at multiple time points to measure effect of the intervention.
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Baseline, two and 6 months post-baseline
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Performance of exercises to improve swallowing, past month (yes/no)
Time Frame: Baseline, two and 6 months post-baseline
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One question asking participants if they have completed exercises to improve swallowing in the past month.
Administered at multiple time points to measure effect of the intervention.
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Baseline, two and 6 months post-baseline
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Performance of head/neck exercises, past month (yes/no)
Time Frame: Baseline, two and 6 months post-baseline
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One question asking participants if they have completed head and neck exercises in the past month.
Administered at multiple time points to measure effect of the intervention.
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Baseline, two and 6 months post-baseline
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Action and Planning Coping
Time Frame: Baseline, two and 6 months post-baseline
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Change in Action and Planning coping score.
The scale (8 items) assesses the degree to which a detailed plan is made for self-care tasks.
Administered at multiple time points to measure effect of the intervention.
Items are rated on a 5-point Likert scale(1 = strongly disagree, 5 = strongly agree).
Mean scale score will be reported.
Higher score = higher action coping.
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Baseline, two and 6 months post-baseline
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Patient activation
Time Frame: Baseline, two and 6 months post-baseline
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Change in Patient activation scale score.
Patient Activation Scale (13 items) assesses the active role in cancer care.
Administered at multiple time points to measure effect of the intervention.
Items are rated on a 4-point scale (1 = Disagree strongly, 4 = Agree strongly).
Higher score = higher activation.
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Baseline, two and 6 months post-baseline
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Information Needs
Time Frame: Baseline, two and 6 months post-baseline
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Change in score over time.
Information needs (23 items) is adapted from the FOCUS Health-Related Topics measure.
Administered at multiple time points to measure effect of the intervention.
Participants reported if they would like more information on each topic (yes/no).
The number of " yes" responses are averaged.
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Baseline, two and 6 months post-baseline
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Support needs
Time Frame: Baseline, two and 6 months post-baseline
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Change in Support needs.
The support needs scale (34 items) assesses physical, psychological, and health care needs.
Administered at multiple time points to measure effect of the intervention.
Participants are asked to indicate the extent to which they needed help in the past month (1 = No Need; Not applicable, "This is not a problem",2 = No need; Satisfied, "I did need help but my need was satisfied," 3 = Low need; "It caused me concern and I had little need for additional help," 4 = Moderate need-"It caused me concern and I had some need for additional help," 5 = High need; -"It caused me concern and I had a strong need for additional help").
Support needs that are rated as "moderate"(4) or "high" need (5) will be summed, with a range of 0 to 34.
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Baseline, two and 6 months post-baseline
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Concerns about recurrence scale
Time Frame: Baseline, two and 6 months post-baseline
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Change in concerns about recurrence.
The first 4 items from the concerns about recurrence scale are measured on a 1-6 scale.
with lower scores indicating less concerns or worry.
The additional 21 items are rated on 0 (not at all) to 4 (extremely) with higher scores indicating more concerns or worry.
Administered at multiple time points to measure effect of the intervention.
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Baseline, two and 6 months post-baseline
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Moderator-Race/ethnicity
Time Frame: Baseline only
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Race/ethnicity will be assessed.
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Baseline only
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Moderator-Receipt of survivorship care plan
Time Frame: Baseline only
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Yes/No did the participant receive a survivorship care plan
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Baseline only
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Moderator- Baseline self-efficacy score
Time Frame: Baseline Only
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The baseline score on the scale will be (22 items) examined.
The scale targets confidence in managing aspects of self-care (e.g., dry mouth, swallowing, oral self-exam, communicating with providers, emotions).
Ratings are 1- 5
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Baseline Only
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
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
- 132004 (Rutgers Cancer Institute of New Jersey)
- Pro2020000768 (Other Identifier: Rutgers Cancer Institute of New Jersey)
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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