Support Through Remote Observation and Nutrition Guidance Program (STRONG-PCS) (STRONG-PCS)
Support Through Remote Observation and Nutrition Guidance Program for Individuals With Pancreatic Cancer Undergoing Surgery (STRONG-PCS)
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 Contact
Study Contact
- Name: Emma Hume
- Phone Number: 813-745-6426
- Email: Emma.Hume@moffitt.org
Study Contact Backup
- Name: Kea L Turner, PhD
- Phone Number: 813-745-5213
- Email: Kea.Turner@moffitt.org
Study Locations
-
-
Florida
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Tampa, Florida, United States, 33612
- Moffitt Cancer Center
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- ≥18 years old
- Diagnosis of pancreatic cancer
- Completed open pancreatic surgery (e.g., Whipple, distal/subtotal pancreatectomy, total pancreatectomy) for treatment at Moffitt Cancer Center
- Discharged on an oral diet
- Able to speak and read English or Spanish
- Able to provide informed consent
Exclusion Criteria:
- Determined to be ineligible for surgery during evaluation (e.g., cancer metastasis)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: STRONG-PCS Intervention
Participants will receive an initial in-person consultation with a dietician within 2 weeks of hospital discharge.
Then participants will receive individually tailored, bi-weekly nutrition counseling from a dietician via telehealth or in person and remote monitoring through a smart phone app and wearable sensor to allow participants to log food intake while sharing their data with a dietician.
|
Participants will log food intake while sharing their data with a dietician in real time for 12 weeks
Participants will receive individually tailored, bi-weekly nutrition counseling from a dietician via telehealth or in person.
Participants will take a survey at baseline and weeks 4,8,& 12. (FACT-G) Questionnaire includes questions about participant's physical, social, emotional and functional well being over the past 7 days.
This questionnaire uses a 5 point Likert-type scale, 0=not at all, 4=very much.
A higher total score indicates better quality of life.
|
|
Active Comparator: Usual Care
Participants will be referred for nutrition counseling from a dietitian based on clinical discretion.
|
Participants will receive individually tailored, bi-weekly nutrition counseling from a dietician via telehealth or in person.
Participants will take a survey at baseline and weeks 4,8,& 12. (FACT-G) Questionnaire includes questions about participant's physical, social, emotional and functional well being over the past 7 days.
This questionnaire uses a 5 point Likert-type scale, 0=not at all, 4=very much.
A higher total score indicates better quality of life.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Recruitment Rate - Feasibility
Time Frame: Up to 48 months
|
The study will be deemed feasible if ≥ 50% of eligible participants are enrolled.
|
Up to 48 months
|
|
Retention Rate - Feasibility
Time Frame: at 8 weeks
|
The study will be deemed feasible if ≥ 70% of participants enrolled at baseline will be retained at 8 weeks.
|
at 8 weeks
|
|
Data Collection - Feasibility
Time Frame: at 8 weeks
|
The study will be deemed feasible if ≥ 70% of participants log food for greater than 80% of study days.
|
at 8 weeks
|
|
Participant Satisfaction - Acceptability
Time Frame: at 8 weeks
|
The study will be deemed acceptable if ≥ 70% of participants rate the overall intervention as satisfactory using a validated 4-item scale (score range 0-20, score >/= 12).
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at 8 weeks
|
|
Participant Rating on Ease of Use the Mobile Application - Usability
Time Frame: at 8 weeks
|
The study will be deemed usable if ≥ 60% of participants rate the mobile application as easy-to-use for logging dietary intake using a validated 10-item scale (score range from 0-100, score of >/=60).
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at 8 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Malnutrition-Significant weight loss
Time Frame: 90 days
|
Significant weight loss is defined as >5% and >10% of body weight at 30, 60, and 90 days after discharge.
This will be calculated based on weight obtained during clinic visits.
|
90 days
|
|
Malnutrition - Low BMI
Time Frame: at Baseline, 30, 60 and 90 days
|
Low BMI will be defined as <20kg/m² for individuals <70 years old and <22kg/m2 for individuals ≥70 years old.
This will be calculated based on weight and height measurements from clinic visits.
|
at Baseline, 30, 60 and 90 days
|
|
Malnutrition - Low Skeletal Muscle Mass
Time Frame: At baseline, 30, 60 and 90 days
|
Low muscle mass will be estimated by calculating skeletal muscle index (SMI) from routinely collected CT scans at baseline and 90 days after discharge (CT scans are conducted every 3 months).
Low muscle mass will be defined as SMI ≤38.9 cm2 /m2 for females and SMI ≤55.4 cm2 /m2 for males.
|
At baseline, 30, 60 and 90 days
|
|
Quality of Life
Time Frame: at Baseline, 4, 8 and 12 weeks
|
Quality of Life will be measured using the Functional Assessment of Cancer Therapy - General (FACT-G) Questionnaire includes questions about the participant's physical, social, emotional and functional well being over the past 7 days.
This questionnaire uses a 5 point Likert-type scale, 0=not at all, 4=very much.
A higher score indicates a better quality of life.
|
at Baseline, 4, 8 and 12 weeks
|
|
Hospital Readmissions
Time Frame: 30, 60 and 90 days post-hospital discharge
|
Hospital readmissions will be measured using a self-reported survey item to determine whether the patient was admitted to the index hospital or another hospital after hospital discharge.
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30, 60 and 90 days post-hospital discharge
|
|
Malnutrition -Nutritional Status
Time Frame: at Baseline, 30, 60 and 90 days
|
Nutritional status will be measured using the Patient-Generated Subjective Global Assessment (PG-SGA) Short Form (score range: 0-35) and categorized based on a prior validation study (0-1 well nourished, 2-8 at-risk, = 9 severely malnourished).
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at Baseline, 30, 60 and 90 days
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Kea Turner, PhD, Moffitt Cancer Center
- Principal Investigator: Pamela J Hodul, MD, Moffitt Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
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
Keywords
Additional Relevant MeSH Terms
- Endocrine System Diseases
- Neoplasms by Site
- Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Endocrine Gland Neoplasms
- Pancreatic Diseases
- Pancreatic Neoplasms
- Health Care Quality, Access, and Evaluation
- Investigative Techniques
- Epidemiologic Methods
- Data Collection
- Health Care Evaluation Mechanisms
- Quality of Health Care
- Public Health
- Environment and Public Health
- Surveys and Questionnaires
Other Study ID Numbers
Other Study ID Numbers
- MCC-22476
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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