- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02356471
Consumer-Based Activity Monitor in Evaluating and Measuring Activity of Older Patients With Abdominal Cancer Undergoing Surgery
Pilot Study of a Consumer-Based Activity Monitor (Fitbit Zip) in Evaluating Perioperative Activity of Older Adults Undergoing Major Oncologic Surgery
Study Overview
Status
Detailed Description
PRIMARY OBJECTIVES:
I. To demonstrate the feasibility and adherence of using a consumer-based activity monitor during the preoperative period both in the hospital as well as at home.
SECONDARY OBJECTIVES:
I. To evaluate the ability of a consumer-based activity monitor to demonstrate a 50% decrease in average daily steps for participants before and after major oncologic surgery.
II. To characterize in-home movement among older cancer patients. III. To compare in-home CAM data to in-clinic pre- and post-operative mobility testing using the Short Physical Performance Battery (SPPB).
IV. To compare in-home CAM data to pre- and post-operative self-reported mobility using the Pepper Assessment Tool for Disability (PAT-D) and the Mobility Assessment Tool-Short Form (MAT-sf).
V. To compare in-home CAM data to self-reported daily activity data during the pre- and post-operative period.
VI. To determine estimates of future study accrual, adherence, and drop-out. VII. To obtain participant feedback from participants to determine potential study opportunities and barriers.
VIII. To identify potential key stakeholders and potential patient partners for development of future grant submissions.
IX. To summarize baseline cognitive screens, physical assessment questionnaire (Pepper Assessment Tool for Disability, PAT-D), mobility assessment tool-short form (MAT-sf), health-related quality of life (FACIT-G) questionnaire, activity questionnaire (Community Healthy Activities Model Program for Seniors [CHAMPS]), pain assessment (Pain Visual Analog Scale, PVAS), fatigue assessment (Fatigue Visual Analog Scale, FVAS), and physical function testing (Short Physical Performance Battery and time to complete 400-meter walk).
X. CAM data will be compared with research grade activity data provided by the ActiGraph.
OUTLINE:
Patients wear Fitbit Zip (portable pedometer device) to track physical activity for 7 days before undergoing surgery and for 21 more days after undergoing surgery.
After completion of study, patients are followed up at 21 and 90 days.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
North Carolina
-
Winston-Salem, North Carolina, United States, 27157
- Comprehensive Cancer Center of Wake Forest University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) < 3
- Histologically or cytologically confirmed gastrointestinal or peritoneal malignancy
- Scheduled for major open abdominal oncologic surgery
- Able to walk without an assistive device
- Able to complete a minimum of 4 days of in-home activity monitoring before operation
- Ability to understand and the willingness to sign an Institutional Review Board (IRB)-approved informed consent document
- Ability to understand and complete the study survey instruments in English
Exclusion Criteria:
- Cerebrovascular accident (CVA) or stroke within the past 6 months
- Severe or symptomatic heart disease
- Currently residing in nursing or assisted living facility
- Neurologic disorder that impairs ambulation (e.g. Parkinson's)
- Actively undergoing treatment for a psychiatric illness
- Resting blood pressure > 160/100
- Clinically evident cognitive and/or behavioral impairment that in the opinion of the study investigator would impair the ability of the patient to adhere to the study procedures, specifically completing home activity monitoring
- Current alcohol or other substance abuse or history of abuse within 6 months prior to screening
- Post-operative complications that in the opinion of the study investigator would impair the ability of the patient to adhere to the study procedures, specifically completing home activity monitoring
- Unable to understand and complete the study survey instruments in English
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)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Supportive care (consumer-based activity monitor)
Patients wear Fitbit Zip (portable pedometer device) to track physical activity for 7 days before undergoing surgery and for 21 more days after undergoing surgery.
|
Ancillary studies
Other Names:
Ancillary studies
Use pedometer to monitor physical activity
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Patients Who Self-report Wearing the Consumer-based Activity Monitor at Least 16 Days of the 21 Day Period
Time Frame: 21 days
|
Feasibility will be defined as the number of patients who self-report wearing the CAM device at least 16 days of the 21 day period.
|
21 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Daily Steps for Participants Before and After Major Oncologic Surgery
Time Frame: baseline and 90 days
|
This outcome measure will be the change in daily steps for participants before and after major oncologic surgery.
Change in median (IQR) steps reported.
|
baseline and 90 days
|
Change in Short Physical Performance Battery (SPPB)
Time Frame: baseline and 90 days
|
This outcome measure is to compare pre- and post-operative mobility using the Short Physical Performance Battery (SPPB).
Median (IQR) change in SPPB from baseline to 90 days is reported.The scale range is 0-16.
Higher scores denotes better outcomes.
|
baseline and 90 days
|
Change in Duration of 400-meter Walk
Time Frame: baseline and 90 days
|
This outcome measure is to compare pre- and post-operative mobility testing using the 400-meter walk.
Median (IQR) change in 400 m walk from baseline to 90 days is reported.
The duration it takes the participant to walk 400 meters will be recorded in seconds.
|
baseline and 90 days
|
Change in Pepper Assessment Tool for Disability (PAT-D)
Time Frame: baseline and 90 days
|
This outcome measure is to compare pre- and post-operative self-reported mobility using the Pepper Assessment Tool for Disability (PAT-D).
Median (IQR) change in PAT-D is reported.
|
baseline and 90 days
|
Change in the Mobility Assessment Tool-Short Form (MAT-sf).
Time Frame: baseline and 90 days
|
This outcome measure is to compare pre- and post-operative self-reported mobility using the Mobility Assessment Tool-Short Form (MAT-sf).
Median (IQR) change in MAT-sf is reported.
The score range is 30-80 and higher scores denotes better outcomes.
|
baseline and 90 days
|
Change in CHAMPS Between the Pre- and Post-operative Period
Time Frame: baseline and 90 days
|
This outcome measure is to compare self-reported activity data (CHAMPS) during the pre- and post-operative period.
Median (IQR) change in CHAMPS is reported.
CHAMPS measures activity of the participant and how long they could do the activity.
The score range is 0-108.
Higher scores denotes better outcomes.
|
baseline and 90 days
|
Change in Health-related Quality of Life (FACT-G) Questionnaire
Time Frame: baseline and 90 days
|
FACT-G is a 27-item compilation of general questions divided into 4 primary quality of life (QOL) domains: physical well-being, social/family well-being, emotional well-being, and functional well-being.
The subscales are summed to produce a total score.
The total score range is 0-108 and a higher score indicates better quality of life.
Outcomes is to compare FACT-G at baseline and 90 days.
Change in FACT-G is reported in median (IQR).
|
baseline and 90 days
|
Change in Pain Assessment -Pain Visual Analog Scale, (PVAS)
Time Frame: baseline and 90 days
|
The pain VAS is a unidimensional measure of pain intensity providing a range of scores from 0-100.
A higher score indicates greater pain intensity.
Change in median (IQR) pain score from baseline to 90 days is reported.
|
baseline and 90 days
|
Change in Fatigue Assessment- Fatigue Visual Analog Scale (FVAS).
Time Frame: baseline and 90 days
|
The fatigue VAS is a unidimensional measure of fatigue providing a range of scores from 0-100.
A higher score indicates greater fatigue.
Change in median (IQR) fatigue score from baseline to 90 days is reported.
|
baseline and 90 days
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Clancy Clark, Wake Forest University Health Sciences
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB00031577
- P30CA012197 (U.S. NIH Grant/Contract)
- NCI-2015-00097 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- CCCWFU 02114 (Other Identifier: Comprehensive Cancer Center of Wake Forest University)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
Clinical Trials on Malignant Gastrointestinal Neoplasm
-
National Cancer Institute (NCI)Active, not recruitingAdvanced Malignant Solid Neoplasm | Refractory Malignant Solid Neoplasm | Unresectable Malignant Solid Neoplasm | Metastatic Malignant Solid NeoplasmUnited States
-
Wake Forest University Health SciencesNational Cancer Institute (NCI)CompletedMetastatic Malignant Neoplasm | Unresectable Malignant Neoplasm | Advanced Malignant NeoplasmUnited States
-
Fundació Institut de Recerca de l'Hospital de la...RecruitingColon Cancer | Malignant Neoplasm | Colon Neoplasm, Malignant | Colon Neoplasm | Colon NeoplasiaSpain
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Active, not recruitingMalignant Neoplasm | Metastatic Malignant Neoplasm | Advanced Malignant Neoplasm | Recurrent Malignant Neoplasm | Locally Advanced Malignant NeoplasmUnited States
-
Dartmouth-Hitchcock Medical CenterCompletedPrimary Malignant Neoplasm of Lung | Primary Malignant Neoplasm of Gastrointestinal TractUnited States
-
Fujian Cancer HospitalUnknownClinical Trial of Apatinib Reverses Chemotherapy-Resistance of Patients With Advanced Gastric CancerMalignant Neoplasm of Stomach Stage IIChina
-
National Cancer Institute (NCI)RecruitingAdvanced Malignant Solid Neoplasm | Unresectable Malignant Solid Neoplasm | Metastatic Malignant Solid NeoplasmUnited States
-
National Cancer Institute (NCI)Active, not recruitingAdvanced Malignant Solid Neoplasm | Unresectable Malignant Solid Neoplasm | Metastatic Malignant Solid NeoplasmUnited States
-
National Cancer Institute (NCI)CompletedAdvanced Malignant Solid Neoplasm | Unresectable Malignant Solid Neoplasm | Metastatic Malignant Solid NeoplasmUnited States
-
Fujian Cancer HospitalCompletedMalignant Neoplasm of Stomach Stage IVChina
Clinical Trials on Quality-of-Life Assessment
-
Wake Forest University Health SciencesNational Cancer Institute (NCI)CompletedUnspecified Adult Solid Tumor, Protocol Specific | Malignant NeoplasmUnited States
-
Children's Oncology GroupNational Cancer Institute (NCI)RecruitingChildhood Malignant NeoplasmUnited States, Canada, Puerto Rico, Australia, New Zealand
-
Gynecologic Oncology GroupNational Cancer Institute (NCI)CompletedOvarian Clear Cell Cystadenocarcinoma | Ovarian Endometrioid Adenocarcinoma | Ovarian Seromucinous Carcinoma | Ovarian Serous Cystadenocarcinoma | Stage IV Ovarian Germ Cell Tumor | Ovarian Sarcoma | Malignant Ovarian Epithelial Tumor | Ovarian Carcinosarcoma | Ovarian Brenner Tumor | Ovarian Mucinous... and other conditionsUnited States
-
Wake Forest University Health SciencesWithdrawnLung Metastases | Extensive Stage Small Cell Lung Cancer | Recurrent Small Cell Lung Cancer | Recurrent Non-small Cell Lung Cancer | Stage IV Non-small Cell Lung Cancer | Recurrent Malignant Mesothelioma | Advanced Malignant Mesothelioma
-
City of Hope Medical CenterNational Cancer Institute (NCI)Recruiting
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)RecruitingHematopoietic and Lymphoid Cell Neoplasm | Malignant Solid Neoplasm | COVID-19 InfectionUnited States
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)RecruitingHematopoietic and Lymphoid Cell Neoplasm | Malignant Solid Neoplasm | COVID-19 InfectionUnited States
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Active, not recruitingHematopoietic and Lymphoid Cell Neoplasm | Malignant Solid Neoplasm | Neuropathy | COVID-19 InfectionUnited States
-
M.D. Anderson Cancer CenterActive, not recruitingCervical Carcinoma | Endometrial Carcinoma | Vaginal Carcinoma | Malignant Female Reproductive System Neoplasm | Vulvar CarcinomaUnited States
-
Academic and Community Cancer Research UnitedNational Cancer Institute (NCI)Active, not recruitingMetastatic Colorectal Carcinoma | Stage IV Colorectal Cancer AJCC v8 | Stage IVA Colorectal Cancer AJCC v8 | Stage IVB Colorectal Cancer AJCC v8 | Stage IVC Colorectal Cancer AJCC v8 | Stage III Colorectal Cancer AJCC v8 | Stage IIIA Colorectal Cancer AJCC v8 | Stage IIIB Colorectal Cancer AJCC v8 | Stage IIIC Colorectal Cancer AJCC v8 and other conditionsUnited States