- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02664662
Effectiveness of Tailored Rehabilitation Education on Health Literacy and Health Status of Postoperative Patients With Breast Cancer: a Randomized Controlled Trial
For the past few years, the survival rate of breast cancer improved due to the advancement of surgery techniques and popularization of cancer screening. However, prolonged survival rate is definitely not equal to achieving a sound quality of life among breast cancer survivors. The health status of cancer survivors might deteriorate according to the severe side effect of multiple therapies.
Health literacy is the ability to access, understand, evaluate and communication information as a way to promote and maintain health. Therefore, good health literacy raise the quality of life of breast cancer survivors by a good competence in searching and using medical resources. Moreover, how to improve health literacy after cancer surgery becomes an important part recently. Even if the most fundamental concept has promoted for decades, the clinical workers still use the identical education of medical care after surgery for breast cancer survivors. However, the identical education is not appropriate for each of patients. In fact, each of breast cancer survivors has the different cancer stage leading to accept different therapy and producing different side effect. Besides, the background and the role of life are very different from each other. Because of the above reasons, the aim of the study is going to develop a tailored rehabilitated education, which fit for each breast cancer patients after surgery in clinic. At the same time, the health literacy ability might be improved by tailored rehabilitated education. When health literacy level is raised, the breast cancer survivors have a good quality of life and beautiful health status.
Study Overview
Detailed Description
This evaluator-blinded, randomized, prospective, controlled trial enrolled consecutive patients who fulfilled the inclusion criteria. Patients were stratified into four strata according to the side of the lesion and the surgical approach. A set of numbered envelopes containing cards indicating the allocated group was prepared for each stratum. When a new eligible participant was registered, an envelope was randomly drawn, and the therapist was informed of group allocation.
To ensure consistent intervention, two certified occupational therapists were trained by two primary investigators to administer the intervention and control group protocols independently. The two trained occupational therapists recorded outcome measurements at the baseline and immediately after the intervention. The evaluators were blinded to group allocation, and participants were blinded to the study hypotheses.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Taipei, Taiwan, 10561
- Huang Szu-Chi
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adult patient has been diagnosed breast cancer (age > 20)
- Have a good motivation and cooperation when accept breast cancer education
- Read words or speak in Chinese fluently
Exclusion Criteria:
- Diagnoses mental problems
- Patient with Cancer terminal stage and weakness
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: tailored education
Tailored rehabilitated education is which fit for each breast cancer patients after surgery in clinic.
We design three of tailored books for experimental group.
Each patients will be tailored by three principles.
First, the educated times and hours are depended on patients physical function and learning ability.
Second, the material is depended on each patient's life experience.
Finally, the educated content is depended on patient's operation method.
|
Tailored rehabilitated education is which fit for each breast cancer patients after surgery in clinic.
We design three of tailored books for experimental group.
Each patients will be tailored by three principles.
First, the educated times and hours are depended on patients physical function and learning ability.
Second, the material is depended on each patient's life experience.
Finally, the educated content is depended on patient's operation method.
|
No Intervention: standard education
Only provide one paper of post operation and give education of rehabilitated exercise
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Health literacy Assessments in breast cancer
Time Frame: one month
|
The Health Literacy scale is five point likert scale of choices, which is evaluated by patient.
There are 47 items and the higher scores means the higher literacy performance.
|
one month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Disability of Arm Shoulder and Hand(DASH)
Time Frame: one month
|
DASH evaluate the patient's hand function.
There are 15 items and get higher get higher hand function performance
|
one month
|
Barthel Index
Time Frame: one month
|
Barthel Index is an assessment tool which evaluate activity participated performance.
There are 10 items and higher scores means higher activity participated performance.
|
one month
|
Frenchay activities index (FAI)
Time Frame: one month
|
FAI is an assessment tool which evaluate instrumental activity participated performance.
There are 15 items and higher scores means higher performance.
|
one month
|
EuroQol-5 dimension (EQ5D)
Time Frame: one month
|
EQ5D is an assessment tool which evaluate quality of life.
There are 5 items and 1 visual analogue scale.
The higher scores means good quality of life performance.
|
one month
|
Brief Symptom Rating Scale
Time Frame: one month
|
Brief Symptom Rating Scale is an assessment tool which evaluate the psychosis performance.
There are 6 items and higher scores means good psychosis performance.
|
one month
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Wen-Hsuan Hou, Taipei Medical University
- Study Director: Bi-Chu Lin, Taipei Medical University
Study record dates
Study Major Dates
Study Start (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Medical University Hospital
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
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