- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03406208
Resiliency Training for Adults With Neurofibromatosis Via Live Videoconferencing
December 18, 2025 updated by: Ana-Maria Vranceanu, PhD, Massachusetts General Hospital
The aims of this study are to compare the effect and durability of two stress and symptom management programs tailored for patients with neurofibromatosis on quality of life and psychosocial functioning.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
The aims of this study are to compare the effect of two stress and symptom management programs tailored for patients with neurofibromatosis on quality of life and psychosocial functioning.
We will also examine the degree to which treatment-dependent improvements in quality of life are mediated by improvements in depression, anxiety, distress, mindfulness, gratitude, social support, empathy, optimism, coping, pain intensity and pain interference.
Study Type
Interventional
Enrollment (Actual)
228
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Has a diagnosis of NF1, NF2, or Schwannomatosis
- 18 years of age or older
- Is capable of completing and fully understanding the informed consent process, study procedures, and study assessments in English
- At least 6th grade self-reported reading level
- Self-reported difficulties coping with stress and NF-symptoms
- Score of 6 or higher on Perceived Stress Scale 4-Item (PSS-4)
Exclusion Criteria:
- Has major medical comorbidity not NF related expected to worsen in the next 12 months
- Recent (within past 3 months) change in antidepressant medication
- Recent (within past 3 months) participation in cognitive behavioral therapy or relaxation therapy
- Has significant mental health diagnosis requiring immediate treatment (e.g., bipolar disorder, psychotic disorder, active substance use dependence)
- Unable or unwilling to complete assessments electronically via REDCap
- Unable or unwilling to participate in group videoconferencing sessions
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Stress and Symptom Management Program 1
The Stress and Symptom Management Program 1 (SMP1) introduces and reinforces stress and symptom management skills.
The program consists of 8 weekly sessions (90 minutes each), delivered through live videoconferencing.
|
The Stress and Symptom Management Program 1 (SMP1) introduces and reinforces stress and symptom management skills.
The program consists of 8 weekly sessions (90 minutes each), delivered through live videoconferencing.
Other Names:
|
|
Experimental: Stress and Symptom Management Program 2
The Stress and Symptom Management Program 2 (SMP2) introduces and reinforces stress and symptom management skills.
The program consists of 8 weekly sessions (90 minutes each), delivered through live videoconferencing.
|
The Stress and Symptom Management Program 2 (SMP2) introduces and reinforces stress and symptom management skills.
The program consists of 8 weekly sessions (90 minutes each), delivered through live videoconferencing.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Physical Quality of Life
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
World Health Organization Quality of Life Brief (WHOQOL-BREF); 4-20; higher score indicates higher QoL
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Change in Psychological Quality of Life
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
World Health Organization Quality of Life Brief (WHOQOL-BREF); 4-20; higher score indicates higher QoL
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Social Quality of Life
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
World Health Organization Quality of Life Brief (WHOQOL-BREF); 4-20; higher score indicates higher QoL
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Environmental Quality of Life
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
World Health Organization Quality of Life Brief (WHOQOL-BREF); 4-20; higher score indicates higher QoL
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Depression
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Patient Health Questionnaire 9-Item (PHQ-9); 0-27; higher score indicates more symptoms of depression
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Anxiety
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Generalized Anxiety Disorder 7-Item (GAD-7); 0-21; higher score indicates more symptoms of anxiety
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0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Social Support
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Medical Outcome Study Social Support Survey (MOS); 18-90; higher scores indicate greater perceived social support
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Gratitude
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Gratitude Questionnaire 6-Item (GQ-6); 6-42; higher scores indicate greater gratitude
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Optimism
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Life Orientation Test-Revised (LOT-R); 0-40; higher scores indicate greater optimism
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Coping Strategies
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Measure of Current Status Part A (MOCS-A); 0-52; higher scores indicate greater perceived ability to cope
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0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Mindfulness
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Cognitive and Affective Mindfulness Scale (CAMS); 10-40; higher scores indicate greater mindfulness
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Empathy
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Interpersonal Reactivity Index (IRI) Empathy Subscale; 7-Items; 0-28; higher scores indicate greater empathy
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Pain Intensity
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Graded Chronic Pain Scale (GCPS); 0-100; higher scores indicate greater pain intensity
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Pain Interference
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
PROMIS Pain Interference; 8-40; higher scores indicate more pain interference
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
|
Stress
Time Frame: 0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Perceived Stress Scale 10-Item (PSS-10); 0-21; higher scores indicate greater levels of perceived stress
|
0 Weeks, 8 Weeks, 6 Months, 12 Months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Ana-Maria Vranceanu, PhD, Massachusetts General Hospital
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Fishbein NS, Vranceanu AM, Mace RA. Baseline characteristics of adults with neurofibromatosis enrolled on a psychosocial randomized controlled trial. J Neurooncol. 2022 Sep;159(3):637-646. doi: 10.1007/s11060-022-04104-6. Epub 2022 Aug 4.
- Bannon SM, Hopkins SW, Grunberg VA, Vranceanu AM. Psychosocial profiles of risk and resiliency in neurofibromatoses: a person-centered analysis of illness adaptation. J Neurooncol. 2022 Feb;156(3):519-527. doi: 10.1007/s11060-021-03928-y. Epub 2022 Jan 22.
- Mace RA, Doorley J, Bakhshaie J, Cohen JE, Vranceanu AM. Psychological resiliency explains the relationship between emotional distress and quality of life in neurofibromatosis. J Neurooncol. 2021 Nov;155(2):125-132. doi: 10.1007/s11060-021-03852-1. Epub 2021 Sep 27.
- Doorley JD, Greenberg J, Bakhshaie J, Fishbein NS, Vranceanu AM. Depression explains the association between pain intensity and pain interference among adults with neurofibromatosis. J Neurooncol. 2021 Sep;154(2):257-263. doi: 10.1007/s11060-021-03826-3. Epub 2021 Aug 19.
- Lester EG, Gates MV, Vranceanu AM. Mind-Body Therapy via Videoconferencing in Patients With Neurofibromatosis: Analyses of 1-Year Follow-up. Ann Behav Med. 2021 Feb 12;55(1):77-81. doi: 10.1093/abm/kaaa030.
- Vranceanu AM, Zale EL, Funes CJ, Macklin EA, McCurley J, Park ER, Jordan JT, Lin A, Plotkin SR. Mind-Body Treatment for International English-Speaking Adults With Neurofibromatosis via Live Videoconferencing: Protocol for a Single-Blind Randomized Controlled Trial. JMIR Res Protoc. 2018 Oct 23;7(10):e11008. doi: 10.2196/11008.
- Brewer JR, Hooker JE, Kanaya M, LaCamera DE, Bakhshaie J, Vranceanu AM. Social support moderates quality of life outcomes during a mind-body intervention among adults with neurofibromatosis. J Neurooncol. 2025 Oct;175(1):133-141. doi: 10.1007/s11060-025-05108-8. Epub 2025 Aug 7.
- Hooker JE, Doorley JD, Greenberg J, Bakhshaie J, Manglani HR, Briskin EA, Vranceanu AM. Improvements in pain interference among geographically diverse adults with neurofibromatosis: Results from a fully powered randomized controlled trial. Neurooncol Pract. 2024 Sep 20;12(1):58-67. doi: 10.1093/nop/npae084. eCollection 2025 Feb.
- McDermott K, Bakhshaie J, Brewer J, Vranceanu AM. The impact of a virtual mind-body program on symptoms of depression and anxiety among international English-speaking adults with neurofibromatosis. Am J Med Genet A. 2024 Jun;194(6):e63543. doi: 10.1002/ajmg.a.63543. Epub 2024 Feb 6.
- Presciutti AM, Lester EG, Woodworth EC, Greenberg J, Bakhshaie J, Hooker JE, McDermott KA, Vranceanu AM. The impact of a virtual mind-body program on resilience factors among international English-speaking adults with neurofibromatoses: secondary analysis of a randomized clinical trial. J Neurooncol. 2023 Jul;163(3):707-716. doi: 10.1007/s11060-023-04389-1. Epub 2023 Jul 13.
- Vranceanu AM, Manglani HR, Choukas NR, Kanaya MR, Lester E, Zale EL, Plotkin SR, Jordan J, Macklin E, Bakhshaie J. Effect of Mind-Body Skills Training on Quality of Life for Geographically Diverse Adults With Neurofibromatosis: A Fully Remote Randomized Clinical Trial. JAMA Netw Open. 2023 Jun 1;6(6):e2320599. doi: 10.1001/jamanetworkopen.2023.20599.
- Lester EG, Wang KE, Blakeley JO, Vranceanu AM. Occurrence and Severity of Suicidal Ideation in Adults With Neurofibromatosis Participating in a Mind-Body RCT. Cogn Behav Neurol. 2023 Mar 1;36(1):19-27. doi: 10.1097/WNN.0000000000000332.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 1, 2017
Primary Completion (Actual)
February 28, 2022
Study Completion (Actual)
February 28, 2022
Study Registration Dates
First Submitted
December 6, 2017
First Submitted That Met QC Criteria
January 19, 2018
First Posted (Actual)
January 23, 2018
Study Record Updates
Last Update Posted (Estimated)
December 24, 2025
Last Update Submitted That Met QC Criteria
December 18, 2025
Last Verified
December 1, 2025
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Nervous System Diseases
- Neoplasms
- Neuromuscular Diseases
- Genetic Diseases, Inborn
- Peripheral Nervous System Diseases
- Neoplasms by Histologic Type
- Neurodegenerative Diseases
- Otorhinolaryngologic Diseases
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Heredodegenerative Disorders, Nervous System
- Nerve Sheath Neoplasms
- Neoplastic Syndromes, Hereditary
- Neurocutaneous Syndromes
- Neuroendocrine Tumors
- Ear Diseases
- Otorhinolaryngologic Neoplasms
- Cranial Nerve Diseases
- Neuroma
- Cranial Nerve Neoplasms
- Vestibulocochlear Nerve Diseases
- Retrocochlear Diseases
- Neurofibroma
- Neuroma, Acoustic
- Neurilemmoma
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Neurofibromatoses
- Neurofibromatosis 1
- Neurofibromatosis 2
- Behavior
- Schwannomatosis
Other Study ID Numbers
- 2017P000143
- W81XWH-17-1-0121 (Other Grant/Funding Number: United States Department of Defense)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
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