- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05322460
Web-based Intervention for Long-term Breast Cancer Survivors (CUMACA-M)
April 7, 2022 updated by: Cristina García-Vivar
A Web-based Tailored Intervention to Improve the Quality of Life of Long-term Breast Cancer Survivors. A Randomized Controlled Trial
The number of breast cancer survivors is growing.
More cured women are becoming long-term survivors of breast cancer (LS-BC) at least 5 years after diagnosis and after treatment has been completed.
Some of these LS-BC return to daily life without any problems; however, in many cases, they experience and have to deal with physical sequelae (chronic fatigue, pain, etc.) psychological sequelae (anxiety, depression, fear of recurrence, etc.) and social sequelae (altered interpersonal relationships, difficulty in returning to work, etc.).
For many LS-BC, these health problems are not being met by health professionals.
Thus there is a need to promote greater continuity and coordination between specialized oncology care and primary health care in order to enhance specific follow-up of these women in the community.
However, the role of the primary health care team in the provision of care in the long-term cancer survival is not clearly defined and few actions have been aimed at improving care activities, standardizing procedures and protocols, developing documentation and registries and updating the training of health care professionals.
Therefore, this study aim to design, implement, and evaluate a web based tailored intervention, using artificial intelligence, to improve the quality of life of long-term breast cancer survivors, and self-efficacy for the management of late sequelae from primary care.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
Hypothesis: A web-based tailored intervention, based on the prevention and management of physical and psychosocial late effects due to cancer treatment and aimed at improving the coexistence of long-term breast cancer, will be more effective in improving quality of life and self-efficacy for the management of late sequelae from Primary Care, than conventional care offered in Primary Care.
Aim: To design, implement and evaluate the effectiveness of a web-based tailored intervention, based on artificial intelligence, to improve the quality of life of long-term survivors of breast cancer and self-efficacy for the management of late sequelae from Primary Healthcare.
Methodology: Randomized controlled trial (following the Medical Research Council methodological framework).
Phase I. Design of a personalized digital intervention based on the results of a review of the available evidence on the needs of long-term survivors (LS-BC) of breast cancer and agreed with a panel of experts.
It will be designed in web/mobile application format.
The use of algorithms will allow the personalization of the contents according to the needs.
Phase II.
Piloting: Pre-experimental design pretest-postest with one group, by means of a convenience sampling with LS-BC women, who meet the selection criteria.
The collection of sociodemographic and clinical data, as well as the variables under study; quality of life (QOL-BC), self-efficacy in the management of cancer sequelae (Self-Efficacy for Managing Chronic Disease).
The participants will use a web application and will test the usability and functionality.
Phase III.
Implementation of the intervention: Randomized controlled trial.
Random sampling of LS-BC and random assignment to the intervention group (CUMACA-M program) or control group (standard care).
A protocol will be designed that allows the collection of data and variables (Phase II) and satisfaction with the intervention (CSQ-8), at pre-intervention, and at 3, 6 and 9 months.
Study Type
Interventional
Enrollment (Anticipated)
182
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 Contact
- Name: Cristina García-Vivar, PhD
- Phone Number: +34948166150
- Email: cristina.garciavivar@unavarra.es
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 to 99 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- having been diagnosed with breast cancer
- having completed active oncological treatments (chemotherapy and/or radiotherapy) in a period of time greater than five years,
- be free of disease at the time of data collection
- be a woman and over 18 years of age
- have knowledge of Internet use.
Exclusion Criteria:
- Women with a diagnosis of cancer other than breast cancer
- Recurrence of cancer or metastasis that causes a new treatment
- Being in active treatment for recurrence or new cancer
- Being a man
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: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention group
The CUMACA-M Program will focus on a web-based tailored intervention, using artificial intelligence, for Long-Term Survivors of Breast Cancer.
It will be structured into modules related to the specific needs of LS-BS, including physical, psychological, and social needs
|
The CUMACA-M Program will focus on a web-based tailored intervention, using artificial intelligence, for Long-Term Survivors of Breast Cancer.
It will be structured into modules related to the specific needs of LS-BS, including physical, psychological, and social needs
|
No Intervention: Control group
Usual care in the nursing consultation in primary care
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of life Cancer Survivor (QOL-CS)
Time Frame: Changes from baseline, 3-months, 6 months, and 9 month
|
The QOL-CS, Spanish version (Ferrell B, Hassey-Dow K, Grant M. Quality of Life Patient/Cancer Survivor Version (QOL-CS) [Internet].
Measurement Instrument Database for the Social Science.
2012).
Scale specific for cancer survivor.
Likert-type scale with 10 options (1 extremely poor and 10 excellent) with 41 items that measure the four domains of quality of life: physical, psychological, social and spiritual well-being.
|
Changes from baseline, 3-months, 6 months, and 9 month
|
Self-Efficacy for Managing Chronic Disease
Time Frame: Changes from baseline, 3-months, 6 months, and 9 month
|
The Self-Efficacy for Managing Chronic Disease- 6-Item Scale (SEMCD-6) (Ritter PL, Lorig K.
The English and Spanish Self-Efficacy to Manage Chronic Disease Scale measures were validated using multiple studies.
J Clin Epidemiol.
2014; 67(11): 1265-73).
The scale is structured in 6 items related to symptom control, role performance, emotional state and communication with health professionals
|
Changes from baseline, 3-months, 6 months, and 9 month
|
Sociodemographic data of LS-BC
Time Frame: Baseline
|
Sociodemographic data of the LS-BC (age, sex, marital status, educational level, employment status) will be collected by means of an ad hoc questionnaire at the beginning of the intervention.
|
Baseline
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Client Satisfaction Questionnaire (CSQ-8)
Time Frame: 4 weeks
|
The satisfaction with the CUMACA-M Program will be measured using the Spanish version of the Client Satisfaction Questionnaire (CSQ-8) (Attkisson CC, Greenfield TK.
The UCSF Client Satisfaction Scales: I.
The Client Satisfaction Questionnaire-8.
In Maruish M (Ed).
2004).
This scale is structured into 8 items with has five response options (from very dissatisfied to very satisfied).
|
4 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
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 (Anticipated)
January 1, 2023
Primary Completion (Anticipated)
June 1, 2023
Study Completion (Anticipated)
June 1, 2024
Study Registration Dates
First Submitted
March 28, 2022
First Submitted That Met QC Criteria
April 7, 2022
First Posted (Actual)
April 11, 2022
Study Record Updates
Last Update Posted (Actual)
April 11, 2022
Last Update Submitted That Met QC Criteria
April 7, 2022
Last Verified
April 1, 2022
More Information
Terms related to this study
Other Study ID Numbers
- UPNA-CUMACA-B2022
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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