Evaluating the YATAC Programme (YATAC)
The Young Adult Taking Action Program: Protocol for a Pilot Randomized Controlled Trial of Cancer Rehabilitation for Young Adults
Young adults aged 18-39 years with cancer often experience physical, psychological, and social challenges that affect their participation in everyday life and their health-related quality of life. Existing cancer rehabilitation services are rarely tailored to the specific needs of this age group. The Young Adults Taking Action (YATAC) programme was developed together with young adults with cancer, healthcare professionals, and researchers to provide age-specific rehabilitation that supports young adults in managing cancer-related challenges and returning to everyday life.
The aim of this pilot randomized controlled trial is to evaluate the feasibility of conducting a larger trial of the YATAC programme in a municipal rehabilitation setting. The study will examine recruitment, retention, acceptability of randomization, data completeness, assessment burden, and adverse events. In addition, the study will provide preliminary estimates of the programme's effects on health-related quality of life and self-efficacy.
Fifty young adults aged 18-39 years who are undergoing or have completed curative-intent treatment will be recruited through municipal cancer rehabilitation services in Aarhus Municipality, Denmark. Participants will be randomly assigned to receive either the 16-week YATAC programme or usual cancer rehabilitation services. The YATAC programme includes an individual needs assessment and goal setting, followed by group-based and individual sessions addressing physical activity, fatigue, sleep and cognitive challenges, mental health, sexuality and relationships, family and friends, nutrition, and education or work. Outcomes will be assessed at baseline and at 4, 6, and 12 months after enrolment.
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Detailní popis
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Fáze
Fáze
- Nelze použít
Kontakty a umístění
Studijní kontakt
Studijní kontakt
- Jméno: Maria Aagesen, PhD
- Telefonní číslo: 004529723294
- E-mail: maagesen@health.sdu.dk
Studijní záloha kontaktů
- Jméno: Marc Sampedro Pilegaard, PhD
- Telefonní číslo: 004520722972
- E-mail: masamp@rm.dk
Studijní místa
-
-
-
Aarhus, Dánsko, 8000
- Nábor
- Folkesundhed (Public Health), the Municipality of Aarhus
-
Kontakt:
- Tenna Askjær, Physioterapist and MSc
- Telefonní číslo: 004541859049
- E-mail: tea@aarhus.dk
-
-
Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
Přijímá zdravé dobrovolníky
Popis
Inclusion Criteria:
- Between 18 and 39 years of age
- Are currently undergoing or have completed curative-intent cancer treatment within the past five years
- Can understand and communicate in Danish and provide informed consent independently
- Have been referred to municipal cancer rehabilitation services in the Municipality of Aarhus
Exclusion Criteria:
- Diagnosed with cancer before the age of 18
- Previously or currently receive rehabilitation
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Podpůrná péče
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Singl
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
|---|---|
|
Aktivní komparátor: Standard rehabilitation
|
Participants assigned to the control group will receive the standard cancer rehabilitation programme offered through Folkesundhed Aarhus.
This includes physical exercise.
|
|
Experimentální: YATAC programme
|
The YATAC 2.0 intervention will consist of a 16-week multidimensional rehabilitation programme including a mandatory needs assessment and goal-setting component, which will determine the primarily group-based components in which the young adults will participate. These components will include: 1) Physical activity, 2) Fatigue, sleep, and cognitive challenges, 3) Mental health, 4) Sexuality and relationships, 5) Family and friends, 6) Nutrition, and 7) Education and work. Each participant will be assigned a designated contact person, either a nurse or physiotherapist, who will follow the young adult throughout the programme. The contact person will conduct the needs assessments and goal-setting consultations and contribute to selected group sessions. In addition, one of the contact persons will be present during group-based sessions alongside the primary facilitator to promote continuity, coordination, and a sense of safety throughout the rehabilitation trajectory. |
Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Recruitment rate
Časové okno: Baseline
|
1) Recruitment rate: Number of participants included within the planned recruitment period (July 2026-June 2027).
Data will be collected using screening and recruitment logs completed by a responsible contact professional from the Municipality of Aarhus.
|
Baseline
|
|
Acceptability of randomisation
Časové okno: Baseline
|
2) Acceptability of randomisation: Proportion of randomised participants who accept allocation and commence their assigned study arm.
A contact professional from the Municipality of Aarhus will complete data recruitment and allocation records.
|
Baseline
|
|
Attrition rate
Časové okno: Up to 12 months after baseline
|
3) Attrition rate: Proportion of participants who withdraw during the intervention period.
Data about attrition will be collected using withdrawal registrations and participant records.
|
Up to 12 months after baseline
|
|
Adverse events
Časové okno: Four months after baseline
|
4) Adverse events: Frequency, type, and severity of intervention-related adverse events.
and serious adverse events.
Participants will be asked to self-report intervention-related adverse events and serious adverse events.
|
Four months after baseline
|
|
Completeness of data
Časové okno: Four months after baseline
|
5) Completeness of data collection: Completion of primary patient-reported outcome at primary endpoint.
Questionnaire completion logs will be used.
|
Four months after baseline
|
|
Assessment burden
Časové okno: * Baseline * Four months after baseline * Six months after baseline * 12 months after baseline
|
6) Assessment burden: Participant-reported burden and acceptability of assessments.
Short evaluation survey completed after assessments using 5-point Likert.
|
* Baseline * Four months after baseline * Six months after baseline * 12 months after baseline
|
Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Health-related quality of life
Časové okno: * Baseline * Four months after baseline * Six months after baseline * 12 months after baseline
|
Improvements of the YATAC programme will be evaluated using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30). EORTC QLQ-C30 is a cancer-specific and internationally validated instrument consisting of 30 items across 15 domains, including five functional scales, three symptom scales, six single symptom items, and a global health status/quality of life scale. Scores are linearly transformed to a 0-100 scale according to the EORTC scoring manual. Higher scores on functional and global health status scales indicate better functioning and HRQoL, whereas higher symptom scores indicate greater symptom burden. The primary endpoint of the intervention will be global health status/quality of life four months after baseline. The remaining outcomes from the EORTC QLQ-C30 include: physical, role, emotional, cognitive, and social functioning; fatigue; pain; dyspnoea; and insomnia. |
* Baseline * Four months after baseline * Six months after baseline * 12 months after baseline
|
|
AYA-specific quality of life
Časové okno: * Baseline * Four months after baseline * Six months after baseline * 12 months after baseline
|
Improvements of the YATAC programme will also be evaluated using the AYA-specific quality of life questionnaire, which is a supplementary module in the EORTC QLQ-AYA30 developed for adolescents and young adults with cancer aged 14-39 years. The questionnaire includes five multi-item scales assessing: 1) Activity limitations, 2) Worry about cancer and the future, 3) Self-esteem, 4) Relationships, and 5) Positive changes. In addition, nine single items address domains such as work/education, romantic and sexual life, relocation, caregiving responsibilities, and diet restrictions. Scores are transformed to a 0-100 scale, where higher scores reflect greater symptom burden, except for positive changes, where higher scores indicate better functioning The outcomes from EORTC QLQ-A include: Activity limitations, worry about cancer and the future, self-esteem, relationships, positive changes, and work/education, romantic and sexual life, relocation. |
* Baseline * Four months after baseline * Six months after baseline * 12 months after baseline
|
|
Self-Efficacy
Časové okno: * Baseline * Four months after baseline * Six months after baseline * 12 months after baseline
|
Improvements of the YATAC programme will also be evaluated using the Self-Efficacy for Managing Chronic Disease 6-item Scale (SES6G) consisting of six items rated on a 10-point Likert scale ranging from 1 ("not at all confident") to 10 ("totally confident").
The mean score across items represents the overall self-efficacy score, with higher scores indicating greater confidence in managing health-related challenges.
|
* Baseline * Four months after baseline * Six months after baseline * 12 months after baseline
|
Další výstupní opatření
Další výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Embedded qualitative study
Časové okno: Up to four months baseline
|
An embedded qualitative study will be conducted alongside the pilot RCT to explore barriers and facilitators related to recruitment, participation, retention, and acceptability of participation in rehabilitation intervention trials among young adults with cancer.
|
Up to four months baseline
|
Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Spolupracovníci
Spolupracovníci
Vyšetřovatelé
Vyšetřovatelé
- Vrchní vyšetřovatel: Marc Sampedro Pilegaard, PhD, Social Medicine and Rehabilitation, Gødstrup Hospital
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Začátek studia
Primární dokončení (Odhadovaný)
Primární dokončení
Dokončení studie (Odhadovaný)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
Další identifikační čísla studie
Další identifikační čísla studie
- Young Adult Taking ACtion
- R379-A22563 (Jiné číslo grantu/financování: Danish Cancer Society)
- 23-20-0478 (Jiné číslo grantu/financování: The Aase and Ejnar Danielsen Foundation)
- R95-A4572 (Jiné číslo grantu/financování: The Central Region of Denmark)
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Popis plánu IPD
Časový rámec sdílení IPD
Kritéria přístupu pro sdílení IPD
Typ podpůrných informací pro sdílení IPD
- PROTOKOL STUDY
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .