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Rehabilitation After Breast Cancer (REBECCA II)

26 de agosto de 2021 actualizado por: Christoffer Johansen, Danish Cancer Society

Individually Tailored Rehabilitation After Breast Cancer

The aim of the study is to evaluate whether a screening-based individually tailored nurse navigator intervention compared to standard care significantly reduce psychological and physical symptoms among women being treated for breast cancer who had moderate-to-severe distress (score ≥ 7 on the distress thermometer).

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Descripción detallada

During a 2-year period, 758 patients newly diagnosed with breast cancer will be screened for inclusion at the Section of Breast Surgery at Rigshospitalet, Copenhagen. Of these 324 participants enter the randomized controlled trial (RCT) and are randomized in a computer-generated sequence of 1:1 to the intervention (nurse-navigation) or control group (standard care). A total of 432 participants will enter an observational questionnaire study. All participants are followed for 1,5 years.

Tipo de estudio

Intervencionista

Inscripción (Actual)

309

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

  • Dinamarca
      • Copenhagen, Dinamarca, DK-2100
        • Rigshospitalet

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Femenino

Descripción

Inclusion Criteria:

  • Newly diagnosed with breast cancer (i.e. prior to surgery), scheduled for breast cancer surgery at Section of Breast Surgery at Rigshospitalet, 18 years or above, Danish citizen, read, understand and speak Danish, female gender,signed written informed consent. Those who experience high psychological distress (score ≥ 7 on the distress thermometer) will enter the RCT whereas those who experience low psychological distress (score < 7 on the distress thermometer) will be followed in an observational questionnaire study.

Exclusion Criteria:

  • no severe cognitive problems or dementia, no severe psychiatric disease requiring treatment, e.g. schizophrenia, alcohol or narcotic dependence,

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Cuidados de apoyo
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Sin intervención: Control
Cuidado usual
Experimental: Intervention
Individually tailored nurse navigation
Conductual: Individually tailored nurse navigation
The intervention consists of systematic report of symptoms to the nurse and up to six individual, manual-based, face-to-face or telephone nurse navigator sessions depending on individual needs.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Distress
Periodo de tiempo: Change from baseline and to 6,12 months (mixed models)
Distress Thermometer
Change from baseline and to 6,12 months (mixed models)

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Distress
Periodo de tiempo: Change from baseline to 6 months
Distress Thermometer
Change from baseline to 6 months
Distress
Periodo de tiempo: Change from baseline to 12 months
Distress Thermometer
Change from baseline to 12 months
Distress
Periodo de tiempo: Change from baseline to 18 months
Distress Thermometer
Change from baseline to 18 months
Depression
Periodo de tiempo: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
The Patient Health Questionnaire (PHQ9)
Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Depression
Periodo de tiempo: Change from baseline and to 6 months
The Patient Health Questionnaire (PHQ9)
Change from baseline and to 6 months
Depression
Periodo de tiempo: Change from baseline and to 12 months
The Patient Health Questionnaire (PHQ9)
Change from baseline and to 12 months
Depression
Periodo de tiempo: Change from baseline and to 18 months
The Patient Health Questionnaire (PHQ9)
Change from baseline and to 18 months
Anxiety
Periodo de tiempo: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Generalized Anxiety Disorder (GAD7)
Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Anxiety
Periodo de tiempo: Change from baseline and to 6 months
Generalized Anxiety Disorder (GAD7)
Change from baseline and to 6 months
Anxiety
Periodo de tiempo: Change from baseline and to 12 months
Generalized Anxiety Disorder (GAD7)
Change from baseline and to 12 months
Anxiety
Periodo de tiempo: Change from baseline and to 18 months
Generalized Anxiety Disorder (GAD7)
Change from baseline and to 18 months
Health related quality of life summary index
Periodo de tiempo: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)

The Trial Outcome Index-Physical/Functional/Breast (TOI-PFB) score including Domains:

  • Physical well-being (PWB)
  • Functional wellbeing (FWB)
  • BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Health related quality of life summary index
Periodo de tiempo: Change from baseline and to 6 months

The Trial Outcome Index-Physical/Functional/Breast (TOI-PFB) score including Domains:

  • Physical well-being (PWB)
  • Functional wellbeing (FWB)
  • BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 6 months
Health related quality of life summary index
Periodo de tiempo: Change from baseline and to 12 months

The Trial Outcome Index-Physical/Functional/Breast (TOI-PFB) score including Domains:

  • Physical well-being (PWB)
  • Functional wellbeing (FWB)
  • BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 12 months
Health related quality of life summary index
Periodo de tiempo: Change from baseline and to 18 months

The Trial Outcome Index-Physical/Functional/Breast (TOI-PFB) score including Domains:

  • Physical well-being (PWB)
  • Functional wellbeing (FWB)
  • BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 18 months
Breast cancer related quality of life summary index
Periodo de tiempo: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Breast cancer related quality of life summary index
Periodo de tiempo: Change from baseline and to 6 months
BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 6 months
Breast cancer related quality of life summary index
Periodo de tiempo: Change from baseline and to 12 months
BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 12 months
Breast cancer related quality of life summary index
Periodo de tiempo: Change from baseline and to 18 months
BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 18 months
Functional related quality of life summary index
Periodo de tiempo: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Functional wellbeing (FWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Functional related quality of life summary index
Periodo de tiempo: Change from baseline and to 6 months
Functional wellbeing (FWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 6 months
Functional related quality of life summary index
Periodo de tiempo: Change from baseline and to 12 months
Functional wellbeing (FWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 12 months
Functional related quality of life summary index
Periodo de tiempo: Change from baseline and to 18 months
Functional wellbeing (FWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 18 months
Physical health related quality of life
Periodo de tiempo: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Physical well-being (PWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Physical health related quality of life
Periodo de tiempo: Change from baseline and to 6 months
Physical well-being (PWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 6 months
Physical health related quality of life
Periodo de tiempo: Change from baseline and to 12 months
Physical well-being (PWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 12 months
Physical health related quality of life
Periodo de tiempo: Change from baseline and to 18 months
Physical well-being (PWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 18 months
Social health related quality of life
Periodo de tiempo: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Social/Family well-being (SWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Social health related quality of life
Periodo de tiempo: Change from baseline and to 6 months
Social/Family well-being (SWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 6 months
Social health related quality of life
Periodo de tiempo: Change from baseline and to 12 months
Social/Family well-being (SWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 12 months
Social health related quality of life
Periodo de tiempo: Change from baseline and to 18 months
Social/Family well-being (SWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 18 months
Emotional health related quality of life
Periodo de tiempo: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Emotional well-being (EWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)
Emotional health related quality of life
Periodo de tiempo: Change from baseline and to 6 months
Emotional well-being (EWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 6 months
Emotional health related quality of life
Periodo de tiempo: Change from baseline and to 12 months
Emotional well-being (EWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 12 months
Emotional health related quality of life
Periodo de tiempo: Change from baseline and to 18 months
Emotional well-being (EWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)
Change from baseline and to 18 months
Self-efficacy
Periodo de tiempo: Change from baseline and to 6,12,18 months (mixed models)
Patient Activation Measure (PAM)
Change from baseline and to 6,12,18 months (mixed models)
Self-efficacy
Periodo de tiempo: Change from baseline and to 6 months
Patient Activation Measure (PAM)
Change from baseline and to 6 months
Self-efficacy
Periodo de tiempo: Change from baseline and to 12 months
Patient Activation Measure (PAM)
Change from baseline and to 12 months
Self-efficacy
Periodo de tiempo: Change from baseline and to 18 months
Patient Activation Measure (PAM)
Change from baseline and to 18 months
Fear of recurrence
Periodo de tiempo: 6 months
Concerns About Recurrence Questionnaire (CARQ)
6 months
Fear of recurrence
Periodo de tiempo: 12 months
Concerns About Recurrence Questionnaire (CARQ)
12 months
Fear of recurrence
Periodo de tiempo: 18 months
Concerns About Recurrence Questionnaire (CARQ)
18 months
Pain in the breast surgery area (side of chest, armpit or arm)
Periodo de tiempo: Change from baseline and to 6,12,18 months (mixed models)
Self-developed scale
Change from baseline and to 6,12,18 months (mixed models)
Pain in the breast surgery area (side of chest, armpit or arm)
Periodo de tiempo: Change from baseline and to 6 months
Self-developed scale
Change from baseline and to 6 months
Pain in the breast surgery area (side of chest, armpit or arm)
Periodo de tiempo: Change from baseline and to 12 months
Self-developed scale
Change from baseline and to 12 months
Pain in the breast surgery area (side of chest, armpit or arm)
Periodo de tiempo: Change from baseline and to 18 months
Self-developed scale
Change from baseline and to 18 months
Neuropathy in the breast surgery area (side of chest, armpit or arm)
Periodo de tiempo: Change from baseline and to 6,12,18 months (mixed models)
Self-developed scale
Change from baseline and to 6,12,18 months (mixed models)
Neuropathy in the breast surgery area (side of chest, armpit or arm)
Periodo de tiempo: Change from baseline and to 6 months
Self-developed scale
Change from baseline and to 6 months
Neuropathy in the breast surgery area (side of chest, armpit or arm)
Periodo de tiempo: Change from baseline and to 12 months
Self-developed scale
Change from baseline and to 12 months
Neuropathy in the breast surgery area (side of chest, armpit or arm)
Periodo de tiempo: Change from baseline and to 18 months
Self-developed scale
Change from baseline and to 18 months
Sleep quality
Periodo de tiempo: Change from baseline and to 6,12,18 months (mixed models)
Pittsburgh Sleep Quality Index (PSQI)
Change from baseline and to 6,12,18 months (mixed models)
Sleep quality
Periodo de tiempo: Change from baseline and to 6 months
Pittsburgh Sleep Quality Index (PSQI)
Change from baseline and to 6 months
Sleep quality
Periodo de tiempo: Change from baseline and to 12 months
Pittsburgh Sleep Quality Index (PSQI)
Change from baseline and to 12 months
Sleep quality
Periodo de tiempo: Change from baseline and to 18 months
Pittsburgh Sleep Quality Index (PSQI)
Change from baseline and to 18 months
Cognitive function - Perceived cognitive impairments
Periodo de tiempo: Change from baseline and to 6,12,18 months (mixed models)
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale Perceived cognitive impairments
Change from baseline and to 6,12,18 months (mixed models)
Cognitive function - Perceived cognitive impairments
Periodo de tiempo: Change from baseline and to 6 months
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale Perceived cognitive impairments
Change from baseline and to 6 months
Cognitive function- Perceived cognitive impairments
Periodo de tiempo: Change from baseline and to 12 months
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale Perceived cognitive impairments
Change from baseline and to 12 months
Cognitive function - Perceived cognitive impairments
Periodo de tiempo: Change from baseline and to 18 months
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale Perceived cognitive impairments
Change from baseline and to 18 months
Cognitive function - Impact of Perceived cognitive impairments on quality of life
Periodo de tiempo: Change from baseline and to 6,12,18 months (mixed models)
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Impact of Perceived cognitive impairments on quality of life
Change from baseline and to 6,12,18 months (mixed models)
Cognitive function - Impact of Perceived cognitive impairments on quality of life
Periodo de tiempo: Change from baseline and to 6 months
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Impact of Perceived cognitive impairments on quality of life
Change from baseline and to 6 months
Cognitive function - Impact of Perceived cognitive impairments on quality of life
Periodo de tiempo: Change from baseline and to 12 months
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Impact of Perceived cognitive impairments on quality of life
Change from baseline and to 12 months
Cognitive function - Impact of Perceived cognitive impairments on quality of life
Periodo de tiempo: Change from baseline and to 18 months
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Impact of Perceived cognitive impairments on quality of life
Change from baseline and to 18 months
Cognitive function - Perceived cognitive abilities
Periodo de tiempo: Change from baseline and to 6,12,18 months (mixed models)
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Perceived cognitive abilities
Change from baseline and to 6,12,18 months (mixed models)
Cognitive function - Perceived cognitive abilities
Periodo de tiempo: Change from baseline and to 6 months
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Perceived cognitive abilities
Change from baseline and to 6 months
Cognitive function - Perceived cognitive abilities
Periodo de tiempo: Change from baseline and to 12 months
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Perceived cognitive abilities
Change from baseline and to 12 months
Cognitive function - Perceived cognitive abilities
Periodo de tiempo: Change from baseline and to 18 months
Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Perceived cognitive abilities
Change from baseline and to 18 months
Need for support
Periodo de tiempo: Change from baseline and to 6,12,18 months (mixed models)
Single self-developed items
Change from baseline and to 6,12,18 months (mixed models)
Need for support
Periodo de tiempo: Change from baseline and to 6 months
Single self-developed items
Change from baseline and to 6 months
Need for support
Periodo de tiempo: Change from baseline and to 12 months
Single self-developed items
Change from baseline and to 12 months
Need for support
Periodo de tiempo: Change from baseline and to 18 months
Single self-developed items
Change from baseline and to 18 months
Health care costs
Periodo de tiempo: Cumulative from baseline to 18 months
Costs will be obtained through registries on health care services and combined with information on health status using the 5Q-5D from the EuroQol Research Foundation's
Cumulative from baseline to 18 months
Acceptability
Periodo de tiempo: 18 months
Single self-developed items
18 months

Otras medidas de resultado

Medida de resultado
Medida Descripción
Periodo de tiempo
Social support
Periodo de tiempo: Baseline
Modified Medical Outcomes Study Social Support Scale (MOS)
Baseline

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Danish Cancer Society

Colaboradores

Rigshospitalet, Denmark
Copenhagen University Hospital at Herlev

Investigadores

  • Investigador principal: Pernille Bidstrup, PhD, Danish Cancer Society Research Center
  • Investigador principal: Christoffer Johansen, DMSc, Rigshispitalet
  • Silla de estudio: Birgitte Mertz, RN, Rigshospitalet, Denmark

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

15 de agosto de 2017

Finalización primaria (Actual)

31 de marzo de 2021

Finalización del estudio (Actual)

31 de marzo de 2021

Fechas de registro del estudio

Enviado por primera vez

31 de julio de 2017

Primero enviado que cumplió con los criterios de control de calidad

16 de agosto de 2017

Publicado por primera vez (Actual)

21 de agosto de 2017

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

27 de agosto de 2021

Última actualización enviada que cumplió con los criterios de control de calidad

26 de agosto de 2021

Última verificación

1 de agosto de 2021

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • REBECCA II

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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