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Rehabilitation After Breast Cancer (REBECCA II)

torstai 26. elokuuta 2021 päivittänyt: 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).

Tutkimuksen yleiskatsaus

Tila

Valmis

Ehdot

Interventio / Hoito

Yksityiskohtainen kuvaus

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.

Opintotyyppi

Interventio

Ilmoittautuminen (Todellinen)

309

Vaihe

  • Ei sovellettavissa

Yhteystiedot ja paikat

Tässä osiossa on tutkimuksen suorittajien yhteystiedot ja tiedot siitä, missä tämä tutkimus suoritetaan.

Opiskelupaikat

  • Tanska
      • Copenhagen, Tanska, DK-2100
        • Rigshospitalet

Osallistumiskriteerit

Tutkijat etsivät ihmisiä, jotka sopivat tiettyyn kuvaukseen, jota kutsutaan kelpoisuuskriteereiksi. Joitakin esimerkkejä näistä kriteereistä ovat henkilön yleinen terveydentila tai aiemmat hoidot.

Kelpoisuusvaatimukset

Opintokelpoiset iät

18 vuotta ja vanhemmat (Aikuinen, Vanhempi Aikuinen)

Hyväksyy terveitä vapaaehtoisia

Ei

Sukupuolet, jotka voivat opiskella

Nainen

Kuvaus

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,

Opintosuunnitelma

Tässä osiossa on tietoja tutkimussuunnitelmasta, mukaan lukien kuinka tutkimus on suunniteltu ja mitä tutkimuksella mitataan.

Miten tutkimus on suunniteltu?

Suunnittelun yksityiskohdat

  • Ensisijainen käyttötarkoitus: Tukevaa hoitoa
  • Jako: Satunnaistettu
  • Inventiomalli: Rinnakkaistehtävä
  • Naamiointi: Yksittäinen

Aseet ja interventiot

Osallistujaryhmä / Arm
Interventio / Hoito
Ei väliintuloa: Ohjaus
Tavallinen hoito
Kokeellinen: Intervention
Individually tailored nurse navigation
Käyttäytyminen: 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.

Mitä tutkimuksessa mitataan?

Ensisijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Distress
Aikaikkuna: Change from baseline and to 6,12 months (mixed models)
Distress Thermometer
Change from baseline and to 6,12 months (mixed models)

Toissijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Distress
Aikaikkuna: Change from baseline to 6 months
Distress Thermometer
Change from baseline to 6 months
Distress
Aikaikkuna: Change from baseline to 12 months
Distress Thermometer
Change from baseline to 12 months
Distress
Aikaikkuna: Change from baseline to 18 months
Distress Thermometer
Change from baseline to 18 months
Depression
Aikaikkuna: 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
Aikaikkuna: Change from baseline and to 6 months
The Patient Health Questionnaire (PHQ9)
Change from baseline and to 6 months
Depression
Aikaikkuna: Change from baseline and to 12 months
The Patient Health Questionnaire (PHQ9)
Change from baseline and to 12 months
Depression
Aikaikkuna: Change from baseline and to 18 months
The Patient Health Questionnaire (PHQ9)
Change from baseline and to 18 months
Anxiety
Aikaikkuna: 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
Aikaikkuna: Change from baseline and to 6 months
Generalized Anxiety Disorder (GAD7)
Change from baseline and to 6 months
Anxiety
Aikaikkuna: Change from baseline and to 12 months
Generalized Anxiety Disorder (GAD7)
Change from baseline and to 12 months
Anxiety
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: Change from baseline and to 6 months
Patient Activation Measure (PAM)
Change from baseline and to 6 months
Self-efficacy
Aikaikkuna: Change from baseline and to 12 months
Patient Activation Measure (PAM)
Change from baseline and to 12 months
Self-efficacy
Aikaikkuna: Change from baseline and to 18 months
Patient Activation Measure (PAM)
Change from baseline and to 18 months
Fear of recurrence
Aikaikkuna: 6 months
Concerns About Recurrence Questionnaire (CARQ)
6 months
Fear of recurrence
Aikaikkuna: 12 months
Concerns About Recurrence Questionnaire (CARQ)
12 months
Fear of recurrence
Aikaikkuna: 18 months
Concerns About Recurrence Questionnaire (CARQ)
18 months
Pain in the breast surgery area (side of chest, armpit or arm)
Aikaikkuna: 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)
Aikaikkuna: 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)
Aikaikkuna: 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)
Aikaikkuna: 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)
Aikaikkuna: 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)
Aikaikkuna: 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)
Aikaikkuna: 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)
Aikaikkuna: Change from baseline and to 18 months
Self-developed scale
Change from baseline and to 18 months
Sleep quality
Aikaikkuna: 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
Aikaikkuna: Change from baseline and to 6 months
Pittsburgh Sleep Quality Index (PSQI)
Change from baseline and to 6 months
Sleep quality
Aikaikkuna: Change from baseline and to 12 months
Pittsburgh Sleep Quality Index (PSQI)
Change from baseline and to 12 months
Sleep quality
Aikaikkuna: Change from baseline and to 18 months
Pittsburgh Sleep Quality Index (PSQI)
Change from baseline and to 18 months
Cognitive function - Perceived cognitive impairments
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: Change from baseline and to 6 months
Single self-developed items
Change from baseline and to 6 months
Need for support
Aikaikkuna: Change from baseline and to 12 months
Single self-developed items
Change from baseline and to 12 months
Need for support
Aikaikkuna: Change from baseline and to 18 months
Single self-developed items
Change from baseline and to 18 months
Health care costs
Aikaikkuna: 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
Aikaikkuna: 18 months
Single self-developed items
18 months

Muut tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Social support
Aikaikkuna: Baseline
Modified Medical Outcomes Study Social Support Scale (MOS)
Baseline

Yhteistyökumppanit ja tutkijat

Täältä löydät tähän tutkimukseen osallistuvat ihmiset ja organisaatiot.

Sponsori

Danish Cancer Society

Yhteistyökumppanit

Rigshospitalet, Denmark
Copenhagen University Hospital at Herlev

Tutkijat

  • Päätutkija: Pernille Bidstrup, PhD, Danish Cancer Society Research Center
  • Päätutkija: Christoffer Johansen, DMSc, Rigshispitalet
  • Opintojen puheenjohtaja: Birgitte Mertz, RN, Rigshospitalet, Denmark

Opintojen ennätyspäivät

Nämä päivämäärät seuraavat ClinicalTrials.gov-sivustolle lähetettyjen tutkimustietueiden ja yhteenvetojen edistymistä. National Library of Medicine (NLM) tarkistaa tutkimustiedot ja raportoidut tulokset varmistaakseen, että ne täyttävät tietyt laadunvalvontastandardit, ennen kuin ne julkaistaan ​​julkisella verkkosivustolla.

Opi tärkeimmät päivämäärät

Opiskelun aloitus (Todellinen)

Tiistai 15. elokuuta 2017

Ensisijainen valmistuminen (Todellinen)

Keskiviikko 31. maaliskuuta 2021

Opintojen valmistuminen (Todellinen)

Keskiviikko 31. maaliskuuta 2021

Opintoihin ilmoittautumispäivät

Ensimmäinen lähetetty

Maanantai 31. heinäkuuta 2017

Ensimmäinen toimitettu, joka täytti QC-kriteerit

Keskiviikko 16. elokuuta 2017

Ensimmäinen Lähetetty (Todellinen)

Maanantai 21. elokuuta 2017

Tutkimustietojen päivitykset

Viimeisin päivitys julkaistu (Todellinen)

Perjantai 27. elokuuta 2021

Viimeisin lähetetty päivitys, joka täytti QC-kriteerit

Torstai 26. elokuuta 2021

Viimeksi vahvistettu

Sunnuntai 1. elokuuta 2021

Lisää tietoa

Tähän tutkimukseen liittyvät termit

Avainsanat

Muita asiaankuuluvia MeSH-ehtoja

Muut tutkimustunnusnumerot

  • REBECCA II

Yksittäisten osallistujien tietojen suunnitelma (IPD)

Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?

EI

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Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta

Ei

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Ei

Nämä tiedot haettiin suoraan verkkosivustolta clinicaltrials.gov ilman muutoksia. Jos sinulla on pyyntöjä muuttaa, poistaa tai päivittää tutkimustietojasi, ota yhteyttä register@clinicaltrials.gov. Heti kun muutos on otettu käyttöön osoitteessa clinicaltrials.gov, se päivitetään automaattisesti myös verkkosivustollemme .

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