Health Benefits of Expressive Writing Among Chinese Breast Cancer Survivors
2 settembre 2019 aggiornato da: Qian Lu, University of Houston
Reducing Psychological Burdens Among Chinese Breast Cancer Survivors
This study is a randomized controlled trial (RCT) with the aim of determining the cultural sensitivity, feasibility, and effectiveness of an expressive writing intervention for Chinese breast cancer survivors.
Panoramica dello studio
Stato
Completato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
The study examines the potential health benefits (i.e., physical health, psychological health, and quality of life) of this expressive writing intervention for Chinese-speaking breast cancer survivors.
The study also explores the mechanism through which expressive writing confers health benefits and investigates who will benefit most from the expressive writing intervention.
Chinese-speaking breast cancer survivors who have completed primary treatment will be randomly assigned to a control writing condition, a self-regulation condition, or a enhanced self-regulation writing condition.
Health outcomes are assessed at baseline, and 1, 3, and 6 months follow-ups.
Mixed qualitative-quantitative mixed methods are used to explore the effect of the intervention on health outcomes and explore the mechanisms that explain the benefits of this intervention.
Tipo di studio
Interventistico
Iscrizione (Effettivo)
136
Fase
- Non applicabile
Contatti e Sedi
Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.
Luoghi di studio
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California
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Los Angeles, California, Stati Uniti, 91776
- Herald Cancer Association
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Texas
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Houston, Texas, Stati Uniti, 77204
- University of Houston
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Criteri di partecipazione
I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.
Criteri di ammissibilità
Età idonea allo studio
18 anni e precedenti (Adulto, Adulto più anziano)
Accetta volontari sani
No
Sessi ammissibili allo studio
Femmina
Descrizione
Inclusion Criteria:
1) having a breast cancer diagnosis; 2) completing breast cancer surgery within five years; and 3) being comfortable writing and speaking Chinese (i.e. Mandarin or Cantonese)
Piano di studio
Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Terapia di supporto
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Triplicare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
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Nessun intervento: Condizione di controllo
Ai partecipanti del gruppo di controllo è stato chiesto di scrivere per tre settimane sui fatti riguardanti il loro cancro e il suo trattamento per tre sessioni.
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Sperimentale: Self-regulation condition
For the self-regulation condition, each weekly writing assignment covers a different task.
During session one, participants will be asked to write about their deepest feelings and thoughts regarding their experience with breast cancer as well as its impact on their lives; in session two, participants will be asked to write about their coping strategies to deal with stressors associated with the cancer diagnosis and treatment, as well as future plans for coping with cancer-related stressors; and in session three, participants will be asked to write about positive thoughts and feelings regarding their experience with breast cancer.
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Sperimentale: Enhanced self-regulation condition
For the enhanced self-regulation condition, each weekly writing assignment covers a different task.
During session one, participants will be asked to write about their coping strategies to deal with stressors associated with the cancer diagnosis and treatment, as well as future plans for coping with cancer-related stressors; during session two, participants will be asked to write about their deepest feelings and thoughts regarding their experience with breast cancer as well as its impact on their lives; and in session three, participants will be asked to write about positive thoughts and feelings regarding their experience with breast cancer.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Change in quality of life score as assessed by the Functional Assessment of Cancer Therapy Scale (FACT)
Lasso di tempo: Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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The Functional Assessment of Cancer Therapy Scale (FACT) is a 27-item measure of health-related quality of life (Cella & Tulsky,1993), which assesses perceived life quality in four different facets, including physical well-being (7 items,score range 0 - 28), social well-being (7 items, score range 0 - 28), emotional well-being (6 items, score range 0-24), and functional well-being (7 items, score range 0-28). A higher subscale score indicates better functioning in the corresponding domain. Total score is computed by summing up the scores of the four subscales. Total score ranges from 0 to 108. A higher score indicates better quality of life. |
Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Change in posttraumatic stress disorder (PTSD), as assessed by the PTSD Symptom Scale - Self Report version (PSS-SR)
Lasso di tempo: Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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The scale contains 17 items reflecting the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition -Text Revision (DSM-IV-TR) symptoms of post-traumatic stress disorder (Foa, Riggs, Dancu, & Rothbaum, 1993). Score can be reported in terms of total score or the score of the three subscales (Re-experiencing, Avoidance and Hyperarousal). The score ranges for the three sub-scales are: Re-experiencing symptoms (5 items, 0-15), Avoidance symptoms (7 items, 0 -21) and Hyperarousal symptoms (5 items, 0-15). Each subscale score is computed by summing up the scores of the corresponding items. For each subscale, a higher score indicates more severe symptoms. The total score is computed by summing up the scores of the three subscales. The total score ranges from 0 to 51. A higher score indicated more severe PTSD symptoms. |
Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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Change in fatigue as assessed by Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-F)
Lasso di tempo: Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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The scale contains 13 items.
Total score is computed by summing up the scores of all the 13 items.
The total score ranges from 0 to 52.
A higher score indicates more severe fatigue symptoms.
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Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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Change in depressive symptoms as assessed by Center for Epidemiologic Studies Depression Scale (CES-D).
Lasso di tempo: Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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The scale contains 10 items.
Total score is computed by summing up the scores of all the 10 items.
Total score ranges from 0 to 30.
A higher scores indicates more severe depression symptoms.
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Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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Change in anxiety as assessed by Brief Symptom Inventory (BSI)-anxiety dimension
Lasso di tempo: Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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The scale contains 6 items.
Total score is computed by summing up the scores of all the 6 items.
Total score ranges from 0 - 24.
A higher score indicates more severe anxiety symptoms.
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Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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Change in physical symptoms as assessed by the Physical Symptoms Checklist
Lasso di tempo: Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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The scale contains 10 items.
Total score is computed by summing up the scores of all the 10 items.
Total score ranges from 0 - 300.
A higher score indicates more severe physical symptoms.
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Baseline, 1 month, 3 months, and 6 months follow-ups after the intervention.
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Collaboratori e investigatori
Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.
Sponsor
Investigatori
- Investigatore principale: Qian Lu, Ph.D., MD, University of Houston
Pubblicazioni e link utili
La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.
Pubblicazioni generali
- Chu Q, Wu IHC, Tang M, Tsoh J, Lu Q. Temporal relationship of posttraumatic stress disorder symptom clusters during and after an expressive writing intervention for Chinese American breast cancer survivors. J Psychosom Res. 2020 Aug;135:110142. doi: 10.1016/j.jpsychores.2020.110142. Epub 2020 May 16.
- Chu Q, Wu IHC, Lu Q. Expressive writing intervention for posttraumatic stress disorder among Chinese American breast cancer survivors: the moderating role of social constraints. Qual Life Res. 2020 Apr;29(4):891-899. doi: 10.1007/s11136-019-02385-5. Epub 2020 Jan 3.
- Lu Q, Gallagher MW, Loh A, Young L. Expressive Writing Intervention Improves Quality of Life Among Chinese-American Breast Cancer Survivors: A Randomized Controlled Trial. Ann Behav Med. 2018 Oct 22;52(11):952-962. doi: 10.1093/abm/kax067.
Studiare le date dei record
Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.
Studia le date principali
Inizio studio
1 giugno 2012
Completamento primario (Effettivo)
1 marzo 2016
Completamento dello studio (Effettivo)
1 marzo 2016
Date di iscrizione allo studio
Primo inviato
21 ottobre 2016
Primo inviato che soddisfa i criteri di controllo qualità
25 ottobre 2016
Primo Inserito (Stima)
27 ottobre 2016
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
4 settembre 2019
Ultimo aggiornamento inviato che soddisfa i criteri QC
2 settembre 2019
Ultimo verificato
1 settembre 2019
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- MRSGT-10-011-01-CPPB
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
NO
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .