REBECCA - Research in Rehabilitation After Breast Cancer (REBECCA)
5. august 2015 oppdatert av: Christoffer Johansen, Danish Cancer Society
Optimized Rehabilitation: A Randomized Study of Systematic Monitoring and Management of Breast Cancer Patients' Symptoms
The purpose of this study is to examine if a psychosocial intervention including a nurse navigator and systematic symptom screening may reduce psychological and physical symptoms as well as health behavior after breast cancer.
Studieoversikt
Status
Fullført
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
In this pilot study with a randomized controlled trial design, we examine the effect of an intervention optimizing and integrating rehabilitation for breast cancer on psychological and physical symptoms as well as health behavior after breast cancer.
In the intervention group, we systematically screen for psychological and physical symptoms as well as health behavior (smoking alcohol and physical activity) not in line with the recommendations.
Patients who screen positive are offered a sequence of sessions with a navigator nurse who monitor rehabilitation needs, supports the patient, educate in self-management of symptoms and refer to existing rehabilitation services as well as to up to 6 free sessions with a psychologist specialized in cancer patients.
The rehabilitation services that the nurse refers to include several hospital departments and municipality services as well as general practice and by thorough follow-up on the patients use of these, the intervention aims at developing an integrated treatment and rehabilitation trajectory.
The control group receives standard care.
Studietype
Intervensjonell
Registrering (Faktiske)
50
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Copenhagen, Danmark, 2100
- Rigshospitalet
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Hunn
Beskrivelse
Inclusion Criteria:
- diagnosis of primary breast cancer at Breast Oncology Clinic, Rigshospitalet, Copenhagen, Denmark
- lives in Copenhagen municipality
- score ≥7 on distress thermometer
- able to read and understand Danish
- not pregnant
- expected survival more than 6 months
- physically able to participate in rehabilitation
- no severe psychiatric disease demanding treatment
- no severe cognitive problems (e.g. dementia or confusion)
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Støttende omsorg
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Ingen inngripen: Vanlig omsorg
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Eksperimentell: Screening-based nurse navigation
Based on systematic screening for psychological and physical symptoms as well as health behavior a nurse navigator will refer to and monitor use of appropriate rehabilitation programs
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Screening-based nurse navigation for breast cancer rehabilitation
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Psychological distress
Tidsramme: 6 and 12 months
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Difference in change in psychological distress between patients in the intervention and control group.Psychological distress wil be measured using the Distress Thermometer
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6 and 12 months
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Health related quality of life
Tidsramme: 6 and 12 months
|
Difference in change in patient reported health related quality of life between patients in the intervention and control group.
Health related quality of life will be measured using the European Organization for Research and Treatment of Cancer quality of life questionnaire EORTC QLQ C30 and the EORTC BR23 including subscales.
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6 and 12 months
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Anxiety and depression
Tidsramme: 6 and 12 months
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Difference in change in patient reported anxiety and depression between patients in the intervention and control group.
Anxiety and depresison will be measured using the Hospital Anxiety and Depression scale (HADS).
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6 and 12 months
|
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Smoking
Tidsramme: 6 and 12 months
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Difference in change in patient reported cigarette smoking measured in grams per day between patients in intervention and control group.
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6 and 12 months
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Alcohol consumption
Tidsramme: 6 and 12 months
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Difference in change in patient reported alcohol consumption measured in grams per day between patients in intervention and control group.
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6 and 12 months
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Body mass index
Tidsramme: 6 and 12 months
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Difference in change in patient reported body masss index between patients in intervention and control group.
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6 and 12 months
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Physical activity
Tidsramme: 6 and 12 months
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Difference in change in patient reported physical activity between patients in intervention and control group.
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6 and 12 months
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Use of rehabilitation services
Tidsramme: 6 and 12 months
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Difference in change in patient reported use of rehabilitation services between patients in intervention and control group.
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6 and 12 months
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Etterforskere
- Hovedetterforsker: Christoffer Johansen, MD, Phd, Danish Cancer Society
- Hovedetterforsker: Pernille E Bidstrup, MA. PhD, Danish Cancer Society
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. juli 2013
Primær fullføring (Faktiske)
1. juli 2015
Studiet fullført (Faktiske)
1. juli 2015
Datoer for studieregistrering
Først innsendt
5. februar 2014
Først innsendt som oppfylte QC-kriteriene
5. februar 2014
Først lagt ut (Anslag)
6. februar 2014
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
7. august 2015
Siste oppdatering sendt inn som oppfylte QC-kriteriene
5. august 2015
Sist bekreftet
1. august 2015
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- Rebecca
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