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Rehabilitation After Breast Cancer (REBECCA II)

26 августа 2021 г. обновлено: 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).

Обзор исследования

Статус

Завершенный

Условия

Вмешательство/лечение

Подробное описание

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.

Тип исследования

Интервенционный

Регистрация (Действительный)

309

Фаза

  • Непригодный

Контакты и местонахождение

В этом разделе приведены контактные данные лиц, проводящих исследование, и информация о том, где проводится это исследование.

Места учебы

      • Copenhagen, Дания, DK-2100
        • Rigshospitalet

Критерии участия

Исследователи ищут людей, которые соответствуют определенному описанию, называемому критериям приемлемости. Некоторыми примерами этих критериев являются общее состояние здоровья человека или предшествующее лечение.

Критерии приемлемости

Возраст, подходящий для обучения

18 лет и старше (Взрослый, Пожилой взрослый)

Принимает здоровых добровольцев

Нет

Полы, имеющие право на обучение

Женский

Описание

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,

Учебный план

В этом разделе представлена ​​подробная информация о плане исследования, в том числе о том, как планируется исследование и что оно измеряет.

Как устроено исследование?

Детали дизайна

  • Основная цель: Поддерживающая терапия
  • Распределение: Рандомизированный
  • Интервенционная модель: Параллельное назначение
  • Маскировка: Одинокий

Оружие и интервенции

Группа участников / Армия
Вмешательство/лечение
Без вмешательства: Контроль
Обычный уход
Экспериментальный: Intervention
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.

Что измеряет исследование?

Первичные показатели результатов

Мера результата
Мера Описание
Временное ограничение
Distress
Временное ограничение: Change from baseline and to 6,12 months (mixed models)
Distress Thermometer
Change from baseline and to 6,12 months (mixed models)

Вторичные показатели результатов

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

Другие показатели результатов

Мера результата
Мера Описание
Временное ограничение
Social support
Временное ограничение: Baseline
Modified Medical Outcomes Study Social Support Scale (MOS)
Baseline

Соавторы и исследователи

Здесь вы найдете людей и организации, участвующие в этом исследовании.

Спонсор

Соавторы

Следователи

  • Главный следователь: Pernille Bidstrup, PhD, Danish Cancer Society Research Center
  • Главный следователь: Christoffer Johansen, DMSc, Rigshispitalet
  • Учебный стул: Birgitte Mertz, RN, Rigshospitalet, Denmark

Даты записи исследования

Эти даты отслеживают ход отправки отчетов об исследованиях и сводных результатов на сайт ClinicalTrials.gov. Записи исследований и сообщаемые результаты проверяются Национальной медицинской библиотекой (NLM), чтобы убедиться, что они соответствуют определенным стандартам контроля качества, прежде чем публиковать их на общедоступном веб-сайте.

Изучение основных дат

Начало исследования (Действительный)

15 августа 2017 г.

Первичное завершение (Действительный)

31 марта 2021 г.

Завершение исследования (Действительный)

31 марта 2021 г.

Даты регистрации исследования

Первый отправленный

31 июля 2017 г.

Впервые представлено, что соответствует критериям контроля качества

16 августа 2017 г.

Первый опубликованный (Действительный)

21 августа 2017 г.

Обновления учебных записей

Последнее опубликованное обновление (Действительный)

27 августа 2021 г.

Последнее отправленное обновление, отвечающее критериям контроля качества

26 августа 2021 г.

Последняя проверка

1 августа 2021 г.

Дополнительная информация

Термины, связанные с этим исследованием

Ключевые слова

Другие идентификационные номера исследования

  • REBECCA II

Планирование данных отдельных участников (IPD)

Планируете делиться данными об отдельных участниках (IPD)?

НЕТ

Информация о лекарствах и устройствах, исследовательские документы

Изучает лекарственный продукт, регулируемый FDA США.

Нет

Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.

Нет

Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .

Клинические исследования Рак молочной железы

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