Effects of a Group Residential Retreat on Cancer Outcomes
研究概览
地位
条件
详细说明
Baseline Visit:
Signing this consent form does not mean that you will be able to take part in this study. The following baseline tests will help the doctor decide if you are eligible:
- You will complete 7 questionnaires about your mood, sleep, fatigue, how you have been feeling, and your general quality of life. The questionnaires should take about 60-80 minutes to complete.
- You will have an electroencephalogram (EEG) to check your brain's electrical activity. During the EEG, a snug cap with small electrodes will be placed on your head to measure the electrical patterns coming from the brain. This is like the way a doctor listens to your heart from the surface of your skin. During the EEG, you will complete 3 tests to check your attention, short-term memory, and levels of emotions on the computer. The study staff will discuss each test in more detail with you. The EEG and tests will take about 45-60 minutes total.
- If you have not had a computed tomography (CT) scan in the last 2 months, you will have one performed to check the status of the disease. If you have had one in the last 2 months, the results will be collected from your medical records.
- You will have an electrocardiogram (EKG) to check your heart function.
- Blood (about 6 tablespoons) will be drawn for tests to measure hormones and your immune system responses. You will need to fast (not eat or drink anything except water) for 12 hours before this blood draw. You will be provided with healthy snacks after your blood draw.
The day after your baseline visit, saliva will be collected to measure the level of cortisol (a type of stress hormone) in your body. These saliva samples will be collected 4 times each day for 3 days in a row. You will collect these samples at home when you first wake up, about 45 minutes later, about 10 hours after waking up, and then at bedtime. To collect each saliva sample, you will chew on a cotton ball for a few seconds and then put the cotton in a small plastic tube. You will write down the times you took these samples. You will mail these samples back to MD Anderson in postage-paid envelopes that will be provided to you. The tubes will also be provided at no cost to you. These saliva samples will be destroyed after being studied.
Every day for the next 7 days after your baseline visit, you will fill out a diary about your sleeping habits. You will also wear a special type of wrist watch for these 7 days. The watch will collect data about your physical activity and sleeping habits. After you have worn it for 7 days, you will mail the watch and the sleep diary back to MD Anderson in postage-paid envelopes that will be provided to you.
Extended Baseline:
You will be asked to complete and provide all the same measures again 1 month after the first baseline visit.
Study Groups:
If you are found to be eligible to take part in this study and you agree, you will be randomly assigned (as in the roll of dice) to 1 of 3 study groups. This is done because no one knows if one study group is better, the same, or worse than the other group.
- If you are assigned to Groups 1 or 2, you will take part in 1 of 2 types of residential group programs.
- If you are assigned to Group 3, you will receive standard cancer care without any participation in a residential group program.
If you are assigned to Groups 1 or 2, neither you nor the study staff will know what kind of residential group program you are in.
Residential Support Program Sessions (Groups 1 and 2 only):
You will take part in a 7-day offsite, residential support program in groups of about 10 participants each. On Day 5 of the retreat, you will be joined by your spouse or caregiver.
During the 7 days, you will take part in group activities, learn relaxation skills, do different cognitive activities (for example, reading, watching movies, and having group discussions), and learn about mind-body connections. You will spend 7 days and 6 nights at the residential retreat. Activities at the retreat will last about 12 hours per day with breaks, group meals, and free time to rest in the morning, afternoon and evening, or as needed.
At least 1 week before the retreat, you will be given a detailed agenda and schedule of all activities that will occur during the retreat.
Follow-Up Sessions (All Groups):
You will complete the same tests/procedures that were performed at the baseline visit within 7 days after the residential program ends and then again about 3 months later. If you are in Group 3, you will complete the same tests/procedures on the same schedule.
Length of Participation:
Your participation on this study will be over after you complete the follow-up sessions.
Depending on which study group you were assigned to, you may be able to take part in a residential program that you did NOT previously take part in. The study chair or research staff will discuss this option with you.
This is an investigational study.
Up to 100 participants and their caregivers will take part in this multicenter study. Up to 74 will be enrolled at MD Anderson.
研究类型
阶段
- 不适用
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Women aged 50 and over initially diagnosed with breast cancer by histological tissue diagnosis in 2003 or later.
- Currently Stage IV (metastatic) breast cancer on the basis of definitive imaging or biopsy with stable disease (scans within the past 2 months).
- ECOG (Eastern Cooperative Group) Performance Score of 0 or 1.
- Able to participate occasionally in mildly strenuous physical effort.
- Able to read, speak, and write in English or ability to provide consent or understand questionnaires.
- Able to be accompanied by their spouse or significant other partner/friend (spouse, significant other, partner, or friend.
- Able to travel to the retreat site.
- Must be right handed.
- Patients must have had a contrast-enhanced computerized tomographic (CT) scan of the chest and abdomen within 2 months of study entry and be willing to have a follow up scan within 2 months of the completion of the retreat.
- (CAREGIVERS ONLY) Must be primary caregiver of the patient.
- (CAREGIVERS ONLY) Able to read, speak, and write in English.
- (CAREGIVERS ONLY) Able to attend the last two days of the retreat with patient.
Exclusion Criteria:
- Significant co-morbidities (e.g., diabetes, cardiac disease, or other condition that in the opinion of the primary physician or investigators would limit participation in the intervention groups) that would preclude study participation.
- Evidence of disease progression that would necessitate a treatment in the next 2 weeks.
- Need for intravenous therapy more frequently than every 3 weeks or inability to time intravenous therapy treatment before and after the study.
- Currently in treatment for a major psychiatric disorder
- Clinical history of severe psychiatric disorders.
- Currently receiving chemotherapy.
- (CAREGIVERS ONLY) Must be an adult (>=18 years old).
学习计划
研究是如何设计的？
设计细节
- 主要用途：支持治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：三倍
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Experimental Support Group (ESG) - Residential Program
Participants attend a 7-day offsite, residential support program. On Day 5 of the program, participant joined by spouse or caregiver. Questionnaires completed at baseline visit, 1 month after baseline. EEG performed with simultaneous computer testing. Day after baseline visit, saliva collected for 3 days at different times to measure cortisol levels. For seven days after baseline visit, participants complete study diary describing sleeping habits. An actigraph also worn during this time to record physical activity and sleeping habits. Questionnaires and testing repeated 7 days after the residential program ends, and then again about 3 months later. |
Participants attend a 7-day offsite, residential support program.
On Day 5 of the program, participant joined by spouse or caregiver.
其他名称：
Questionnaires completed about mood, sleep, fatigue, how participant has been feeling, and their general quality of life at baseline visit, 1 month after baseline, 7 days after residential program ends, and again about 3 months later.
其他名称：
EEG performed at baseline with simultaneous computer testing consisting of 3 tests to check attention, short-term memory, and levels of emotions.
EEG repeated 7 days after the residential program ends, and then again about 3 months later.
Day after baseline visit, saliva collected for 3 days at different times to measure cortisol levels.
Saliva testing repeated 7 days after the residential program ends, and then again about 3 months later.
For seven days after baseline visit, participants complete study diary describing sleeping habits.
An actigraph also worn during this time to record physical activity and sleeping habits.
|
|
实验性的：Standard Support Group (SSG) - Residential Program
Participants attend a 7-day offsite, residential support program. On Day 5 of the program, participant joined by spouse or caregiver. Questionnaires completed at baseline visit, 1 month after baseline. EEG performed with simultaneous computer testing. Day after baseline visit, saliva collected for 3 days at different times to measure cortisol levels. For seven days after baseline visit, participants complete study diary describing sleeping habits. An actigraph also worn during this time to record physical activity and sleeping habits. Questionnaires and testing repeated 7 days after the residential program ends, and then again about 3 months later. |
Participants attend a 7-day offsite, residential support program.
On Day 5 of the program, participant joined by spouse or caregiver.
其他名称：
Questionnaires completed about mood, sleep, fatigue, how participant has been feeling, and their general quality of life at baseline visit, 1 month after baseline, 7 days after residential program ends, and again about 3 months later.
其他名称：
EEG performed at baseline with simultaneous computer testing consisting of 3 tests to check attention, short-term memory, and levels of emotions.
EEG repeated 7 days after the residential program ends, and then again about 3 months later.
Day after baseline visit, saliva collected for 3 days at different times to measure cortisol levels.
Saliva testing repeated 7 days after the residential program ends, and then again about 3 months later.
For seven days after baseline visit, participants complete study diary describing sleeping habits.
An actigraph also worn during this time to record physical activity and sleeping habits.
|
|
其他：Standard of Care Group (SOC) - No Residential Program
Questionnaires completed at baseline visit, 1 month after baseline. EEG performed with simultaneous computer testing. Day after baseline visit, saliva collected for 3 days at different times to measure cortisol levels. For seven days after baseline visit, participants complete study diary describing sleeping habits. An actigraph also worn during this time to record physical activity and sleeping habits. Questionnaires and testing repeated 7 days after the residential program ends, and then again about 3 months later. |
Questionnaires completed about mood, sleep, fatigue, how participant has been feeling, and their general quality of life at baseline visit, 1 month after baseline, 7 days after residential program ends, and again about 3 months later.
其他名称：
EEG performed at baseline with simultaneous computer testing consisting of 3 tests to check attention, short-term memory, and levels of emotions.
EEG repeated 7 days after the residential program ends, and then again about 3 months later.
Day after baseline visit, saliva collected for 3 days at different times to measure cortisol levels.
Saliva testing repeated 7 days after the residential program ends, and then again about 3 months later.
For seven days after baseline visit, participants complete study diary describing sleeping habits.
An actigraph also worn during this time to record physical activity and sleeping habits.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Compliance in Residential Retreat Program
大体时间：3 months
|
Participant compliance with assessments monitored as well as participation in all aspects of the intervention program.
Intervention deemed feasible if ≥ 60% of enrolled couples complete all assessments and attend the assigned retreat.
|
3 months
|
合作者和调查者
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
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