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A Pilot Study of a Brief Pre-Operative Intervention for Patients Undergoing Breast Surgery

2017年10月3日 更新者：Afton Hassett, Psy.D.、University of Michigan
This study is to assess the feasibility of using a positive activities intervention, Positive Piggy Bank, in newly diagnosed women with breast cancer who will soon undergo surgery. A randomized controlled pilot trial of a brief self-guided positive activities intervention, The Positive Piggy Bank (PPB), compared to Treatment as Usual. The PPB intervention involves noting at least one positive event each day, writing it down on a slip of paper and then depositing this piece of paper in a piggy bank. This practice is to take place at the end of the day, every day over a circumscribed period of time. At the end of the "deposit period," in the case of this study after approximately 21 days, the participant "closes the account" and makes a full withdrawal by taking all of the slips out of the piggy bank and reading each one on the night before surgery.

研究概览

地位

完全的

条件

干预/治疗

详细说明

Fifty participants will complete questionnaires at baseline (Day 1), then they will be randomized 1:1 to the Positive Piggy Bank condition (n=25) or Treatment as Usual (n = 25) approximately 3 weeks before surgery. Post-intervention (Day of Surgery) and 14 days post-surgery, participants will complete the same questionnaires. The 14 day post surgery questionnaires will be administered by phone.

Intervention Procedures - The Positive Piggy Bank. Participants randomized to this group will first get an overview of the intervention, learn about the rationale for this treatment, and receive supplies including the instructions on a decorative card, a piggy bank, and paper currency slips (pieces of lined paper with a place for the date). Participants in this group will be instructed to do the activities as detailed above in the Positive Piggy Bank instructions daily until the evening before surgery (approximately 21 days). On the evening before surgery, they are to "close their account" by opening the piggy bank and reviewing all of the slips of paper.

Study personnel will contact patients within 72 hours of beginning the study to answer questions and/or provide encouragement. Participants will also be contacted on the day before surgery to let them know that they should read all of their currency slips and reminded to bring their currency slips with them to the hospital on the day of surgery.

On the day of surgery, prior to surgery they will complete the first set of follow-up questionnaires. They will also be reminded that these same follow-up questionnaires will be administered by phone 14 days after surgery.

The control group will serve to show the relative benefits of the Positive Piggy Bank intervention. These participants will follow the same questionnaire completion procedures as listed above including phone calls. The phone call at 72 hours will be to simply thank them for their participation in the study.

研究类型

介入性

注册 (实际的)

22

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 美国
    • Michigan
      • Ann Arbor、Michigan、美国、48106
        • University of Michigan, Chronic Pain and Fatigue Research Center

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

女性

描述

Inclusion Criteria:

  1. Recent diagnosis of breast cancer with pending surgery as primary treatment for breast cancer.
  2. Ages 18 and above.
  3. Able to read/understand English and give consent.
  4. Willing and able to comply with all aspects of study procedures.
  5. No plan to initiate a new program that could affect well-being during the study period (e.g., psychotherapy, new exercise regimen, meditation classes).

Exclusion Criteria:

  1. Planned neoadjuvant systemic therapy.
  2. Having a psychotic disorder or the presence of another psychiatric condition (e.g., severe depression [i.e., score on the PHQ-9], suicidal ideation) or cognitive impairment (e.g., severe dyslexia, traumatic brain injury) limiting ability to give consent and/or participate fully in the study.
  3. Other factors that at the discretion of the investigators would adversely affect study.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

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：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：Positive Activities Intervention
Patients will note at least one positive event each day, write it down on a slip of paper and then deposit this piece of paper in a piggy bank. After approximately 21 days, the participant reads each one the night before surgery.
行为的：Positive Activities
The PPB intervention involves noting at least one positive event each day, writing it down on a slip of paper and then depositing this piece of paper in a piggy bank. This practice is to take place at the end of the day, every day over a circumscribed period of time. At the end of the "deposit period" the participant "closes the account" and makes a full withdrawal by taking all of the slips out of the piggy bank and reading each one the night before surgery.
无干预：Usual Care Group
The control group will serve to show the relative benefits of the Positive Piggy Bank intervention. These participants will follow the same questionnaire completion procedures.

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
Feasibility of using a Positive Activities Intervention
大体时间：Day 1 (baseline), Day of Surgery and 14 Days Post Surgery
The primary objective of this study is to assess the feasibility of using a positive activities intervention, Positive Piggy Bank, in newly diagnosed women with breast cancer who will soon undergo surgery. We will also explore changes in subjective well-being and post-surgical symptoms in response to the intervention in order to power a larger trial.
Day 1 (baseline), Day of Surgery and 14 Days Post Surgery

次要结果测量

结果测量
措施说明
大体时间
Symptom Burden
大体时间：Day 1 (baseline), Day of Surgery and 14 Days Post Surgery
Measured by the MSAS
Day 1 (baseline), Day of Surgery and 14 Days Post Surgery
Fatigue
大体时间：Day 1 (baseline), Day of Surgery and 14 Days Post Surgery
Measured by the PROMIS Profile 29
Day 1 (baseline), Day of Surgery and 14 Days Post Surgery
Sleep
大体时间：Day 1 (baseline), Day of Surgery and 14 Days Post Surgery
Measured by the PROMIS Profile 29
Day 1 (baseline), Day of Surgery and 14 Days Post Surgery
Depressive Symptoms
大体时间：Day 1 (baseline) to 14 Days Post Surgery
Measured by the PROMIS Profile 29
Day 1 (baseline) to 14 Days Post Surgery
Social Roles
大体时间：Day 1 (baseline), Day of Surgery and 14 Days Post Surgery
Measured by the PROMIS Profile 29
Day 1 (baseline), Day of Surgery and 14 Days Post Surgery

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

University of Michigan

调查人员

  • 首席研究员：Afton Hassett, Psy.D.、University of Michigan

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2016年6月1日

初级完成 (实际的)

2017年2月1日

研究完成 (实际的)

2017年2月1日

研究注册日期

首次提交

2016年8月1日

首先提交符合 QC 标准的

2016年10月17日

首次发布 (估计)

2016年10月19日

研究记录更新

最后更新发布 (实际的)

2017年10月6日

上次提交的符合 QC 标准的更新

2017年10月3日

最后验证

2017年10月1日

更多信息

与本研究相关的术语

关键字

其他研究编号

  • HUM00114087
  • UMCC 2016.036 (其他标识符：University of Michigan Cancer Center)

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.

Positive Activities的临床试验

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赞助者和合作者

医疗条件

药物干预

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条件

罕见疾病

药物干预

膳食补充剂

赞助者/合作者

地点

3
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