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Completed

NCT Number: NCT04861896

A Research Study for Latina Women With Breast Cancer

The purpose of this study is to examine the feasibility and preliminary efficacy of a psychosocial eHealth intervention designed to improve hormone therapy adherence among Hispanic/Latinx women with breast cancer. Our proposed secondary outcomes are health-related quality of life and self-efficacy in managing hormone therapy side effects.

The intervention components include breast cancer knowledge, hormone/endocrine therapy knowledge, stress awareness and management, social support, and enhanced communication and intimacy skills. The intervention will be delivered via a Smartphone application over a 12-week period.

All participants will receive the intervention application (described below). Aside from using the Smartphone application for the recommended 12 weeks, participation in this study includes three assessments: baseline (at the beginning of the research study), 6-week follow-up, and 12-week follow-up.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Female
  • Diagnosis of breast cancer, non-metastatic, stage 0-III (A, B, or C)
  • Receiving or received endocrine/hormone therapy within the last 3 years (36 months)
  • At least 18 years of age
  • Able to speak and read English or Spanish
  • Able to provide informed consent
  • Self-identify Hispanic/Latina ethnicity

Exclusion criteria

  • Stage IV or metastatic
  • Visual, hearing, voice, or motor impairment that would prevent completion of study procedures
  • Diagnosis of an unmanaged psychotic disorder, bipolar disorder, dissociative disorder, or other diagnoses for which participation in this trial is either inappropriate or dangerous - this includes patients who have a life-threatening illness (e.g., end-stage kidney disease) or diagnosis of a chronic disease that is associated with a major functional impairment (e.g., fibromyalgia)
  • Illicit substance or alcohol dependence
  • Suicidal ideation, plan, intent
  • Alzheimer's, dementia, or history of stroke
  • Scheduled reconstruction surgery within 1 month of any study procedures or involvement.

Treatment and study plan

"My Guide" (psychoeducation & self-management program)

Behavioral

12-week long health promotion Smartphone application to support patient's side effects self-management and adherence to endocrine therapy.

Primary outcomes

  1. Acceptability of My Guide: Usefulness

    Time frame: T3 (immediately following 12 week intervention)

    To assess acceptability, all participants are asked to complete an exit interview on My Guide. This interview assesses usefulness, satisfaction, learnability and usability of the application. This exit interview was synthesized from validated measures assessing eHealth intervention acceptability, and was adapted for our study to better fit our target population and our application design. Above average scores on the questionnaire are considered acceptable. The questionnaire is administered over the phone immediately following the 12 week intervention.

  2. Acceptability of My Guide: Satisfaction

    Time frame: T3 (immediately following 12 week intervention)

    To assess acceptability, all participants are asked to complete an exit interview on My Guide. This interview assesses usefulness, satisfaction, learnability and usability of the application. This exit interview was synthesized from validated measures assessing eHealth intervention acceptability, and was adapted for our study to better fit our target population and our application design. Above average scores on the questionnaire are considered acceptable. The questionnaire is administered over the phone immediately following the 12 week intervention.

  3. Acceptability of My Guide: Learnability

    Time frame: T3 (immediately following 12 week intervention)

    To assess acceptability, all participants are asked to complete an exit interview on My Guide. This interview assesses usefulness, satisfaction, learnability and usability of the application. This exit interview was synthesized from validated measures assessing eHealth intervention acceptability, and was adapted for our study to better fit our target population and our application design. Above average scores on the questionnaire are considered acceptable. The questionnaire is administered over the phone immediately following the 12 week intervention.

  4. Acceptability of My Guide: Usability

    Time frame: T3 (immediately following 12 week intervention)

    To assess acceptability, all participants are asked to complete an exit interview on My Guide. This interview assesses usefulness, satisfaction, learnability and usability of the application. This exit interview was synthesized from validated measures assessing eHealth intervention acceptability, and was adapted for our study to better fit our target population and our application design. Above average scores on the questionnaire are considered acceptable. The questionnaire is administered over the phone immediately following the 12 week intervention.

  5. Demand of My Guide: Recruitment Rate

    Time frame: 12 weeks

    We assess demand of the My Guide application through study recruitment. Based on previous psychosocial and behavioral studies in oncology, an 70% recruitment rate is considered an adequate level of demand.

  6. Demand of My Guide: Retention Rate

    Time frame: 12 weeks

    Another way we assess demand of the My Guide application is through participant retention. Based on previous psychosocial and behavioral studies in oncology, an 70% retention rate is considered an adequate level of demand.

  7. Participant use of My Guide: Number of Login's

    Time frame: 12 weeks

    We assess participant use of the My Guide application by examining the number of participant logins to the web-based application.

  8. Participant use of My Guide: Duration of Usage

    Time frame: 12 weeks

    We assess participant use of the My Guide application by examining the duration participant time spent on the website. Based on previous psychosocial and behavioral studies in oncology, an average of 8 hours of use is considered an adequate level of engagement.

  9. Participant use of My Guide: Content Accessed

    Time frame: 12 weeks

    We assess participant use of the My Guide application by examining the type of content accessed by participants on the website.

  10. Change in Medication adherence will be assessed primarily with the Adherence to Refills and Medication Scale (ARMS).

    Time frame: T1 (prior to starting intervention), T2 (6 weeks into intervention), T3 (immediately following 12 week intervention)

    The ARMS (Adherence to Refills and Medications Scale) survey is a previously validated patient-report measure of barriers to medication adherence and adherence-related behavior.

Secondary outcomes

  1. Change in Health Related Quality of Life will be evaluated with The Functional Assessment of Cancer Therapy (FACT-G7)

    Time frame: T1 (prior to starting intervention), T2 (6 weeks into intervention), T3 (immediately following 12 week intervention)

    The FACT-G7 is a validated questionnaire that assesses top-rated symptoms and concerns for a broad spectrum of advanced cancers and serves as a health-related quality of life (HRQoL) measure.

  2. Change in Patient Self-Efficacy in managing side effects is measured using the PROMIS Self Efficacy for Managing Symptoms

    Time frame: T1 (prior to starting intervention), T2 (6 weeks into intervention), T3 (immediately following 12 week intervention)

    The PROMIS Self Efficacy for Managing Symptoms survey is a validated, computer adaptive survey to assess how confident participants are in their ability to manage their symptoms and side effects.

Sponsors and collaborators

Lead sponsor

Northwestern University

Other

Registry information

Official study title

An e-Health Intervention to Improve Symptom Burden and Health-Related Quality of Life Among Hispanic Women Completing Active Treatment for Breast Cancer

Important dates

Study start
2021
Primary completion
2022
Study completion
2023
First posted
Apr 27, 2021
Registry last updated
Nov 8, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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