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Breast CancerNCT02574507

Behavioral Weight and Symptom Management for Breast Cancer Survivors and Partners

A study testing Couples-Based Behavioral Weight and Symptom Management in people with Breast Cancer, run by Duke University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of the study is to develop and test the feasibility, acceptability, and initial efficacy of a novel couples-based behavioral weight and symptom management intervention for obese breast cancer survivors and their partners. The proposed project consists of two phases. Read more about this study

Who is it for?
Ages 21 to 80 years
Conditions the study is for
Breast Cancer
What is being tested?
Couples-Based Behavioral Weight and Symptom Management
Could I receive a placebo?
No, everyone receives an active treatment
How many people
52 participants
Where
1 siteUnited States
Study dates
Oct 2015to Dec 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients:
  • Female,
  • obese (BMI >30)
  • partnered
  • diagnosis of non-metastatic breast cancer (stages I-III)
  • completed adjuvant chemotherapy and/or radiation treatment in the last 5 years
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  • healthy enough to participate in a home-based walking program (if participating in intervention refinement),
  • able to speak English
  • able and willing to give informed consent.
  • Partners:
  • Overweight/obese (BMI >25)
  • cohabiting partner of a woman with non-metastatic breast cancer completing adjuvant chemotherapy and/or radiation in the last 5 years
  • healthy enough to participate in a home-based walking program (if participating in intervention refinement)
  • able to speak English
  • able and willing to give informed consent.
  • Patients:
  • Female, obese (BMI >30)
  • partnered
  • diagnosis of non-metastatic breast cancer (stages I-III)
  • completed adjuvant chemotherapy and/or radiation treatment in the last 3 years
  • healthy enough to participate in a home-based walking program
  • able to speak English
  • able and willing to give informed consent.
  • Partners:
  • Overweight/obese (BMI >25)
  • cohabiting partner of a woman with non-metastatic breast cancer completing adjuvant chemotherapy and/or radiation in the three years
  • healthy enough to participate in a home-based walking program
  • able to speak English
  • able and willing to give informed consent.

Who cannot join

  • male breast cancer survivors
  • non-ambulatory
  • unable to provide informed consent
  • have a major mental illness (i.e., schizophrenia);
  • have a mental illness that is not being treated/controlled (i.e., bipolar disorder)
  • reside > 100 miles from the research site.
Show all 14Show fewer
  • Phase II: Feasibility, Acceptability, and Efficacy of the Intervention
  • male breast cancer survivors
  • non-ambulatory
  • unable to provide informed consent
  • have a major mental illness (i.e., schizophrenia)
  • have a mental illness that is not being treated/controlled (i.e., bipolar disorder)
  • reside > 100 miles from the research site.
  • Pregnant women will also be excluded from the study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Duke Cancer Institute

    Durham, North Carolina, 27710

Other trials in United States

About this study

The objective of the study is to develop and test the feasibility, acceptability, and initial efficacy of a novel couples-based behavioral weight and symptom management intervention for obese breast cancer survivors and their partners. The proposed project consists of two phases. Phase I will include intervention development and refinement. Intervention development will be guided by the research team's prior work, the interdependence model of communal coping and behavior change, and information obtained from couples participating in focus groups. The intervention protocol will then be tested with 5 couples to assist with refinement of intervention content. During phase II, the feasibility, acceptability and initial efficacy of the intervention will be examined. Obese breast cancer survivors in the three years following treatment and their overweight or obese partners will receive 6 weekly and 6 biweekly sessions for a total of 12 sessions spaced across approximately 5 months. The intervention will be provided in a couples-based format where each couple will meet separately with the therapist. Couples will be assessed at pre-, post-, and 3-months post-treatment. Study outcomes will be weight, symptoms (i.e., pain, fatigue, distress), eating behavior, and physical activity. Exploratory outcomes examine biomarkers (i.e., insulin, IL-6, IL-8, TNF-alpha, adiponectin) associated with health outcomes for cancer survivors and their partners. It is hypothesized that the intervention will be feasible (i.e., completed sessions), and participants will find the intervention acceptable as assessed by a measure of treatment acceptability. It is also hypothesized that participants will evidence decreased weight and improvements in symptoms (i.e., pain, fatigue, distress), eating behavior, and physical activity, and their change in weight will covary with change in symptoms, eating behavior, and daily physical activity. Finally, it is hypothesized that participants with greater weight loss will evidence improved functioning in insulin, IL-6, IL-8, TNF-α, adiponectin, and heart rate.

Conditions
Breast Cancer
Being tested
Couples-Based Behavioral Weight and Symptom Management
Keywords
breast cancer, weight management, couples, symptom management
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Couples-Based Behavioral Weight and Symptom ManagementBehavioural

    Investigators anticipate that the intervention developed in phase I will consist of a total of 12 sessions 90 minutes in length (18 therapy hours) spaced across approximately 5 months. Sessions are spaced to provide participants sufficient time to complete home practice exercises and adequately examine change in weight and maintenance of weight loss. Sessions will be conducted individually for each day. The first 6 sessions will occur weekly and the final 6 sessions will occur biweekly.

Study groups in NCT02574507
Study groupRoleWhat they receive
Couples-Based Behavioral Weight and Symptom ManagementExperimentalParticipants will receive 12 session (6 weekly and 6 biweekly) of a behavioral weight and symptom management intervention.
Receives: Behavioral: Couples-Based Behavioral Weight and Symptom Management

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Weight

    Participants will be weighed at each assessment and each session.

    Measured: baseline, week 1, week 2, week 3, week 4, week 5, week 6, week 8, week 10, week 12, week 14, week 16, week 18, post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)

  2. Change in steps per day

    Participants will wear wireless activity trackers (Fitbits) to measure daily activity (e.g., steps taken). Participants will be provided with the activity trackers by study staff and begin to use the trackers following the pre-treatment assessment. Participants will continue to use the trackers throughout treatment. Participants will return the Fitbits to the study staff upon completion of the study.

    Measured: Through study completion (an average of 31 weeks)

  3. Change in 6 minute walk ability score

    The 6-minute walk test is a self-paced, timed test of the total distance in meters that a patient is able to walk over a six-minute period and assesses the ability to exert effort during activity.

    Measured: baseline, post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)

  4. Change in 6 minute walk pain score

    The degree of pain experienced during the 6-minute walk test will also be assessed.

    Measured: baseline, post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)

  5. Change in Stanford Leisure-Time Activity Categorical Item (L-Cat)

    The L-Cat is a measure of physical activity. Individuals identify which descriptive category best describes their level of activity during leisure time in the last month. Descriptive categories range from inactive to very active.

    Measured: baseline , post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)

  6. Change in Eating Behavior

    Participants will also be asked to complete the Dietary Instrument for Nutrition Education (DINE). The DINE is a brief assessment of the amount of fat and dietary fiber in an individual's usual diet. Participants are provided with a list of food items and asked about the frequency with which they have eaten the items per week when considering the last month.

    Measured: baseline , post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)

  7. Change in The Brief Pain Inventory (BPI)

    The BPI is a 9-item self-report measure assessing pain severity. Participants rate their pain on a scale from 0 to 10 where 0 represents "no pain" and 10 represents "pain as bad as you can imagine." Participants also rate their level of interference from pain.

    Measured: baseline , post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)

  8. Change in Promis Fatigue Scale

    The Promis Fatigue Scale is a 6-item self-report measure of fatigue in the last week

    Measured: pre-treatment, post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)

  9. Change in Profile of Mood States (POMS)

    The POMS will be used to assess psychological distress. Each item is rated on a scale from 0 (not at all) to 4 (extremely) as being self-descriptive for the last seven days.

    Measured: baseline , post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)

  10. Change in Physical Activity based on the International Physical Activity Questionnaire

    Participants will also complete the International Physical Activity Questionnaire (IPAQ). This seven-item questionnaire assesses the amount of time participants have spent doing moderate and vigorous physical activities in the last seven days.

    Measured: pre-treatment, post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)

  11. Change in eating behavior using the Three Factor Eating Questionnaire

    Eating behaviors will be assessed using the Three Factor Eating Questionnaire (TFEQ). The 21-item short-form will be used for the present study. The TFEQ measures three domains of eating behavior: 1) cognitive restraint, 2) uncontrolled eating, and 3) emotional eating.

    Measured: pre-treatment, post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)

Secondary outcomes (12)
  1. Change in Fasting insulin

    Fasting insulin will be examined by taking a sample of peripheral blood from participants at the baseline and post-treatment assessments.

    Measured: baseline and 3 months post-treatment (approximately 30-32 weeks)

  2. Change in IL-6

    The pro-inflammatory cytokine IL-6 will be examined by taking a sample of peripheral blood from participants at the baseline and post-treatment assessments.

    Measured: baseline and 3 months post-treatment (approximately 30-32 weeks)

  3. Change in IL-8

    The pro-inflammatory cytokine IL-8 will be examined by taking a sample of peripheral blood from participants at the baseline and post-treatment assessments.

    Measured: baseline and 3 months post-treatment (approximately 30-32 weeks)

  4. Change in TNF-alpha

    The pro-inflammatory cytokine TNF-alpha will be examined by taking a sample of peripheral blood from participants at the baseline and post-treatment assessments.

    Measured: baseline and 3 months post-treatment (approximately 30-32 weeks)

  5. Change in Adiponectin

    The anti-inflammatory cytokine adiponectin will be examined by taking a sample of peripheral blood from participants at the baseline and post-treatment assessments.

    Measured: baseline and 3 months post-treatment (approximately 30-32 weeks)

  6. Change in Heart Rate

    Heart rate will be assessed via the wireless activity trackers (Fitbit) worn by participants throughout the study.

    Measured: Through study completion (an average of 31 weeks)

  7. Treatment Acceptability Questionnaire (TAQ)

    The Treatment Acceptability Questionnaire (TAQ) is a six-item scale assessing whether participants view an intervention as acceptable, ethical, and effective. Items are rated on a 7-point Likert scale (e.g., 1 "very unacceptable" to 7 "very acceptable).

    Measured: post-treatment (approximately 30-32 weeks)

  8. Change in Session attendance rate

    Treatment feasibility will be assessed by measuring the session attendance rate for each participant and each day.

    Measured: week 1, week 2, week 3, week 4, week 5, week 6, week 8, week 10, week 12, week 14, week 16, week 18

  9. Change in Use of intervention strategies

    Participants' use of intervention strategies will be assessed using a measure developed for components of the present study. Participants will be asked about how frequently treatment strategies discussed in session have been used outside of session in the past week or past month depending on the timing of the questionnaire. A scale ranging from 0 "not at all" to 5 "2 or more times a day" will be used.

    Measured: week 1, week 2, week 3, week 4, week 5, week 6, week 8, week 10, week 12, week 14, week 16, week 18

  10. Change in partner support for eating and exercise

    Partner support for eating and exercise will be assessed using a modified version of the Social Support for Diet and Exercise questionnaires. Participants will be asked to provide information about the amount of encouragement and discouragement they have received from their partner over the last three months regarding healthy eating and exercise. Items are rated on a 5 point scale from 1 "none" to 5 "very often."

    Measured: pre-treatment, post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)

  11. Change in Self-Efficacy for Weight

    The Weight Efficacy Lifestyle Questionnaire is an 8-item measure of eating self-efficacy. Participants are asked to provide information about how certain they are that they can resist overeating in difficult situation (e.g., over the weekend, when tired, etc.). Response choices range from 0= "not at all confident" to 10= "very confident."

    Measured: pre-treatment, post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks); at each intervention session (week 1, week 2, week 3, week 4, week 5, week 6, week 8, week 10, week 12, week 14, week 16, week 18)

  12. Change in self-efficacy for managing chronic disease

    The Self-Efficacy for Managing Chronic Disease Scale is a 6-item scale that asks participants to rate their confidence in doing certain activities (e.g., keep emotional distress from interfering with the things you want to do) on a scale from 1= "not at all confident" to 10= "totally confident." The wording of items was slightly altered to better match the sample intended for the present study.

    Measured: pre-treatment, post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks); at each intervention session (week 1, week 2, week 3, week 4, week 5, week 6, week 8, week 10, week 12, week 14, week 16, week 18)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Oct 2015 (estimated)
  2. Study startOct 2015
  3. Primary completionDec 2018
  4. Study completionDec 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
52 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02574507
Sponsor's protocol ID
Pro00063328
Other IDs
1F32CA200091-01
Status last verified
May 2020
First submitted
5 Oct 2015
Last updated
6 May 2020
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Couples-Based Behavioral Weight and Symptom Management in people with Breast Cancer, run by Duke University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 29 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 May 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Weight (time frame: baseline, week 1, week 2, week 3, week 4, week 5, week 6, week 8, week 10, week 12, week 14, week 16, week 18, post-treatment (approximately 18-20 weeks), 3 months post-treatment (approximately 30-32 weeks)). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 May 2020.

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