Esophageal CancerNCT03161535
Effectiveness of a Rehabilitation Program in Improving Quality of Life in Patients With Esophageal Cancer
A study testing exercise and dietary education and weekly telephone consultations concerning exercise and diet. in people with Esophageal Cancer, run by Taipei Veterans General Hospital, Taiwan at 1 site in Taiwan.
Trial summary
This study will investigate the effectiveness of a rehabilitation program in improving sleep quality, emotional distress, circadian rhythms, and quality of life in patients with esophageal cancer in Taiwan. Hypothesis: 1. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Esophageal Cancer
- What is being tested?
- exercise and dietary education and weekly telephone consultations concerning exercise and diet.
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 85 participants
- Where
- 1 siteTaiwan
- Study dates
- 19 Sep 2017to May 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with esophageal cancer who were aged ≥20 years, could communicate in either Mandarin or Taiwanese, and were not cognitively impaired were included.
Who cannot join
- -
Trial locations and contacts
1 site in 1 country.
Taiwan1 site
National Taipei University of Nursing and Health Sciences
Taipei, 112
About this study
Official title: Effectiveness of a Rehabilitation Program in Improving Sleep Quality, Emotional Distress, Circadian Rhythms, and Quality of Life in Patients With Esophageal Cancer
This study will investigate the effectiveness of a rehabilitation program in improving sleep quality, emotional distress, circadian rhythms, and quality of life in patients with esophageal cancer in Taiwan.
Hypothesis:
- The quality of life in exercise group is significant improving than usual-care group at 3rd, 6th, 12th, 24th, and 36th month.
- The quality of sleep in exercise group is significant improving than usual-care group at 3rd, 6th, 12th, 24th, and 36th month.
- The emotional distress in exercise group is significant improving than usual-care group at 3rd, 6th, 12th, 24th, and 36th month.
- The circadian rhythms in exercise group is significant improving than usual-care group at 3rd, 6th, 12th, 24th, and 36th month.
Read the detailed description
This study will investigate the effectiveness of a rehabilitation program in improving sleep quality, emotional distress, circadian rhythms, and quality of life in patients with esophageal cancer in Taiwan.
- Conditions
- Esophageal Cancer
- Being tested
- exercise and dietary education, weekly telephone consultations concerning exercise and diet.
- Medical subject headings
- Esophageal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
exercise and dietary educationOther
- A 12-week regimen of home-based walking exercises, comprising walking at a moderate intensity for 40 min, three times a week, was administered along with weekly exercise counseling. After collecting pretrial measurements, we explained the participants how to perform the exercises, according to an instruction manual for the exercise regimen. The detailed instructions, provided at the hospital clinics, included the determination of activity intensity, demonstration of pulse measurement, criteria for scores of 6-20 on the Borg's rating of perceived exertion (RPE), prevention of exercise-related injuries, and conditions necessitating termination of an exercise session. Participants were instructed that the exercises would be effective only if they reached 60%-80% of the target heart rate, as determined by the Karvonen method, and 13-15 on the RPE.
- Diet-teaching program (using dietary education booklet).
weekly telephone consultations concerning exercise and diet.Other
For each participant, we discussed exercise regimen-related issues and diet weekly through the telephone. For instance, we discussed whether participants' exercise fulfilled the prescribed intensity, duration, or frequency and whether the participants experienced any adverse effects.
| Study group | Role | What they receive |
|---|---|---|
| exercise group | Experimental | The rehabilitation program was composed of two parts: an exercise program and a diet-teaching program. The exercise program was a 12-week home-based program that comprised moderate-intensity brisk walking for 40 min per session, with 3 sessions per week; in addition, weekly exercise counseling was provided through telephone. The diet teaching program was provided to the patients by using a diet booklet at baseline (same timing as the exercise program), and its contents were used to instruct the patients regarding dietary principles to be followed. Receives: Other: exercise and dietary education; Other: weekly telephone consultations concerning exercise and diet. |
| usual-care group | No intervention | The control group (CG) received usual care, whereas a nurse, the manager for esophageal cancer treatment, provided routine care, conducted follow-ups, and offered information on esophageal cancer to the experimental group (EG). |
What is being measured
The primary outcome is the main question the study is designed to answer.
Quality of life (EORTC QLQ-C30 )
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Measured: baseline
Quality of life (EORTC QLQ-C30 )
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Measured: 3rd month after recruited
Quality of life (EORTC QLQ-C30 )
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Measured: 6th month after recruited
Quality of life (EORTC QLQ-C30 )
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Measured: 12th month after recruited
Quality of life (EORTC QLQ-C30 )
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Measured: 24th month after recruited
Quality of life (EORTC QLQ-C30 )
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Measured: 36th month after recruited
Quality of life (EORTC QLQ-OES 18 )
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
Measured: baseline
Quality of life (EORTC QLQ-OES 18 )
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
Measured: 3rd month after recruited
Quality of life (EORTC QLQ-OES 18 )
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
Measured: 6th month after recruited
Quality of life (EORTC QLQ-OES 18 )
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
Measured: 12th month after recruited
Quality of life (EORTC QLQ-OES 18 )
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
Measured: 24th month after recruited
Quality of life (EORTC QLQ-OES 18 )
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
Measured: 36th month after recruited
Secondary outcomes (14)
Subjective sleep quality
using Pittsburgh Sleep Quality Index
Measured: baseline
Subjective sleep quality
using Pittsburgh Sleep Quality Index
Measured: 3rd month after recruited
Subjective sleep quality
using Pittsburgh Sleep Quality Index
Measured: 6th month after recruited
Subjective sleep quality
using Pittsburgh Sleep Quality Index
Measured: 12th month after recruited
Subjective sleep quality
using Pittsburgh Sleep Quality Index
Measured: 24th month after recruited
Subjective sleep quality
using Pittsburgh Sleep Quality Index
Measured: 36th month after recruited
Objective sleep quality
using Actigraph for measure Objective sleep quality
Measured: baseline
Objective sleep quality
using Actigraph for measure Objective sleep quality
Measured: 3rd month after recruited
Objective sleep quality
using Actigraph for measure Objective sleep quality
Measured: 6th month after recruited
Objective sleep quality
using Actigraph for measure Objective sleep quality
Measured: 12th month after recruited
Objective sleep quality
using Actigraph for measure Objective sleep quality
Measured: 24th month after recruited
Objective sleep quality
using Actigraph for measure Objective sleep quality
Measured: 36th month after recruited
Emotional distress
Emotional distress including anxiety and depression (Hospital Anxiety and Depression Scale). The Hospital Anxiety and Depression Scale include anxiety and depression subscales, a total of 7 questions, each subscale is a four-point scoring method, 0 point for "not at all", 3 points for "always do", each subscale scores is between 0 and 21, that a score of 7 or less for non-cases, scores of 8-10 for doubtful cases and scores of 11 or more for definite cases.
Measured: baseline, 3rd month, 6th month, 12th month, 24th month, and 36th month after recruited
Circadian rhythms
Circadian rhythms including 24-h autocorrelation coefficient (r24) and in bed less than out of bed dichotomy index (I<O) collection from actigraphy.
Measured: baseline, 3rd month, 6th month, 12th month, 24th month, and 36th month after recruited
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2017
- Study start19 Sep 2017
- Primary completionMay 2026 (estimated)
- Study completionMay 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Esophageal CancerStudies of the same condition, open and under way.
- More trials run by Taipei Veterans General Hospital, TaiwanThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 85 participants (actual)
Sponsor and investigators
- Lead sponsor
- Taipei Veterans General Hospital, Taiwan
- Sponsor type
- Other government
- Responsible party
- Sponsor
- Investigators
- Hui-Mei Chen, PhD, Principal investigator, National Taipei University of Nursing and Health SciencesYU-CHUNG WU, M.D., Principal investigator, Taipei Veterans General Hospital, Taiwan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03161535
- Sponsor's protocol ID
- 2017-04-001A
- Status last verified
- Jul 2025
- First submitted
- 17 May 2017
- Last updated
- 28 Jul 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Chen HM, Huang CS, Wu YC, Chien LI, Hsu PK. The effects of a 3-month walking and dietary education program on the quality of life of patients with esophageal cancer: a 1-year follow-up randomized controlled trial. Support Care Cancer. 2025 May 1;33(5):441. doi: 10.1007/s00520-025-09489-4.
PubMed 40312569Chen HM, Lin YY, Wu YC, Huang CS, Hsu PK, Chien LI, Lin YJ, Huang HL. Effects of Rehabilitation Program on Quality of Life, Sleep, Rest-Activity Rhythms, Anxiety, and Depression of Patients With Esophageal Cancer: A Pilot Randomized Controlled Trial. Cancer Nurs. 2022 Mar-Apr 01;45(2):E582-E593. doi: 10.1097/NCC.0000000000000953.
PubMed 33813524
Study at a glance
From the registry record, last updated by the sponsor on 28 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of a Rehabilitation Program in Improving Sleep Quality, Emotional Distress, Circadian Rhythms, and Quality of Life in Patients With Esophageal Cancer
- ClinicalTrials.gov ID
- NCT03161535
- Acronym / sponsor ID
- 2017-04-001A
- Conditions
- Esophageal Cancer
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 85 participants (actual)
- Lead sponsor
- Taipei Veterans General Hospital, TaiwanOther government
- Study start
- 19 Sep 2017 (actual)
- Primary completion
- May 2026 (estimated)
- Study completion
- May 2026 (estimated)
- First posted
- 22 May 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will investigate the effectiveness of a rehabilitation program in improving sleep quality, emotional distress, circadian rhythms, and quality of life in patients with esophageal cancer in Taiwan.
Hypothesis:
- The quality of life in exercise group is significant improving than usual-care group at 3rd, 6th, 12th, 24th, and 36th month.
- The quality of sleep in exercise group is significant improving than usual-care group at 3rd, 6th, 12th, 24th, and 36th month.
- The emotional distress in exercise group is significant improving than usual-care group at 3rd, 6th, 12th, 24th, and 36th month.
- The circadian rhythms in exercise group is significant improving than usual-care group at 3rd, 6th, 12th, 24th, and 36th month.
Detailed description
This study will investigate the effectiveness of a rehabilitation program in improving sleep quality, emotional distress, circadian rhythms, and quality of life in patients with esophageal cancer in Taiwan.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| exercise group | Experimental | Other: exercise and dietary education, Other: weekly telephone consultations concerning exercise and diet.The rehabilitation program was composed of two parts: an exercise program and a diet-teaching program. The exercise program was a 12-week home-based program that comprised moderate-intensity brisk walking for 40 min per session, with 3 sessions per week; in addition, weekly exercise counseling was provided through telephone. The diet teaching program was provided to the patients by using a diet booklet at baseline (same timing as the exercise program), and its contents were used to instruct the patients regarding dietary principles to be followed. |
| usual-care group | No intervention | –The control group (CG) received usual care, whereas a nurse, the manager for esophageal cancer treatment, provided routine care, conducted follow-ups, and offered information on esophageal cancer to the experimental group (EG). |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Patients with esophageal cancer who were aged ≥20 years, could communicate in either Mandarin or Taiwanese, and were not cognitively impaired were included.
Key exclusion criteria (1 listed)
- -
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| exercise and dietary education1. A 12-week regimen of home-based walking exercises, comprising walking at a moderate intensity for 40 min, three times a week, was administered along with weekly exercise counseling. After collecting pretrial measurements, we explained the participants how to perform the exercises, according to an instruction manual for the exercise regimen. The detailed instructions, provided at the hospital clinics, included the determination of activity intensity, demonstration of pulse measurement, criteria for scores of 6-20 on the Borg's rating of perceived exertion (RPE), prevention of exercise-related injuries, and conditions necessitating termination of an exercise session. Participants were instructed that the exercises would be effective only if they reached 60%-80% of the target heart rate, as determined by the Karvonen method, and 13-15 on the RPE. 2. Diet-teaching program (using dietary education booklet). | Other | exercise group |
| weekly telephone consultations concerning exercise and diet.For each participant, we discussed exercise regimen-related issues and diet weekly through the telephone. For instance, we discussed whether participants' exercise fulfilled the prescribed intensity, duration, or frequency and whether the participants experienced any adverse effects. | Other | exercise group |
Primary outcome
Quality of life (EORTC QLQ-C30 )
Time frame: baseline
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Quality of life (EORTC QLQ-C30 )
Time frame: 3rd month after recruited
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Quality of life (EORTC QLQ-C30 )
Time frame: 6th month after recruited
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Quality of life (EORTC QLQ-C30 )
Time frame: 12th month after recruited
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Quality of life (EORTC QLQ-C30 )
Time frame: 24th month after recruited
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Quality of life (EORTC QLQ-C30 )
Time frame: 36th month after recruited
using European Organization for Research and Treatment cancer QLQ-C30 (EORTC) to measure quality of life.
Quality of life (EORTC QLQ-OES 18 )
Time frame: baseline
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
Quality of life (EORTC QLQ-OES 18 )
Time frame: 3rd month after recruited
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
Quality of life (EORTC QLQ-OES 18 )
Time frame: 6th month after recruited
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
Quality of life (EORTC QLQ-OES 18 )
Time frame: 12th month after recruited
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
Quality of life (EORTC QLQ-OES 18 )
Time frame: 24th month after recruited
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
Quality of life (EORTC QLQ-OES 18 )
Time frame: 36th month after recruited
using European Organization for Research and Treatment cancer QLQ-OES 18 (EORTC) to measure quality of life.
14 secondary outcomes
Subjective sleep quality
Time frame: baseline
Subjective sleep quality
Time frame: 3rd month after recruited
Subjective sleep quality
Time frame: 6th month after recruited
Subjective sleep quality
Time frame: 12th month after recruited
Subjective sleep quality
Time frame: 24th month after recruited
Subjective sleep quality
Time frame: 36th month after recruited
Objective sleep quality
Time frame: baseline
Objective sleep quality
Time frame: 3rd month after recruited
Objective sleep quality
Time frame: 6th month after recruited
Objective sleep quality
Time frame: 12th month after recruited
Objective sleep quality
Time frame: 24th month after recruited
Objective sleep quality
Time frame: 36th month after recruited
Emotional distress
Time frame: baseline, 3rd month, 6th month, 12th month, 24th month, and 36th month after recruited
Circadian rhythms
Time frame: baseline, 3rd month, 6th month, 12th month, 24th month, and 36th month after recruited
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jul 2025.
- Derived from this study: PubMed 40312569Chen HM, Huang CS, Wu YC, Chien LI, Hsu PK. The effects of a 3-month walking and dietary education program on the quality of life of patients with esophageal cancer: a 1-year follow-up randomized controlled trial. Support Care Cancer. 2025 May 1;33(5):441. doi: 10.1007/s00520-025-09489-4.
- Derived from this study: PubMed 33813524Chen HM, Lin YY, Wu YC, Huang CS, Hsu PK, Chien LI, Lin YJ, Huang HL. Effects of Rehabilitation Program on Quality of Life, Sleep, Rest-Activity Rhythms, Anxiety, and Depression of Patients With Esophageal Cancer: A Pilot Randomized Controlled Trial. Cancer Nurs. 2022 Mar-Apr 01;45(2):E582-E593. doi: 10.1097/NCC.0000000000000953.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Hui-Mei Chen, PhD principal investigator
National Taipei University of Nursing and Health Sciences
YU-CHUNG WU, M.D. principal investigator
Taipei Veterans General Hospital, Taiwan
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing exercise and dietary education and weekly telephone consultations concerning exercise and diet. in people with Esophageal Cancer, run by Taipei Veterans General Hospital, Taiwan at 1 site in Taiwan.
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 1 inclusion and 1 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: under way, not looking for participants, as of the sponsor's last update on 28 Jul 2025. 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 Taiwan. 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?
This study is still under way. Results are not available in the source record yet.
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?
Quality of life (EORTC QLQ-C30 ) (time frame: baseline). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03161535, which also lists 2 linked publications.
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 28 Jul 2025.